Additional Information
Book Details
Abstract
This newly revised title helps you incorporate the very latest in Lasers and Lights into your busy practice. Succinctly written and lavishly illustrated, this book focus on procedural how-to’s and offer step-by-step advice on proper techniques, pitfalls, and tricks of the trade—so you can refine and hone your skills…and expand your repertoire.
- Contains a wealth of color illustrations and photographs that depict cases as they appear in practice so you can visualize techniques clearly.
- Updates chapters throughout the book to keep you up to date on the latest uses of lasers and lights in this rapidly moving field.
- Includes guidance for getting the best results when performing hot techniques such as Thermage or the use of Radiofrequency lasers.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | cover | ||
| Half title page | i | ||
| Procedures in Cosmetic Dermatology | ii | ||
| Lasers and Lights | iii | ||
| Copyright page | iv | ||
| Table of Contents | v | ||
| Series Preface to the Third edition | vii | ||
| Series Preface First Edition | ix | ||
| Preface to the Third edition | xi | ||
| Contributors | xiii | ||
| Dedication | xv | ||
| 1 Understanding lasers, lights, and tissue interactions | 1 | ||
| Light | 1 | ||
| Light interactions with skin | 1 | ||
| Skin optics | 3 | ||
| Selective photothermolysis | 3 | ||
| Skin cooling: limiting thermal damage to the intended targets | 5 | ||
| Fractional photothermolysis | 6 | ||
| Conclusion | 8 | ||
| Further reading | 8 | ||
| 2 Laser treatment of vascular lesions | 10 | ||
| Introduction and history | 10 | ||
| Vascular anomalies classification | 11 | ||
| Port-wine stain birthmarks | 11 | ||
| Overview | 11 | ||
| Treatment | 12 | ||
| Infantile hemangiomas | 14 | ||
| Overview | 14 | ||
| Treatment | 15 | ||
| Venous malformations | 16 | ||
| Other vascular malformations | 16 | ||
| Rosacea and telangiectasias | 16 | ||
| Other vascular lesions | 17 | ||
| Poikiloderma of Civatte | 17 | ||
| Cherry angiomas | 17 | ||
| Venous lakes | 17 | ||
| Angiokeratomas | 18 | ||
| Approach to treatment of vascular lesions | 18 | ||
| Side effects and complications | 19 | ||
| Further reading | 19 | ||
| 3 Laser treatment of pigmented lesions and tattoos | 20 | ||
| Introduction | 20 | ||
| Pigment removal principles | 20 | ||
| Lesion selection | 21 | ||
| Patient selection in general | 21 | ||
| Patient selection for tattoo removal | 21 | ||
| Patient selection for benign pigmented lesion removal | 22 | ||
| Patient preparation | 23 | ||
| Treatment techniques | 23 | ||
| In general | 23 | ||
| Patients and equipment for dark-blue or black tattoo treatment | 24 | ||
| Fitzpatrick skin phototypes I–III | 24 | ||
| Fitzpatrick skin phototypes IV–VI | 24 | ||
| Patients and equipment for red tattoo treatment | 24 | ||
| Patients and equipment for green tattoo treatment | 25 | ||
| Patients and equipment for epidermal lesions | 25 | ||
| Solar lentigines, lentigo simplex, and ephelides | 25 | ||
| Labial melanotic macules | 27 | ||
| Café au lait macules and nevus spilus | 27 | ||
| Patients and equipment for dermoepidermal lesions | 27 | ||
| Becker’s nevus | 28 | ||
| Melasma | 28 | ||
| Postinflammatory hyperpigmentation | 28 | ||
| Drug-induced hyperpigmentation | 28 | ||
| Congenital nevi | 29 | ||
| Patients and equipment for dermal lesions | 29 | ||
| Nevi of Ota, Ito, and Hori | 29 | ||
| Congenital dermal melanocytosis | 29 | ||
| Argyria | 29 | ||
| Amalgam tattoos | 29 | ||
| Postoperative care | 30 | ||
| Troubleshooting for tattoo removal | 30 | ||
| Troubleshooting for pigmented lesion removal | 30 | ||
| Side effects and complications | 30 | ||
| Alterations in pigmentation | 30 | ||
| Paradoxical darkening of tattoo pigment | 30 | ||
| Thermal injury and scarring | 31 | ||
| Special situations | 31 | ||
| Tattoo granulomas | 31 | ||
| Multicolored tattoos | 31 | ||
| Further reading | 31 | ||
| 4 Laser hair removal | 33 | ||
| Introduction | 33 | ||
| Basic hair biology | 33 | ||
| Mechanism of LHR | 34 | ||
| Key factors in optimizing treatment | 34 | ||
| Patient selection | 34 | ||
| Informed consent | 40 | ||
| Preoperative preparation and laser safety | 40 | ||
| Device variables | 41 | ||
| Wavelength | 41 | ||
| Fluence | 41 | ||
| Pulse duration | 41 | ||
| Spot size | 42 | ||
| Skin cooling | 42 | ||
| Post-procedure care | 43 | ||
| Long-term efficacy | 43 | ||
| Complications | 43 | ||
| Conclusion | 44 | ||
| Future directions | 44 | ||
| Advances in pain control | 44 | ||
| Home-use laser and light source devices for hair removal | 45 | ||
| Alternative technologies for hair removal | 45 | ||
| Further reading | 46 | ||
| 5 Non-ablative laser and light skin rejuvenation | 47 | ||
| Introduction | 47 | ||
| Patient selection | 48 | ||
| Visible light and near-infrared / vascular lasers (Table 5.2) | 49 | ||
| Mid-infrared lasers (Table 5.3) | 52 | ||
| Intense pulsed light | 53 | ||
| Light-emitting diodes | 54 | ||
| Photodynamic therapy | 54 | ||
| Overview of treatment strategy | 55 | ||
| Conclusion | 57 | ||
| Further Reading | 57 | ||
| 6 Non-ablative fractional laser rejuvenation | 59 | ||
| Introduction | 59 | ||
| Pathophysiology | 59 | ||
| Epidemiology | 60 | ||
| Equipment | 60 | ||
| Applications | 61 | ||
| Photoaging | 61 | ||
| Scarring | 62 | ||
| Melasma | 64 | ||
| Actinic keratoses | 65 | ||
| Striae | 65 | ||
| Poikiloderma of Civatte | 65 | ||
| Other conditions | 65 | ||
| Patient selection | 66 | ||
| Pretreatment | 67 | ||
| General technique | 68 | ||
| Cooling | 68 | ||
| Post-treatment | 68 | ||
| Safety and complications | 68 | ||
| Advances in technology | 70 | ||
| Over-the-counter devices – the future? | 70 | ||
| Advanced topics: treatment tips for experienced practitioners | 70 | ||
| Conclusion | 71 | ||
| Further reading | 71 | ||
| 7 Laser resurfacing | 72 | ||
| Introduction | 72 | ||
| History | 72 | ||
| Patient selection | 74 | ||
| Expected benefits and alternatives | 75 | ||
| Lasers and technical overview | 76 | ||
| Carbon dioxide full field | 76 | ||
| Er : YAG full field | 76 | ||
| YSGG full field | 77 | ||
| Plasma resurfacing | 77 | ||
| Non-ablative fractional | 77 | ||
| Fractional ablative technology | 77 | ||
| Overview of treatment strategy | 79 | ||
| Laser safety | 79 | ||
| Treatment approach | 79 | ||
| Absolute contraindications | 79 | ||
| Active infection | 79 | ||
| Appendageal abnormality | 79 | ||
| Relative contraindications | 79 | ||
| Keloid or scarring history | 79 | ||
| Regional resurfacing in darker-skinned individuals | 79 | ||
| Skin grafts | 79 | ||
| Previous deep chemical peel or deep dermabrasion | 79 | ||
| History of cold sores/herpes simplex 1 | 81 | ||
| Pre- and post-treatment regimens | 81 | ||
| Complications and their treatment | 81 | ||
| Infection | 81 | ||
| Erythema | 81 | ||
| Skin eruptions | 82 | ||
| Telangiectasia | 82 | ||
| Dermatitis | 82 | ||
| Hypopigmentation | 82 | ||
| Hyperpigmentation | 83 | ||
| Scarring | 83 | ||
| Slow healing | 83 | ||
| Ectropion | 83 | ||
| Synechia | 84 | ||
| Further reading | 84 | ||
| 8 Non-surgical body contouring | 86 | ||
| Introduction | 86 | ||
| Fat versus cellulite | 87 | ||
| Evaluation of fatty tissue and cellulite | 88 | ||
| Therapeutic options | 88 | ||
| Topical creams | 89 | ||
| Injectable agents | 89 | ||
| Physical manipulation | 90 | ||
| Radiofrequency devices | 91 | ||
| Ultrasound devices | 92 | ||
| Lasers and light sources | 93 | ||
| Cryolipolysis | 94 | ||
| Conclusion | 96 | ||
| Further reading | 96 | ||
| 9 Non-surgical skin tightening | 97 | ||
| Introduction | 97 | ||
| Thermal collagen remodeling | 97 | ||
| Radiofrequency devices | 99 | ||
| Monopolar radiofrequency | 100 | ||
| Bipolar radiofrequency | 104 | ||
| Combined electrical and optical energy | 104 | ||
| Vacuum-assisted bipolar radiofrequency | 105 | ||
| Hybrid monopolar and bipolar radiofrequency | 106 | ||
| Infrared light devices | 108 | ||
| Ultrasound devices | 109 | ||
| Tips for maximizing patient satisfaction | 111 | ||
| Conclusion | 112 | ||
| Further reading | 112 | ||
| 10 Laser treatment of ethnic skin | 114 | ||
| Introduction | 114 | ||
| Evaluating the patient with ethnic skin | 114 | ||
| Treatment of epidermal pigmentation | 115 | ||
| Freckles and lentigines | 115 | ||
| Treatment of dermal pigmentation | 118 | ||
| Nevus of Ota | 118 | ||
| Hori’s macules or acquired bilateral nevus of Ota-like macules | 118 | ||
| Tattoo removal | 119 | ||
| Hair removal | 119 | ||
| Treatment of dermo-epidermal pigmentation | 119 | ||
| Becker’s nevus | 119 | ||
| Melasma | 120 | ||
| Post-inflammatory hyperpigmentation (PIH) | 121 | ||
| Melanocytic nevi | 121 | ||
| Treatment of vascular lesions | 122 | ||
| Ablative, non-ablative, and fractional skin resurfacing | 123 | ||
| Case studies | 125 | ||
| Conclusion | 128 | ||
| Further reading | 128 | ||
| 11 Complications and legal considerations of laser and light treatments | 130 | ||
| Introduction | 130 | ||
| General considerations | 130 | ||
| Complications | 130 | ||
| General complications | 131 | ||
| Specific laser complications | 132 | ||
| Q-switched lasers | 132 | ||
| Fractionated non-ablative lasers | 133 | ||
| Ablative lasers | 133 | ||
| Vascular lasers | 133 | ||
| IPL-specific complications | 133 | ||
| Legal aspects | 134 | ||
| Further reading | 135 | ||
| Index | 137 | ||
| A | 137 | ||
| B | 137 | ||
| C | 137 | ||
| D | 137 | ||
| E | 137 | ||
| F | 138 | ||
| G | 138 | ||
| H | 138 | ||
| I | 138 | ||
| K | 138 | ||
| L | 138 | ||
| M | 139 | ||
| N | 139 | ||
| O | 139 | ||
| P | 139 | ||
| Q | 139 | ||
| R | 140 | ||
| S | 140 | ||
| T | 140 | ||
| U | 140 | ||
| V | 140 | ||
| W | 140 | ||
| X | 140 | ||
| Y | 140 |