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January 2002

Editorial Comment

Author Affiliations

St Louis, Mo

Arch Facial Plast Surg. 2002;4(1):7. doi:

We agree that there are no good data to support the incisional use of the CO2 laser for blepharoplasty. It offers minimal or no advantage in that area. In expert hands, phenol peels achieve results similar to laser resurfacing; however, in most surgeons' hands, the CO2 laser and the variable pulse erbium:YAG laser achieve excellent results with minimal complications. The postoperative pain is generally minor if appropriate moist wound healing is done (occlusive dressings for 3 days followed by open dressings). We rarely need to use prescription pain medications for our resurfacing patients. The redness after variable pulse erbium:YAG resurfacing is far shorter (6 weeks to 3 months) than that seen after Baker solution phenol peels. Nonablative resurfacing lasers currently have very little science and clinical proof behind them. Laser hair removal, however, was in the same situation 3 years ago and is currently being performed with excellent long-term hair reduction in most patients. The same situation could develop with nonablative resurfacing.

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