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...
Main Authors: | , , , , |
---|---|
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 |
_version_ | 1811250327619371008 |
---|---|
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. |
first_indexed | 2024-04-12T16:02:53Z |
format | Article |
id | doaj.art-e5fa81a927e84844970457be96628183 |
institution | Directory Open Access Journal |
issn | 0974-2077 |
language | English |
last_indexed | 2024-04-12T16:02:53Z |
publishDate | 2013-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Cutaneous and Aesthetic Surgery |
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 |
work_keys_str_mv | AT josianehelou efficacyandsafetyof10600nmcarbondioxidefractionallaseronfacialskinwithpreviousvolumeinjections AT ismaelmaatouk efficacyandsafetyof10600nmcarbondioxidefractionallaseronfacialskinwithpreviousvolumeinjections AT roymoutran efficacyandsafetyof10600nmcarbondioxidefractionallaseronfacialskinwithpreviousvolumeinjections AT graceobeid efficacyandsafetyof10600nmcarbondioxidefractionallaseronfacialskinwithpreviousvolumeinjections AT faridstephan efficacyandsafetyof10600nmcarbondioxidefractionallaseronfacialskinwithpreviousvolumeinjections |