A Practical Guide to Laser Procedures

This fourth volume in the highly regarded Cosmetic Procedures series provides step-by-step instruction for treating sun-damaged skin and other common aesthetic complaints using laser and light technologies. From equipment and patient selection to combining laser treatments with other cosmetic procedures for enhanced outcomes, this illustrated reference offers valuable procedural guidance regardless of your experience level. A Practical Guide to Laser Procedures delivers information essential for achieving high patient satisfaction and successfully performing cosmetic laser treatments. Look at all you’ll discover… Quickly gain skill and confidence in the treatment of sun-damaged skin, wrinkles, pigmented and vascular lesions, hair and tattoo removal. Full-color design and illustrations boost understanding of each procedure. Photographs of clinical endpoints clearly show what changes to look for on the skin with laser treatments. Step-by-step instructions guide you through each procedure to rapidly acquire skill. Detailed coverage of relevant anatomy, indications and contraindications, patient selection, procedure preparation, treatment techniques and practical tips, before and after treatment photographs, and areas to be avoided to help improve outcomes and minimize complication risks. Accompanying videos of procedures assist visual learning . Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: Instructional videos of procedures. Complete content with enhanced navigation . Powerful search tools that pull results from content in the book, your notes, and even the web. Cross-linked pages, references, and more for easy navigation. Highlighting tool for easier reference of key content throughout the text. Ability to take and share notes with friends and colleagues. Quick reference tabbing to save your favorite content for future use. Look for these other titles in the Cosmetic Procedures series: A Practical Guide to Botulinum Toxin Procedures A Practical Guide to Dermal Filler Procedures A Practical Guide to Chemical Peels, Microdermabrasion & Topical Products.

 

 

Table of Contents:

 

Video: INTRO

Video: HAIR REMOVAL: Coarse Hair using Intense Pulsed Light

Video: HAIR REMOVAL: Fine Hair using Q-switched 1064 nm

Video: PIGMENTED LESIONS: Sunspots and Freckles using Intense Pulsed Light

Video: PIGMENTED LESIONS: Sunspot using Q-switched 532 nm

Video: PIGMENTED LESIONS: Freckles using Q-switched 532 nm

Video: VASCULAR LESIONS: Rosacea and Vessels using Intense Pulsed Light

Video: TATTOO REMOVAL: Black Tattoo using Q-switched 1064 nm

Video: WRINKLES: Nonablative Q-switched 1064 nm

Video: WRINKLES: Ablative Fractional 2940 nm

Section 1: Key Reference

Key Reference

Section 1: Key References

Figure: ● Lasers used for aesthetic conditions.

Figure 2: ● Factors affecting laser depth of penetration.

Figure 3: ● Laser treatment parameters used for different patient and lesion characteristics.

Figure 4: ● Absorption spectra of tissue chromophores.

Figure 5: ● Absorption spectra of tissue chromophores and lasers used for aesthetic conditions.

Figure 6: ● Water absorption spectrum and lasers used for skin resurfacing.

Section 2: Introduction and Foundation Concepts

Introduction and Foundation Concepts

Chapter X Introduction

Skin Aging

Figure 1

Exhibit 28

What Aspects of Photoaging Can Be Treated with Lasers?

Laser Principles

Figure 2

Figure 3

Exhibit 33

What Are the Components of a Laser?

Laser Parameters

Thermal Relaxation Time

Depth of Penetration

Skin Anatomy

Figure 4

Histology of Photoaging

Figure 5

Figure 6

Laser Devices Overview by Type of Technology

Fractional Lasers

Intense Pulsed Light

Very Short Pulse Lasers (Q-switched and Mode-locking)

Neodymium-doped Yttrium Aluminum Garnet Laser

Potassium Titanyl Phosphate Laser

Radiofrequency Devices

Light-Emitting Diodes

Photodynamic Therapy

Figure 7

Figure 8

Laser Devices by Indication

Skin Resurfacing

Pigmented Lesions

Hair Removal

Vascular Lesions

Tattoo Removal

Figure 2-9

Exhibit 48

Laser Maintenance

Laser Safety

Figure 10

Figure 11

Aesthetic Consultation

Fitzpatrick Skin Type

Exhibit 55

Glogau Classification of Photoaging

Exhibit 57

Informed Consent

Photodocumentation

Selecting the Appropriate Laser Procedure for Photoaged Skin

Laser Treatments in Patients with Dark Background Skin

Alternative Therapies

Advantages of Laser Treatment

Disadvantages of Laser Treatment

General Laser Contraindications

Indications

Preprocedure Checklist

Preprocedure Skin Care Products for Laser Treatments

Anesthesia for Laser Procedures

Epidermal Cooling

Topical Anesthetics

Injectable Anesthetics

Anxiolytic and Analgesic Medications

Pneumatic Skin Flattening

Exhibit 70

Figure 12

Exhibit 72

Laser Procedure

Aggressive Versus Conservative Laser Parameters

Selecting Initial Laser Parameters for Treatment

Patient Characteristics

Lesion Characteristics

General Treatment Technique

Desirable Clinical Endpoints

Undesirable Clinical Endpoints

Performing Laser Treatments

Figure 13

Figure 14

Figure 15

Figure 16

Postprocedure Skin Care for Laser Treatments

Intact Skin

Nonintact Skin

Treatment Intervals

Subsequent Treatments

Common Follow-Ups

Results

Complications

Exhibit 84

Learning Techniques

Current Developments

Exhibit 87

Combining Aesthetic Procedures

Pigmented Lesions

Vascular Lesions

Wrinkle Reduction

Wrinkle Reduction and Pigmented Lesions

Wrinkle Reduction and Vascular Lesions

Figure 17

Figure 18

Figure 19

Figure 20

Figure 21

Figure 22

Figure 23

Financial Considerations

Section 3: Treatments

Chapter 1: Hair Removal

Chapter 1 Introduction

Figure 1

Anatomy

Figure 2

Figure 3

Table 1: Percentage of Hairs in Anagen Phase at Any Given Time and Duration of Telogen Phase for Different Body Areas

Laser Principles

Figure 4

Laser Parameters for Hair Removal Treatments

Patient Selection

Patient Expectations

Indications

Alternative Therapies

Devices Currently Available for Laser Hair Removal

Exhibit 111

Contraindications

General Laser Contraindications

Contraindications Specific to Laser Hair Removal

Advantages of Laser Hair Removal

Disadvantages of Laser Hair Removal

Equipment

Preprocedure Checklist

Anesthesia

Laser Hair Removal Procedure

Selecting Initial Laser Parameters for Treatment

General Treatment Technique

Desirable Clinical Endpoints

Undesirable Clinical Endpoints

Performing Laser Hair Removal

Figure 5

Figure 6

Figure 7

Figure 8

Figure 9

Aftercare

Common Follow-Ups

Figure 10

Treatment Intervals

Table 2: Laser Hair Removal Treatment Intervals

Subsequent Treatments

Results

Figure 11

Figure 12

Figure 13

Figure 14

Figure 15

Figure 16

Figure 17

Figure 18

Complications

Figure 19

Figure 20

Figure 21

Special Populations and Additional Considerations

Learning Techniques for Laser Hair Removal

Current Developments

Financial Considerations

Chapter 2: Pigmented Lesions

Pigmented Lesions

Anatomy

Table 1: Types of Benign Pigmented Lesions in Photoaged Skin

Laser Principles

Figure 1

Laser Parameters for Treatment of Pigmented Lesions

Figure 2

Patient Selection

Patient Expectations

Indications

Alternative Therapies

Devices Currently Available for Treatment of Pigmented Lesions

Pigment Specific Lasers

Skin Resurfacing Lasers

Exhibit 159

Contraindications

General Laser Contraindications

Contraindications Specific to Laser Treatment for Pigmented Lesions

Advantages of Laser Treatment for Pigmented Lesions

Disadvantages of Laser Treatment for Pigmented Lesions

Equipment

Preprocedure Checklist

Anesthesia

Procedure for Laser Treatment of Pigmented Lesions

Selecting Initial Laser Parameters for Treatment

General Treatment Technique

Desirable Clinical Endpoints

Undesirable Clinical Endpoints

Performing Laser Treatment for Pigmented Lesions

Figure 3

Figure 4

Figure 5

Aftercare

Figure 6

Common Follow-Ups

Treatment Intervals

Subsequent Treatments

Results

Figure 7

Figure 8

Figure 9

Figure 10

Figure 11

Figure 12

Figure 13

Figure 14

Figure 15

Complications

Figure 16

Figure 17

Figure 18

Special Populations and Additional Considerations

Learning Techniques for Laser Treatment of Pigmented Lesions

Current Developments

Financial Considerations

Chapter 3: Vascular Lesions

Chapter 3 Introduction

Figure 1

Anatomy

Figure 2

Figure 3

Figure 4

Laser Principles

Laser Parameters for Treatment of Red Vascular Lesions

Figure 5

Patient Selection

Patient Expectations

Indications

Alternative Therapies

Devices Currently Available for Treatment of Red Vascular Lesions

Exhibit 207

Contraindications

General Laser Contraindications

Contraindications Specific to Laser Treatment for Red Vascular Lesions

Advantages of Laser Treatment for Red Vascular Lesions

Disadvantages of Laser Treatment for Red Vascular Lesions

Equipment

Preprocedure Checklist

Anesthesia

Procedure for Laser Treatment of Red Vascular Lesions

Selecting Initial Laser Parameters for Treatment

General Treatment Technique

Desirable Clinical Endpoints

Telangiectasias

Background Erythema

Spider and Cherry Angiomas

Undesirable Clinical Endpoints

Performing Laser Treatment for Red Vascular Lesions

Figure 6

Figure 7

Figure 8

Figure 9

Aftercare

Common Follow-ups

Treatment Intervals

Subsequent Treatments

Results

Figure 10

Figure 11

Figure 12

Figure 13

Figure 14

Complications

Special Populations and Additional Considerations

Learning Techniques for Laser Treatment of Red Vascular Lesions

Current Developments

Financial Considerations

Chapter 4: Tattoo Removal

Chapter 4 Introduction

Figure 1

Figure 2

Tattoos

Figure 3

Laser Principles

Figure 4

Figure 5

Laser Parameters for Tattoo Removal Treatments

Patient Selection

Patient Expectations

Table 1: Factors Affecting the Number of Treatments Needed for Tattoo Removal

Indications

Alternative Therapies

Devices Currently Available for Tattoo Removal

Exhibit 249

Contraindications

General Laser Contraindications

Contraindications Specific to Tattoo Removal

Advantages of Laser Tattoo Removal

Disadvantages of Laser Tattoo Removal

Equipment

Figure 6

Figure 7

Preprocedure Checklist

Anesthesia

Laser Tattoo Removal Procedure

Selecting Initial Laser Parameters for Treatment

General Treatment Technique

Desirable Clinical Endpoints

Undesirable Clinical Endpoints

Performing Laser Tattoo Removal

Figure 8

Figure 9

Figure 10

Aftercare

Common Follow-Ups

Treatment Intervals

Subsequent Treatments for Black Tattoos

Subsequent Treatments for Multicolored Tattoos

Results

Figure 11

Figure 12

Figure 13

Figure 14

Figure 15

Complications

Figure 16

Figure 17

Figure 18

Figure 19

Figure 20

Figure 21

Figure 22

Special Populations and Additional Considerations

Learning Techniques for Laser Tattoo Removal

Current Developments

Financial Considerations

Chapter 5: Wrinkles—Nonablative Resurfacing

Chapter 5 Introduction

Figure 1

Anatomy

Figure 2

Laser Principles

Laser Parameters for Nonablative Resurfacing Treatments

Patient Selection

Table 1: Patient Selection and Results with Nonablative Lasers for Skin Resurfacing

Patient Expectations

Indications

Additional Indications for Nonablative Fractional Lasers

Alternative Therapies

Devices Currently Available for Nonablative Resurfacing

Lasers Targeting Water

Lasers Targeting Melanin and Oxyhemoglobin

Exhibit 296

Contraindications

General Laser Contraindications

Advantages of Nonablative Lasers for Wrinkles

Disadvantages of Nonablative Lasers for Skin Resurfacing

Equipment

Preprocedure Checklist

Anesthesia

Nonablative Laser Resurfacing Procedure for Wrinkle Reduction

Selecting Initial Laser Parameters for Treatment

General Treatment Technique

Desirable Clinical Endpoints

Undesirable Clinical Endpoints

Performing Nonablative Laser Skin Resurfacing Procedure for Wrinkle Reduction

Figure 3

Figure 4

Figure 5

Figure 6

Aftercare

Common Follow-Ups

Treatment Intervals

Subsequent Treatments

Results

Figure 7

Figure 8

Figure 9

Figure 10

Figure 11

Figure 12

Complications

Figure 13

Figure 14

Special Populations and Additional Considerations

Learning Techniques for Nonablative Laser Treatments for Skin Resurfacing

Current Developments

Financial Considerations

Chapter 6: Wrinkles—Ablative Resurfacing

Chapter 6 Introduction

Figure 1

Anatomy

Figure 2

Laser Principles

Laser Parameters for Ablative Skin Resurfacing Treatments

Figure 3

Figure 4

Patient Selection

Patient Expectations

Indications

Alternative Therapies

Devices Currently Available for Ablative Resurfacing

Exhibit 338

Contraindications

General Laser Contraindications

Contraindications Specific to Ablative Laser Treatment for Skin Resurfacing

Advantages of Ablative Lasers for Skin Resurfacing

Disadvantages of Ablative Lasers for Skin Resurfacing

Equipment

Anesthesia

Procedure

Postprocedure

Preprocedure Checklist

4–6 Weeks Prior

Preprocedure Skin Care Products

2 Weeks Prior

Anesthesia

Ablative Laser Resurfacing Procedure for Wrinkle Reduction

Selecting Initial Laser Parameters for Treatment

General Treatment Technique

Desirable Clinical Endpoints

Undesirable Clinical Endpoints

Performing Ablative Laser Skin Resurfacing Procedure for Wrinkle Reduction

Figure 5

Figure 6

Figure 7

Figure 8

Figure 9

Aftercare

Open Wound Phase (Days 0–7)

Postepithelialization Phase (Days 7–30)

Figure 10

Figure 11

Follow-Up Visits

Subsequent Treatments

Results

Figure 12

Figure 13

Figure 14

Figure 15

Figure 16

Figure 17

Figure 18

Figure 19

Figure 20

Figure 21

Figure 22

Complications

Figure 23

Special Populations and Additional Considerations

Learning Techniques for Ablative Laser Treatments for Skin Resurfacing

Current Developments

Financial Considerations

Appendices

Appendix 1: Aesthetic Intake Form

Appendix 1: Aesthetic Intake Form

Exhibit 375

Appendix 2: Fitzpatrick Skin Type

Appendix 2: Fitzpatrick Skin Type

Exhibit 377

Appendix 3: Before and After Instructions

Appendix 3a: Hair Removal Before and After Instructions for Laser Treatments

Prior to Treatment

After Treatment

Appendix 3b: Pigmented Lesion Before and After Instructions for Laser Treatments

Prior to Treatment

After Treatment

Appendix 3c: Vascular Lesion Before and After Instructions for Laser Treatments

Prior to Treatment

After Treatment

Appendix 3d: Tattoo Removal Before and After Instructions for Laser Treatments

Prior to Treatment

After Treatment

Appendix 3e: Wrinkles-Nonablative Resurfacing Before and After Instructions for Laser Treatments

Prior to Treatment

After Treatment

Appendix 3f: Wrinkles-Ablative Resurfacing Before and After Instructions for Laser Treatments

Prior to Treatment

Preparation for Procedure

Day of Procedure

Postprocedure

Postprocedure Days 0–4

Vinegar Soaks

Postprocedure Days 5–7

Appendix 4: Consent Forms

Appendix 4a: Hair Removal Consent for Laser Treatments

Appendix 4b: Pigmented Lesion Consent for Laser Treatments

Appendix 4c: Vascular Lesion Consent for Laser Treatments

Appendix 4d: Tattoo Removal Consent for Laser Treatments

Appendix 4e: Wrinkles-Nonablative Resurfacing Consent for Laser Treatments

Appendix 4f: Wrinkles-Ablative Resurfacing Consent for Laser Treatments

Appendix 5: Procedure Notes

Appendix 5a: Hair Removal Procedure Note for Laser Treatments

Exhibit 391

Appendix 5b: Pigmented Lesion Procedure Note for Laser Treatments

Exhibit 393

Appendix 5c: Vascular Lesion Procedure Note for Laser Treatments

Exhibit 395

Appendix 5d: Tattoo Removal Procedure Note for Laser Treatments

Exhibit 397

Appendix 5e: Wrinkles-Nonablative Resurfacing Procedure Note for Laser Treatments

Exhibit 399

Appendix 5f: Wrinkles-Ablative Resurfacing Procedure Note for Laser Treatments

Exhibit 401

Appendix 6: Supply Sources

Appendix 6: Supply Sources

Laser and Intense Pulsed Light Devices

Exhibit 403

Bibliography

Bibliography

Aesthetic Procedure Statistics and Overview

Photoaging Pathophysiology and Skin Anatomy

Dark Skin Types

Consultation

Laser Principles

Laser Safety

Anesthesia

Cooling and Analgesic Devices

Topical Products with Laser Procedures

Intense Pulsed Light (IPL)

Light Emitting Diode (LED)

Photodynamic Therapy (PDT)

Home-Use Lasers

Photoaging

Hair Removal

Overview

Devices

Complications

Pigmented Lesions

Overview

Devices

Vascular Lesions

Overview

Devices

Complications

Tattoo Removal

Tattoos

Overview

Devices

Complications

Skin Resurfacing

Wrinkles—Nonablative Skin Resurfacing

Overview

Devices

Complications

Wrinkles—Ablative Skin Resurfacing

Overview

Devices

Complications

Fractional Skin Resurfacing

Overview

Devices

Complications

Combining Aesthetic Treatments

General Laser Complications

Appendix

Remarks

 

 

An aparitie	23 Sept. 2015
Autor	Rebecca Small
Dimensiuni	18.29 x 1.78 x 25.91 cm
Editura	LWW
Format	Hardcover
ISBN	9781609131500
Limba	Engleza
Nr pag	288