Presenting today at the American Academy of Dermatology's 55th Annual Meeting, Harold J. Brody, M.D., reviewed the improved technology, refined techniques and superior instrumentation that is ushering in an era of customization in cosmetic dermatologic surgery. Laser resurfacing can be done in those areas where deep lines are prevalent, such as around the mouth and eyes, while the rest of the face is treated with a medium depth chemical peel. Each procedure gives you the specialized depth needed for that particular area, and the combination leaves the whole face lighter and brighter. Another good candidate for customized treatment is an individual who has sun damage of the forehead, especially when multiple actinic keratoses or precancerous spots are present. This results in a more evenly blended, overall rejuvenated appearance.
Complications can occur from all types of resurfacing.
Too dark or too light pigmentary changes, scarring, infection from bacteria, viruses and fungi, and prolonged redness after the surgery are the most common. Generally, the chemical peel heals more rapidly than the areas treated with laser therapy. The peel usually takes about 6 to 7 days and the CO2 laser between 8 and 9 days. After the areas have healed, there is a greater tendency for the laser-treated skin to remain pink, anywhere from 4 to 16 weeks. These areas resemble a mild sunburn.