The article by Carniol and Greene is a contemporaneous dissertation on the current wave of interest in obtaining facial skin rejuvenation with minimum postoperative downtime and minimal sequelae for the patient. There are certainly pros and cons to every technique currently and previously used for rejuvenation of photoaging of the skin. Each technique has its own risk-benefit ratios in terms of postoperative complications, sequelae, and healing downtime vs the ultimate benefit the patient and surgeon are trying to achieve. The authors’ opening hypothesis is that nonablative laser technology and treatments have an excellent risk-benefit ratio compared with other modalities for resurfacing the skin. I believe this is a matter of question and interpretation, because the benefits from nonablative laser technology are often subjective and multiple treatments are required to achieve objective change in the skin texture or appearance. The following is an outline of other tried and proven modalities for skin rejuvenation and resurfacing that have established risk-benefit ratios with an expectation of results in a single-treatment session.
Perkins SW. Proven Modalities for Facial Skin Resurfacing? Arch Otolaryngol Head Neck Surg. 2004;130(11):1334–1335. doi:10.1001/archotol.130.11.1334
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