Romania 2002

Karolna Kykalov, M.D.

Estetic and corrective dermatology, laser therapy
Institte o! Estetic Medicine, "rage, #$ech rep%lic
&. 'aser (reatment !or )asclar *kin 'esinons
'aser therapy is sed !or mainly all types o! vasclar skin leasions. (he %est indications are
!acial teleangiectasia, port +ine stains, spider neavi, cherry angiomas, senile angiomas,
cappilary hemangiomas. ,lso yo can treat leg veins like a com%ination therapy. -e are
sing !or treatment o! vasclar skin leasions t+o lasers "ro.ello+ 'aser / #opper 0romide
'aser 1!or red vasclar skin leasions / target is o2yhemoglo%in, +avelength 345nm 6 and
MeDio*tar )asclar 'aser 7 high po+er diode laser 1!or %le vasclar skin leasions / target
is mainly car%o2yhemoglo%in, +avelenth 5&0nm6. De to the color +e chose +avelength,
!olo+ing the %asic principles o! selective phototermolysis. (he other parametres o! vasclar
treatments / diameter o! the vessels, locali$ation, depth o! the vessels are leading parametres
!or modi!ication o! plse dration 1on7time6, o!!7 time and !lence. 8n or lasers is very easy
to modi!y these parametres and change them dring the procedre. De to indications and
technology +e can manage the nm%er o! treatments. ,s local anestesia +e sed active or
passive cooling systems. 9or good reslt shold %e per!er!ect indication, kno+ledge o!
di!erent diagnosis and good technology.
"ictres comment:
"ct.n.&
;emangioma o! the lip / %le /%e!ore treatment <mstrhemg<
;emangioma o! the lip / %le / MeDio*tar 'aser )asclar a!ter !ll procedre <hg a!ter<
"ct. n. 2
"ort+ine stain 7 %e!ore treatment <port+ine&<
"ort+ine stain / "ro .ello+ 'aser a!ter one trial therapy <port+ine=<
2. Er%im: .,> 'aser in Dermatology
Er%im: .,> laser is sed in dermatology not only in estetic prposes %t also !or treatment
o! special dermatological pro%lems.(he main target !or er%im laser is +ater. (he emission
+avelength o! er%im:.,>12,?@m6 laser is consistent !ndamental ma2imm a%sorption o!
+ater. (his is +hy the a%sorption is very high. -hen the energy reached a s!!iciently high
level 1treshold vale6, the photoa%lation e!!ects reslts. #oaglation $one is no more than
30m. sage is di!!erent %t t+o main point are e2isting / skin resr!acing 1or. laser peeling
as reAvenation6 and the second removing o! solid skin leasions 1lentigo senilis, actinic
keratoses, epidermal and dermal neavi, 2anthelasmas, se%aceos hyperplasia, syringomas
scars / com%ination6 yo can also com%ine these t+o methods together 1M."ringle6. 'ocal or
general anestesia is neccesary, +e choose method de to procedre. In!ormations o! patient
shold %e per!ect. 0e!ore, dring and a!ter treatment certain rles and recommantations
shold %e !ollo+ed to minima$e the risk o! complications.
"ictres !or er%im:.,>:
&. Mor%s "ringle 1!ace6 / %e!ore <Avn0&<
2. Mor%s "ringle 1!ace6 / immediatelly a!ter treatment <Avn03<
=. Mor%s "ringle 1!ace6 / a!ter = +eeks <Avn0B<