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June 2000

Resurfacing ProceduresHow Do You Choose?

Arch Dermatol. 2000;136(6):783-784. doi:10.1001/archderm.136.6.783

THERE HAS definitely been a heightened interest in the reversal of photodamage over the past decade, from both the public and the medical community. This increase in interest has resulted in the development of new procedures and products and in a reevaluation of older procedures. In the rush to market new procedures, anecdotal data are often the first or only data available for evaluation, making direct comparisons and informed choices difficult. This situation has sometimes resulted in errors in judgment, with undesirable consequences ranging from a lack of visible response to adverse healing with scarring. Our choices of modalities for resurfacing procedures now include microdermabrasion, alpha and beta hydroxy acid peels, Jessner peels, trichloroacetic acid peels, phenol peels, dermabrasion with wirebrush, diamond fraise or sandpaper, pulsed carbon dioxide (CO2) laser, scanned CO2 laser, erbium laser, long-pulsed erbium laser, and electrical heating, as well as various new modalities that are presently undergoing testing. How is one to make a choice?

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