Fractional resurfacing devices thermally alter microscopic treatment columns in the skin,
leaving intervening areas between the columns untouched. Because only a fraction of the
skin is being modified, untreated areas are able to rapidly repopulate the treatment columns
to greatly reduce recovery time and adverse events. Mid-infrared fractional systems have
shown improvement in treating photoaging, scars, rhytides, dyschromia, and textural
disorders. An additional advantage is that they are safe and effective for the treatment of
nonfacial areas such as the neck, chest, and extremities.
Semin Cutan Med Surg 27:252-258 © 2008 Elsevier Inc. All rights reserved.
Advancements in medical treatment and transport over more than a decade of conflict have resulted in unprecedented survival rates for service members despite catastrophic injuries. Enhanced survival has created an unprecedented need for comprehensive rehabilitation and transition services. Though far from the exclusive domain of military dermatologists, military medicine has had a prominent role in integrating cutaneous procedural techniques into the rehabilitation of traumatically injured patients for a variety of reasons. The introduction of fractional laser technology in the mid-2000’s has stimulated a revolution in scar treatment, and is gradually remodeling the fields of procedural dermatology and trauma rehabilitation both inside and outside of the military. This manuscript will provide a brief review of common cutaneous procedures applicable to rehabilitation, with an emphasis on ablative fractional laser resurfacing of scars and contractures. Semin Cutan Med Surg 34:17-23 © 2015 Frontline Medical Communications
Liposuction is one of the most popular cosmetic procedures. The advent of laserassisted
liposuction is the next evolutionary step in the market of body contouring. The
goal of laser-assisted liposuction is to facilitate liposuctioning, enhance tissue tightening,
and reduce downtime and morbidity. Several different protocols using different
devices and wavelengths generate variable results. Current laser-assisted lipolysis
technology and techniques are reviewed with respective expectations. As laser lipolysis
technology and coinciding experience grow, so will the ability to achieve the aims of
more efficient, safer, and cosmetically pleasing body sculpting.
Semin Cutan Med Surg 27:259-263 © 2008 Elsevier Inc. All rights reserved.
Superficial venous insufficiency is a common problem associated with varicose veins.
Venous insufficiency and varicose veins can be symptomatic, but more commonly they are
a cosmetic concern. In this article, we discuss the relevant anatomy and pathophysiology
of superficial venous insufficiency, review the current literature for varicose vein treatment,
and cover the technical aspects of diagnosing and treating superficial venous insufficiency.
Saphenofemoral junction incompetence with resultant greater saphenous vein reflux is the
most common cause of varicose veins; because this condition constitutes the majority of
patients encountered in practice, we will concentrate on this area. Endovenous laser
ablation and sclerotherapy are covered, including patient workup and selection, procedure
set-up, and anesthesia.
Semin Cutan Med Surg 27:264-275 Published by Elsevier Inc.
The treatment of disfiguring and disabling scars remains a field of active study, reinvigorated with recent advances in techniques and technologies. A variety of approaches can be utilized depending on scar characteristics, location, degree of tissue loss, and associated contractures. Just as traumatic scars can be complex and heterogeneous, the corresponding paradigm for treatment must also be flexible and multimodal for optimal improvement. This report describes a 3-year-old girl with a “mixed” (atrophic/hypertrophic), violaceous, contracted facial scar from a dog bite. It was treated with a novel approach utilizing a multidisciplinary pediatric scar team to combine autologous fat grafting, ablative fractional laser resurfacing, pulsed-dye laser, and laser-assisted delivery of a corticosteroid as concurrent, multimodal therapy to optimize the outcome. Semin Cutan Med Surg 34:24-27 © 2015 Frontline Medical Communications