Abstract
Lasers are useful for treating a variety of dermatologic conditions but have a number of potential complications associated with their use. A basic understanding of laser mechanics is paramount in preventing and troubleshooting complications.
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References
Goldman L, Blaney DJ, Kindel DJ Jr, et al. Pathology of the effect of the laser beam on the skin. Nature. 1963;197:912-914.
Tanzi EL, Lupton JR, Alster TS. Lasers in dermatology: four decades of progress. J Am Acad Dermatol. 2003;49:1-31; quiz 31-34.
Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science. 1983;220:524-527.
Anderson RR. Lasers in dermatology – a critical update. J Dermatol. 2000;27:700-705.
Nelson JS, Majaron B, Kelly KM. Active skin cooling in conjunction with laser dermatologic surgery. Semin Cutan Med Surg. 2000;19:253-266.
Sawchuk WS, Weber PJ, Lowy DR, et al. Infectious papillomavirus in the vapor of warts treated with carbon dioxide laser or electrocoagulation: detection and protection. J Am Acad Dermatol. 1989;21:41-49.
Baggish MS, Poiesz BJ, Joret D, et al. Presence of human immunodeficiency virus DNA in laser smoke. Lasers Surg Med. 1991;11:197-203.
Barkana Y, Belkin M. Laser eye injuries. Surv Ophthalmol. 2000;44:459-478.
Isenhath S, Willey A, Bouzari N, et al. Complications in Dermatologic Surgery, Mosby Elsevier, Philadelphia, USA.
Sliney D, Aron-Rosa D, DeLori F, et al. Adjustment of guidelines for exposure of the eye to optical radiation from ocular instruments: statement from a task group of the International Commission on Non-Ionizing Radiation Protection (ICNIRP). Appl Opt. 2005;44:2162-2176.
Greve B, Raulin C. Professional errors caused by lasers and intense pulsed light technology in dermatology and aesthetic medicine: preventive strategies and case studies. Dermatol Surg. 2002;28:156-161.
Dawson E, Willey A, Lee K. Adverse events associated with nonablative cutaneous laser, radiofrequency, and light-based devices. Semin Cutan Med Surg. 2007;26:15-21.
Wolfe JT, Weinberg JM, Elenitsas R, et al. Cutaneous lupus erythematosus following laser-induced thermal injury. Arch Dermatol. 1997;133:392-393.
Kuhn A, Becker-Wegerich PM, Ruzicka T, et al. Successful treatment of discoid lupus erythematosus with argon laser. Dermatology. 2000;201:175-177.
Haedersdal M, Poulsen T, Wulf HC. Laser induced wounds and scarring modified by antiinflammatory drugs: a murine model. Lasers Surg Med. 1993;13:55-61.
Rubenstein R, Roenigk HH Jr, Stegman SJ, et al. Atypical keloids after dermabrasion of patients taking isotretinoin. J Am Acad Dermatol. 1986;15:280-285.
Khatri KA. Diode laser hair removal in patients undergoing isotretinoin therapy. Dermatol Surg. 2004;30:1205-1207; discussion 1207.
Khatri KA, Garcia V. Light-assisted hair removal in patients undergoing isotretinoin therapy. Dermatol Surg. 2006;32:875-877.
Alster T, Zaulyanov L. Laser scar revision: a review. Dermatol Surg. 2007;33:131-140.
Trotter MJ, Tron VA, Hollingdale J, et al. Localized chrysiasis induced by laser therapy. Arch Dermatol. 1995;131:1411-1414.
Baron ED, Harris L, Redpath WS, et al. Laser-assisted penetration of topical anesthetic in adults. Arch Dermatol. 2003;139:1288-1290.
Chen JZ, Jacobson LG, Bakus AD, et al. Evaluation of the S-Caine peel for induction of local anesthesia for laser-assisted tattoo removal: randomized, double-blind, placebo-controlled, multicenter study. Dermatol Surg. 2005;31:281-286.
Kilmer SL, Chotzen V, Zelickson BD, et al. Full-face laser resurfacing using a supplemented topical anesthesia protocol. Arch Dermatol. 2003;139:1279-1283.
Waldorf HA, Alster TS, McMillan K, et al. Effect of dynamic cooling on 585-nm pulsed dye laser treatment of port-wine stain birthmarks. Dermatol Surg. 1997;23:657-662.
Chan HH, Lam LK, Wong DS, et al. Role of skin cooling in improving patient tolerability of Q-switched Alexandrite (QS Alex) laser in nevus of Ota treatment. Lasers Surg Med. 2003;32:148-151.
Watanabe S, Kakigi R, Hoshiyama M, et al. Effects of noxious cooling of the skin on pain perception in man. J Neurol Sci. 1996;135:68-73.
Nanni CA, Alster TS. Complications of carbon dioxide laser resurfacing. An evaluation of 500 patients. Dermatol Surg. 1998;24:315-320.
Alam M, Omura NE, Dover JS, et al. Clinically significant facial edema after extensive treatment with purpura-free pulsed-dye laser. Dermatol Surg. 2003;29:920-924.
Alster TS, Lupton JR. Prevention and treatment of side effects and complications of cutaneous laser resurfacing. Plast Reconstr Surg. 2002;109:308-316; discussion 317-318.
Alster TS, West TB. Effect of topical vitamin C on postoperative carbon dioxide laser resurfacing erythema. Dermatol Surg. 1998;24:331-334.
Wetter DA, Davis MD, Yiannias JA, et al. Patch test results from the Mayo Clinic Contact Dermatitis Group, 1998–2000. J Am Acad Dermatol. 2005;53:416-421.
Smack DP, Harrington AC, Dunn C, et al. Infection and allergy incidence in ambulatory surgery patients using white petrolatum vs bacitracin ointment. A randomized controlled trial. JAMA. 1996;276:972-977.
Lanigan SW. Patient-reported morbidity following flashlamp-pumped pulsed tunable dye laser treatment of port wine stains. Br J Dermatol. 1995;133:423-425.
Shah NS, Lazarus MC, Bugdodel R, et al. The effects of topical vitamin K on bruising after laser treatment. J Am Acad Dermatol. 2002;47:241-244.
Alonso D, Lazarus MC, Baumann L. Effects of topical arnica gel on post-laser treatment bruises. Dermatol Surg. 2002;28:686-688.
Bernstein EF. Laser treatment of tattoos. Clin Dermatol. 2006;24:43-55.
Ho C, Nguyen Q, Lowe NJ, et al. Laser resurfacing in pigmented skin. Dermatol Surg. 1995;21:1035-1037.
West TB, Alster TS. Effect of pretreatment on the incidence of hyperpigmentation following cutaneous CO2 laser resurfacing. Dermatol Surg. 1999;25:15-17.
Willey A, Anderson RR, Azpiazu JL, et al. Complications of laser dermatologic surgery. Lasers Surg Med. 2006;38:1-15.
Ross EV, Barnette DJ, Glatter RD, et al. Effects of overlap and pass number in CO2 laser skin resurfacing: a study of residual thermal damage, cell death, and wound healing. Lasers Surg Med. 1999;24:103-112.
Zurada JM, Kriegel D, Davis IC. Topical treatments for hypertrophic scars. J Am Acad Dermatol. 2006;55:1024-1031.
Alster T. Laser scar revision: comparison study of 585-nm pulsed dye laser with and without intralesional corticosteroids. Dermatol Surg. 2003;29:25-29.
Asilian A, Darougheh A, Shariati F. New combination of triamcinolone, 5-Fluorouracil, and pulsed-dye laser for treatment of keloid and hypertrophic scars. Dermatol Surg. 2006;32:907-915.
Manuskiatti W, Wanitphakdeedecha R, Fitzpatrick RE. Effect of pulse width of a 595-nm flashlamp-pumped pulsed dye laser on the treatment response of keloidal and hypertrophic sternotomy scars. Dermatol Surg. 2007;33:152-161.
Alajlan A, Shapiro J, Rivers JK, et al. Paradoxical hypertrichosis after laser epilation. J Am Acad Dermatol. 2005;53:85-88.
Kontoes P, Vlachos S, Konstantinos M, et al. Hair induction after laser-assisted hair removal and its treatment. J Am Acad Dermatol. 2006;54:64-67.
Grossman MC, Dierickx C, Farinelli W, et al. Damage to hair follicles by normal-mode ruby laser pulses. J Am Acad Dermatol. 1996;35:889-894.
Lapidoth M, Shafirstein G, Ben Amitai D, et al. Reticulate erythema following diode laser-assisted hair removal: a new side effect of a common procedure. J Am Acad Dermatol. 2004;51:774-777.
Beeson WH, Rachel JD. Valacyclovir prophylaxis for herpes simplex virus infection or infection recurrence following laser skin resurfacing. Dermatol Surg. 2002;28:331-336.
Bellman B, Brandt FS, Holtmann M, et al. Infection with methicillin-resistant Staphylococcus aureus after carbon dioxide resurfacing of the face. Successful treatment with minocycline, rifampin, and mupiricin ointment. Dermatol Surg. 1998;24:279-282.
Alam M, Pantanowitz L, Harton AM, et al. A prospective trial of fungal colonization after laser resurfacing of the face: correlation between culture positivity and symptoms of pruritus. Dermatol Surg. 2003;29:255-260.
Sriprachya-Anunt S, Fitzpatrick RE, Goldman MP, et al. Infections complicating pulsed carbon dioxide laser resurfacing for photoaged facial skin. Dermatol Surg. 1997;23:527-535; discussion 535-536.
Walia S, Alster TS. Cutaneous CO2 laser resurfacing infection rate with and without prophylactic antibiotics. Dermatol Surg. 1999;25:857-861.
Conn H, Nanda VS. Prophylactic fluconazole promotes reepithelialization in full-face carbon dioxide laser skin resurfacing. Lasers Surg Med. 2000;26:201-207.
Ashinoff R, Levine VJ, Soter NA. Allergic reactions to tattoo pigment after laser treatment. Dermatol Surg. 1995;21:291-294.
Bhardwaj SS, Brodell RT, Taylor JS. Red tattoo reactions. Contact Dermatitis. 2003;48:236-237.
Antony FC, Harland CC. Red ink tattoo reactions: successful treatment with the Q-switched 532 nm Nd:YAG laser. Br J Dermatol. 2003;149:94-98.
Dave R, Mahaffey PJ. Successful treatment of an allergic reaction in a red tattoo with the Nd-YAG laser. Br J Plast Surg. 2002;55:456.
Zemtsov A, Wilson L. CO2 laser treatment causes local tattoo allergic reaction to become generalized. Acta DermVenereol. 1997;77:497.
Taylor CR. Laser ignition of traumatically embedded firework debris. Lasers Surg Med. 1998;22:157-158.
Anderson RR, Geronemus R, Kilmer SL, et al. Cosmetic tattoo ink darkening. A complication of Q-switched and pulsed-laser treatment. Arch Dermatol. 1993;129:1010-1014.
Ross EV, Yashar S, Michaud N, et al. Tattoo darkening and nonresponse after laser treatment: a possible role for titanium dioxide. Arch Dermatol. 2001;137:33-37.
Varma S, Swanson NA, Lee KK. Tattoo ink darkening of a yellow tattoo after Q-switched laser treatment. Clin Exp Dermatol. 2002;27:461-463.
Fitzpatrick RE, Lupton JR. Successful treatment of treatment-resistant laser-induced pigment darkening of a cosmetic tattoo. Lasers Surg Med. 2000;27:358-361.
Herbich GJ. Ultrapulse carbon dioxide laser treatment of an iron oxide flesh-colored tattoo. Dermatol Surg. 1997;23:60-61.
Dinehart SM, Flock S, Waner M. Beam profile of the flashlamp pumped pulsed dye laser: support for overlap of exposure spots. Lasers Surg Med. 1994;15:277-280.
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Moore, R.L., Martinez, JC., Lee, K.K. (2011). Prevention and Treatment of Laser Complications. In: Nouri, K. (eds) Lasers in Dermatology and Medicine. Springer, London. https://doi.org/10.1007/978-0-85729-281-0_29
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DOI: https://doi.org/10.1007/978-0-85729-281-0_29
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