Efficacy and safety of 10,600-nm carbon dioxide fractional laser on facial skin with previous volume injections

Background: Fractionated carbon dioxide (CO 2 ) lasers are a new treatment modality for skin resurfacing. The cosmetic rejuvenation market abounds with various injectable devices (poly-L-lactic acid, polymethyl-methacrylate, collagens, hyaluronic acids, silicone). The objective of this study is to e...

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Main Authors: Josiane Hélou, Ismaël Maatouk, Roy Moutran, Grace Obeid, Farid Stephan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Journal of Cutaneous and Aesthetic Surgery
Subjects:
Online Access:http://www.jcasonline.com/article.asp?issn=0974-2077;year=2013;volume=6;issue=1;spage=30;epage=32;aulast=Hélou
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author Josiane Hélou
Ismaël Maatouk
Roy Moutran
Grace Obeid
Farid Stephan
author_facet Josiane Hélou
Ismaël Maatouk
Roy Moutran
Grace Obeid
Farid Stephan
author_sort Josiane Hélou
collection DOAJ
description Background: Fractionated carbon dioxide (CO 2 ) lasers are a new treatment modality for skin resurfacing. The cosmetic rejuvenation market abounds with various injectable devices (poly-L-lactic acid, polymethyl-methacrylate, collagens, hyaluronic acids, silicone). The objective of this study is to examine the efficacy and safety of 10,600-nm CO 2 fractional laser on facial skin with previous volume injections. Materials and Methods: This is a retrospective study including 14 patients treated with fractional CO 2 laser and who have had previous facial volume restoration. The indication for the laser therapy, the age of the patients, previous facial volume restoration, and side effects were all recorded from their medical files. Objective assessments were made through clinical physician global assessment records and improvement scores records. Patients′ satisfaction rates were also recorded. Results: Review of medical records of the 14 patients show that five patients had polylactic acid injection prior to the laser session. Eight patients had hyaluronic acid injection prior to the laser session. Two patients had fat injection, two had silicone injection and one patient had facial thread lift. Side effects included pain during the laser treatment, post-treatment scaling, post-treatment erythema, hyperpigmentation which spontaneously resolved within a month. Concerning the previous facial volume restoration, no granulomatous reactions were noted, no facial shape deformation and no asymmetry were encountered whatever the facial volume product was. Conclusion: CO 2 fractional laser treatments do not seem to affect facial skin which had previous facial volume restoration with polylactic acid for more than 6 years, hyaluronic acid for more than 0.5 year, silicone for more than 6 years, or fat for more than 1.4 year. Prospective larger studies focusing on many other variables (skin phototype, injected device type) are required to achieve better conclusions.
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spelling doaj.art-e5fa81a927e84844970457be966281832022-12-22T03:26:10ZengWolters Kluwer Medknow PublicationsJournal of Cutaneous and Aesthetic Surgery0974-20772013-01-0161303210.4103/0974-2077.110094Efficacy and safety of 10,600-nm carbon dioxide fractional laser on facial skin with previous volume injectionsJosiane HélouIsmaël MaatoukRoy MoutranGrace ObeidFarid StephanBackground: Fractionated carbon dioxide (CO 2 ) lasers are a new treatment modality for skin resurfacing. The cosmetic rejuvenation market abounds with various injectable devices (poly-L-lactic acid, polymethyl-methacrylate, collagens, hyaluronic acids, silicone). The objective of this study is to examine the efficacy and safety of 10,600-nm CO 2 fractional laser on facial skin with previous volume injections. Materials and Methods: This is a retrospective study including 14 patients treated with fractional CO 2 laser and who have had previous facial volume restoration. The indication for the laser therapy, the age of the patients, previous facial volume restoration, and side effects were all recorded from their medical files. Objective assessments were made through clinical physician global assessment records and improvement scores records. Patients′ satisfaction rates were also recorded. Results: Review of medical records of the 14 patients show that five patients had polylactic acid injection prior to the laser session. Eight patients had hyaluronic acid injection prior to the laser session. Two patients had fat injection, two had silicone injection and one patient had facial thread lift. Side effects included pain during the laser treatment, post-treatment scaling, post-treatment erythema, hyperpigmentation which spontaneously resolved within a month. Concerning the previous facial volume restoration, no granulomatous reactions were noted, no facial shape deformation and no asymmetry were encountered whatever the facial volume product was. Conclusion: CO 2 fractional laser treatments do not seem to affect facial skin which had previous facial volume restoration with polylactic acid for more than 6 years, hyaluronic acid for more than 0.5 year, silicone for more than 6 years, or fat for more than 1.4 year. Prospective larger studies focusing on many other variables (skin phototype, injected device type) are required to achieve better conclusions.http://www.jcasonline.com/article.asp?issn=0974-2077;year=2013;volume=6;issue=1;spage=30;epage=32;aulast=HélouFractional CO 2safety implantsvolume restoration
spellingShingle Josiane Hélou
Ismaël Maatouk
Roy Moutran
Grace Obeid
Farid Stephan
Efficacy and safety of 10,600-nm carbon dioxide fractional laser on facial skin with previous volume injections
Journal of Cutaneous and Aesthetic Surgery
Fractional CO 2
safety implants
volume restoration
title Efficacy and safety of 10,600-nm carbon dioxide fractional laser on facial skin with previous volume injections
title_full Efficacy and safety of 10,600-nm carbon dioxide fractional laser on facial skin with previous volume injections
title_fullStr Efficacy and safety of 10,600-nm carbon dioxide fractional laser on facial skin with previous volume injections
title_full_unstemmed Efficacy and safety of 10,600-nm carbon dioxide fractional laser on facial skin with previous volume injections
title_short Efficacy and safety of 10,600-nm carbon dioxide fractional laser on facial skin with previous volume injections
title_sort efficacy and safety of 10 600 nm carbon dioxide fractional laser on facial skin with previous volume injections
topic Fractional CO 2
safety implants
volume restoration
url http://www.jcasonline.com/article.asp?issn=0974-2077;year=2013;volume=6;issue=1;spage=30;epage=32;aulast=Hélou
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AT roymoutran efficacyandsafetyof10600nmcarbondioxidefractionallaseronfacialskinwithpreviousvolumeinjections
AT graceobeid efficacyandsafetyof10600nmcarbondioxidefractionallaseronfacialskinwithpreviousvolumeinjections
AT faridstephan efficacyandsafetyof10600nmcarbondioxidefractionallaseronfacialskinwithpreviousvolumeinjections