Chapter
1 Understanding lasers, lights, and tissue interactions
Light interactions with skin
Selective photothermolysis
Skin cooling: limiting thermal damage to the intended targets
Fractional photothermolysis
2 Laser treatment of vascular lesions
Vascular anomalies classification
Port-wine stain birthmarks
Other vascular malformations
Rosacea and telangiectasias
Approach to treatment of vascular lesions
Side effects and complications
3 Laser treatment of pigmented lesions and tattoos
Pigment removal principles
Patient selection in general
Patient selection for tattoo removal
Patient selection for benign pigmented lesion removal
Patients and equipment for dark-blue or black tattoo treatment
Fitzpatrick skin phototypes I–III
Fitzpatrick skin phototypes IV–VI
Patients and equipment for red tattoo treatment
Patients and equipment for green tattoo treatment
Patients and equipment for epidermal lesions
Solar lentigines, lentigo simplex, and ephelides
Café au lait macules and nevus spilus
Patients and equipment for dermoepidermal lesions
Postinflammatory hyperpigmentation
Drug-induced hyperpigmentation
Patients and equipment for dermal lesions
Nevi of Ota, Ito, and Hori
Congenital dermal melanocytosis
Troubleshooting for tattoo removal
Troubleshooting for pigmented lesion removal
Side effects and complications
Alterations in pigmentation
Paradoxical darkening of tattoo pigment
Thermal injury and scarring
Key factors in optimizing treatment
Preoperative preparation and laser safety
Home-use laser and light source devices for hair removal
Alternative technologies for hair removal
5 Non-ablative laser and light skin rejuvenation
Visible light and near-infrared / vascular lasers (Table 5.2)
Mid-infrared lasers (Table 5.3)
Overview of treatment strategy
6 Non-ablative fractional laser rejuvenation
Over-the-counter devices – the future?
Advanced topics: treatment tips for experienced practitioners
Expected benefits and alternatives
Lasers and technical overview
Carbon dioxide full field
Fractional ablative technology
Overview of treatment strategy
Absolute contraindications
Relative contraindications
Keloid or scarring history
Regional resurfacing in darker-skinned individuals
Previous deep chemical peel or deep dermabrasion
History of cold sores/herpes simplex 1
Pre- and post-treatment regimens
Complications and their treatment
8 Non-surgical body contouring
Evaluation of fatty tissue and cellulite
9 Non-surgical skin tightening
Thermal collagen remodeling
Combined electrical and optical energy
Vacuum-assisted bipolar radiofrequency
Hybrid monopolar and bipolar radiofrequency
Tips for maximizing patient satisfaction
10 Laser treatment of ethnic skin
Evaluating the patient with ethnic skin
Treatment of epidermal pigmentation
Treatment of dermal pigmentation
Hori’s macules or acquired bilateral nevus of Ota-like macules
Treatment of dermo-epidermal pigmentation
Post-inflammatory hyperpigmentation (PIH)
Treatment of vascular lesions
Ablative, non-ablative, and fractional skin resurfacing
11 Complications and legal considerations of laser and light treatments
Specific laser complications
Fractionated non-ablative lasers
IPL-specific complications
Lasers and Lights
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