Er :YAG Laser Skin Resurfacing for Perioral Wrinkles


During the last decade, resurfacing lasers advanced from relative obscurity to the forefront of cosmetic and aesthetic surgery, and many surveys revealed that most plastic surgeons performing aesthetic surgical procedures incorporated laser resurfacing in their practices.The introduction of short-duration Er:YAG lasers in the mid-1990s offered another option for resurfacing, The objective of this study Was to evaluate the use of 2940nm Er:YAG laser system for the rejuvination of perioral wrinkles..A total of 20 patients with perioral wrinkles were selected for Er:Yag 2940 nm (Contour, Sciton Inc., St Palo Alto, CA) Laser resurfacing. The erbium square scan was used, with 30 to 50 percent pattern overlap at 15 to 20 J/cm2 , if wrinkles are still apparent, use a single 3-mm spot, at 7 J/cm2 and 5 Hz, to further decrease the wrinkle shoulders.The results was The range of the average grades of the wrinkles before treatment was between 4-2.1 while after treatment was between 1.2-2.7.There was 1.5 total average grade improvement in the perioral wrinkles after Er:Yag laser skin resurfacing. The Erbium:YAG laser is safe and effective it can be recommended for perioral skin resurfacing, with noticeable improvement in wrinkles, it causes tissue ablation with minimal tissue desiccation and minimal residual thermal damage. The Erbium:YAG laser associated with a shorter duration of posttreatment erythema than with carbon dioxide laser.