"I can't believe I'm doing something so vain," Ingrid declared, settling
into the white vinyl treatment chair. "But I hate these." She frowned at the
large, brown splotches on her forearms and the backs of her hands.
Ingrid was my last patient on the evening's schedule. A quick and easy
case. I calibrated the laser. Q-switched YAG, 532 nanometers in the frequency-doubled
mode, fluence at 1.2 joules. The touch screen beeped in response.
She pointed to the large lentigo on her right wrist. "That came when
I got sun poisoning," she said. "Itchy bumps came out on the whole arm, right
through the sunblock. I was painting outdoors that summer."
Rockoff A. Vanity. JAMA. 2002;288(6):677. doi:10.1001/jama.288.6.677