The Clinical Applications of the Ultra Pulsed CO2 laser

The precision of the continuous wave CO2 Laser as a surgical knife was well established by the mid 80’s. The search was on for the safe application of the CO2 Laser as an ablative tool for use in facial rejuvenation.

A plethora of papers were published form 1991 to 1996 on the topic.

The landmark paper was from Stuzia & Baker et al from Miami: “The Histologic Effects of the High-Energy Pulsed CO2 Laser on Photoaged Facial Skin” (Plastic Reconstruction Surgery 99:2036,- 1997).

Experts in the care of photoaged skin, they set out to convince themselves of the efficacy of the Ultra Pulsed CO2 Laser by treating small areas of facial skin and simultaneous biopsy of an adjacent area and a further biopsy of the treated area at the time of a Facelift about 2 weeks to 6 months after the CO2 Laser treatment.

The histopathological outcomes were outstanding, with significant epidermal and dermal improvement.

All specimens showed normal epithelical regeneration and the elimination of epidermal atopia and atrophy.

Malanocytic hypertrophy and hyperplasis were corrected, substantial neo collagen formation in the superficial and mid dermis, a proliferation of elastin fibres and a diminution of glycosaminoglycans.

The Clinical Outcome! (aka “The Proof of the Pudding!”)

The above histopathological events are well demonstrated in a patient shown before treatment, 15 months after treatment (Full Face Resurfacing and Upper Blepharoplasty) and 7 years after the treatment.

Ultra Pulsed CO2 laser

Patient Before (1), 15 Months After (2) and 7 Years After (3) CO2 Laser Full Face Resurfacing and Upper Blepharoplasty

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