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Energy Delivery Devices for Cutaneous Remodeling
Lasers, Lights, and Radio Waves
Arch Dermatol. 2003;139:1351-1360.
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MAJOR TRENDS
In the 10 years since our group last reviewed this topic,1 much has changed in cutaneous lasers. Most notably, lasers not previously in routine use for dermatologic interventions have been adapted for treating the skin. Concurrently, the spectrum of potential indications for cutaneous lasers has broadened. A number of subtle alterations have guided this process. Laser experts no longer instinctively believe in a 1-to-1 correspondence between a specific emission wavelength and the desired indication. It is now clear that many different lasers of varying pulse durations can achieve similar effects given the right conditions. Another major trend in cutaneous laser therapy, and in procedural dermatology as a whole, is the proliferation of minimally invasive therapies. Finally, one of the most striking advances in cutaneous laser surgery is that the field has expanded to include nonlaser devices, including intense pulsed light (IPL), light-emitting diodes (LEDs), and radiofrequency (RF) emitters.
CURRENT COMMON DEVICES AND INDICATIONS
Many of . . . [Full Text of this Article] NEW DEVICES Excimer Laser (308 nm)
Intense UV-B Light (290-320 nm) Intense Blue Light (405-430 nm) Red Light (630-640 nm), Other Light Sources, and PDT Intense Pulsed Light (500-1200 nm) Purpura-Free PDL (595 nm) and Low-Energy PDL (585 nm) Nd:YAG Laser (1064 nm) Mid-Infrared Lasers (1319/1320 nm, 1450 nm, 1540 nm) Modified Erbium Lasers RF Resurfacing Light-Emitting Diodes Hybrids and Multilasers NEW APPLICATIONS Acne
Actinic Keratosis Basal Cell Carcinoma Hair Removal Hypopigmentation and Dyspigmentation Leg Veins Nonablative Rejuvenation Pseudofolliculitis Barbae Psoriasis FUTURE DIRECTIONS Anesthesia and Using Lasers to Deliver Therapies
Research Questions
Murad Alam, MD
Section of Cutaneous and Aesthetic Surgery Department of Dermatology Northwestern University 675 N St Clair St, Suite 19-150 Chicago, IL 60611 (e-mail: murad@alam.com)
Jeffrey S. Dover, MD, FRCPC;
Kenneth A. Arndt, MD
Chestnut Hill, Mass
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