Cosmetic Procedures: Laser Resurfacing
Laser resurfacing is a relatively new treatment for reducing facial wrinkles and skin irregularities, such as blemishes or acne scars.
The technique directs short, concentrated pulsating beams of light at irregular skin. Laser skin resurfacing removes skin very precisely, layer by layer. This popular procedure is known by several other names, including lasabrasion, laser peel or laser vaporization.
Who Is a Good Candidate For Laser Resurfacing?
If you have fine lines or wrinkles around the eyes, mouth or on the forehead, scars from acne, or non-responsive skin after a facelift, then you may be a good candidate for laser skin resurfacing.
If you have active acne or if you have very dark skin, you may not be a candidate. This technique is also not recommended for stretch marks.
How Does Laser Skin Resurfacing Work?
The two types of lasers most commonly used in laser resurfacing are carbon dioxide (CO2) and erbium. Each laser vaporizes superficial, damaged skin cells and both reduce the risk for the patient because they limit the amount of heat absorbed by the skin.
CO2 Laser Resurfacing
This method has been used for years to treat different skin conditions including wrinkles, scars, warts, birthmarks, enlarged oil glands on the nose (rhinophyma), skin cancer and other conditions.
The newest version of the CO2 laser resurfacing uses very short pulsed light energy (ultrapulsed) or continuous light beams that are delivered in a scanning pattern to very precisely remove thin layers of skin with minimal heat damage to the surrounding structures. Recovery time from the procedure is up to two weeks.
Patients should seek out surgeons with documented training and experience in laser skin resurfacing.
Erbium Laser Resurfacing
Erbium laser resurfacing is designed to remove superficial and moderately deep lines and wrinkles on the face hands, neck, or chest. One of the benefits of erbium laser resurfacing is minimal burning of surrounding tissue. This laser causes minimal side effects, such as swelling, bruising and redness, so your recovery time should be more rapid than with CO2 laser resurfacing - one week in most cases.
If you have a darker skin tone, erbium laser resurfacing may work better for you. Your doctor will determine which laser is best for you after he or she fully evaluates your medical history, current physical condition, and desired results.
What Can Be Expected During Laser Resurfacing?
Both erbium and CO2 laser resurfacing are performed on an outpatient basis, using local anesthesia (pain relief at the site of the procedure) in combination with orally- or intravenously-administered sedative medications.
Wrinkles around the eyes, mouth or forehead may be treated individually, or a full-face laserabrasion may be performed.
A partial-face lasabrasion takes 30-45 minutes and the full-face treatment takes 1-1/2 to 2 hours.
WebMD Medical Reference
VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.
INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.
The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.

