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INFORMATION FOR PATIENTS UNDERGOING ERBIUM LASER RESURFACING
Laser resurfacing vapourises the surface layer or layers
of the skin to remove blemishes such as spots, wrinkles and sun damage.
The precise treatment delivered by the Erbium laser
means one can simply use ones eye to gauge the end point of the
procedure. Treatment of a brown spot ends when the brown spot disappears;
treatment of a wrinkle ends when the wrinkle disappears. There is a precise
knowledge of what the final result is likely to be at the end of the treatment.
There is less damage to surrounding tissues with the
Erbium laser. This allows for treatment of areas not previously able to
be resurfaced with laser. Areas such as the neck, chest and hands can
be treated. There is less risk of hypopigmentation (loss of skin pigmentation)
with the Erbium laser).
Resurfacing is used to treat facial wrinkling and discolouration,
often caused by sun exposure over years. It is also of use for the treatment
of acne and other scarring. Laser resurfacing is a supplement to facial
surgery. It does not replace structural facelift surgery for the correction
of facial laxity which occurs with aging. However the results of resurfacing
even for rather severe wrinkling, can often be surprising.
While it is usually manageable to treat small facial
areas with local anaesthetic cream (Emla) and nerve blocks, larger areas
are best done under deep sedation or very short general anaesthetic.
The Erbium laser resurfacing produces a shallow wound
that heals within one week. Our post laser programme will instruct you
about cleaning the lasered area and how to use of prescribed applications
during this early healing phase. You will experience a slight burning
feeling and light crust formation.
Complications may include permanent colour abnormalities,
either lighter or darker - however, this is rare providing precautions
are taken. Herpes Simplex infections can also be a complication. I always
prescribe antibiotic and antiviral medication prior to laser treatment
to avoid infection.
Healing of the facial skin surface is usually complete
within a week (faster for lighter treatments), but may be slower in other
areas. You are able to use make up and other cosmetics once this phase
is over.
The lasered skin will look pink for up to eight weeks
but you can use concealer and foundation to hide this.
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