Q: Why Erbium 2940 wavelength?
A: The successful results from laser resurfacing have been evident for a number of years. However, the extreme levels of carbon dioxide laser peels created unwanted and extended periods of recovery for many patients. . Erbium resurfacing introduces the light to moderate recovery side to laser resurfacing. Erbium resurfacing patients are able, in many cases, to experience improvement in damaged skin with the aid of a topical anesthetic cream and a recovery period of one to ten days often without cumbersome dressings, downtime, and general anesthesia. The busy life style of many patients leads them to the decision of a single or series of Erbium resurfacings rather than a single significant but traumatic carbon dioxide peel for the improvement of damaged skin on their face as well as neck, chest, and hands. Nothing else in the current aesthetic armamentarium can offer the benefits of the Erbium resurfacing for safety, controllability, speed, and convenience with near indifference to skin color.
Q: What is Coag and when do you use it?
A: The Erbium resurfacing is an ablative procedure selected
with or without the coagulation mode. Coag is based on the amount of collagen change or possible tissue tightening wanted or basic hemostasis. For patients with Fitzpatrick IV-VI skin tone no Coag is recommended during the ablation of the first 80-100 microns of tissue removal. If the treatment is divided into three passes, many physicians will use low to moderate Coag levels in the second pass and less in the third. Excessive Coag addition in the third pass may lead to unnecessary tissue slough four to ten days into the recovery period due to creation of a light necrotic tissue layer. However, the unwanted slough will not affect the final outcome of the treatment.
