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Lasers in Dermatology

»What does the term “laser” stand for?
»What does “stimulated emission of radiation” mean?
»How is the light amplified in the laser system?
»What types of medium are used in laser systems?
»What are the special features of laser light?
»Why is monochromatic light useful?
»What is selective photothermolysis?
»What is an ablative laser?
»What is a nonablative laser?
»What is Q-switching?
»What is a fractional laser?
»How are the types of dermatologic lasers classified?
»What lasers have historic interest but are seldom used?
»What are the basic features of the carbon dioxide (CO2) laser?
»What are some uses for the standard carbon dioxide laser?
»How is the CO2 laser used for resurfacing?
»What precautions must be used with the CO2 laser?
»What are the basic features of the erbium:YAG laser?
»What are pulsed dye lasers?
»What is the flashlamp pulsed dye vascular lesion laser used to treat?
»What is nonablative resurfacing and how does a pulsed dye laser accomplish this?
»What are the disadvantages of the pulsed dye laser?
»What is an Nd:YAG laser?
»How are the long-pulsed Nd:YAG (1064-nm) lasers used?
»How are the long-pulsed KTP lasers used?
»How are the Q-switched Nd:YAG lasers used?
»What is the alexandrite laser?
»How are the alexandrite lasers used?
»What is the ruby laser?
»How are the ruby lasers used?
»What is a diode laser?
»How are the diode lasers used?
»What are nonablative fractional lasers, and for what are they used?
»What are ablative fractional lasers, and how are they used?
»What is an intense pulse light machine?
»What are IPL machines used to treat?
»Are there any risks for IPL use?
»What is radiofrequency resurfacing?
»Are there any risks with radiofrequency treatments?
»What new technologies will soon be available?

 
 
 

What is selective photothermolysis?

The theory of selective photothermolysis assumes the laser light will pass through tissue until it targets a specific chromophore with an absorption spectrum corresponding to the wavelength of the laser. The target then absorbs the light, generating heat in the target tissue. The spread of heat is determined by the thermal relaxation time (TRT) of the tissue. This is the amount of time necessary for 50% of the peak heat to diffuse out of the target. It is important for the laser pulse duration not to exceed the thermal relaxation time of the target or the heat will diffuse into surrounding tissue, causing damage and possibly scarring. Thus, the TRT depends on the actual size of the target. The smaller the target, the shorter the TRT, and thus the need for shorter laser pulse durations.

Anderson RR, Parrish JA: Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation, Science 220:524–527, 1983.