Indications of co2 laser

Actinic and seborrheic keratosis, warts, moles, pores and skin tags, epidermal and dermal nevi , xanthelasma Other conditions that have been proven to respond favorably to carbon dioxide laser resurfacing consist of rhinophyma severe cutaneous photodamage , syringomas, actinic cheilitis angiofibroma scar treatment keloid neurofibroma and diffuse actinic keratosis

The affected person need to take into account that there is a postoperative recovery section with erythema and crusting that lasts for 1-2 weeks. The want to avoid daylight at some stage in postoperative recovery must be emphasised.

As with any cosmetic procedure, proper patient selection is essential.

• History of preceding laser resurfacing, dermabrasion or deep phenol peel must be cited,due to the fact these tactics ought to potentially delay the wound recovery reaction because of the presence of fibrosis When relevant, sufferers should be discouraged from smoking before and after surgical operation to lessen the threat of behind schedule or impaired wound healing.
• Skin to be dealt with should be thoroughly tested-scarring, dyschromia, rhytid formation, and skin kind need to be mentioned carefully. For sufferers desiring periorbital laser treatment the eyes must be carefully examined for scleral show, lid lag, and ectropion.
• Most importantly, sufferers have to have realistic expectations and sound reasons for determining to go through the cosmetic laser surgery. Other beauty remedy options need to be reviewed too so that the affected person might also make an informed choice.

Contraindications

• Absolute contraindications consist of, energetic cutaneous bacterial or viral contamination in the area to be handled, and ectropion (for infraorbital resurfacing).
• Relative contraindications encompass patient records of keloid formation or hypertrophic scarring, on going ultraviolet exposure, previous radiation therapy to treatment place, and collagen vascular disease.
• Caution must be inquisitive about sufferers who smoke or who have a records of previous laser resurfacing, phenol chemical peel, dermabrasion, and/or transcutaneous decrease blepharoplasty.

Contraindications

For small lesions, EMLA cream carried out underneath occlusion for 30-60 mins is adequate. For localized areas, local infiltration with 1% lidocaine and epinephrine is generally enough to supply adequate anesthesia. For larger areas, including complete-face resurfacing, nerve blocks ( e.G ., supraorbital, supratrochlear, infraorbital, mental) can be needed along side local infiltration.

Postoperative care and complications

Carbon dioxide laser resurfacing imparts a thermal harm to denuded skin. Nearly all sufferers encounter minor side consequences starting from postoperative ache and edema to pruritus and tightness.