« Back to Treatment of Skin Disorders

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?

 
 
 

How are the types of dermatologic lasers classified?

 
The lasers are usually classified by the laser medium that generates the light, the specific wavelength of laser light, the length of the laser pulse, and the uses of the laser (Table 54-1).
Table 54-1. Types of Lasers
 LASER MEDIUMWAVELENGTHPULSE DURATIONUSES
 
Carbon dioxide
 
10,600 nm
 
msec
 
Destruction of benign growths
Ablative skin resurfacing
 
Pulsed dye
 
577–600 nm
 
msec
 
Vascular lesion removal
Nonablative skin resurfacing
Scar improvement
Lentigines
Wart removal
Treatment of rosacea
Reduction of poikiloderma of Civatte
 
Nd:YAG laser (Q-switched)
 
1064 nm
 
nsec
 
Black, blue tattoos
Lentigines
Nonablative laser resurfacing
 
Nd:YAG laser (long-pulsed)
 
1064 nm
 
msec
 
Hair removal
Vascular lesions
Skin tightening
 
KTP laser (Q-switched)
 
532 nm
 
nsec
 
Red tattoos
 
KTP laser (long-pulsed)
 
532 nm
 
msec
 
Vascular lesions
Lentigines
 
Alexandrite laser (Q-switched)
 
755 nm
 
nsec
 
Green tattoos
Lentigines
 
Alexandrite laser (long-pulsed)
 
755 nm
 
msec
 
Hair removal
Lentigines
Vascular lesions
 
Ruby laser (Q-switched)
 
694 nm
 
nsec
 
Black, blue tattoos
 
Ruby laser (long-pulsed)
 
694 nm
 
msec
 
Hair removal
 
Diode laser
 
810 nm
 
msec
 
Hair removal
 
Diode laser
 
1350–1450 nm
 
msec
 
Nonablative skin resurfacing