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Fractional Photothermolysis: A Review and Update

Ming H. Jih, MD, PhD, and Arash Kimyai-Asadi, MD

Fractional resurfacing is a new laser treatment modality that creates numerous microscopic thermal injury zones of controlled width, depth, and density that are surrounded by a reservoir of spared epidermal and dermal tissue, allowing for rapid repair of laser-induced thermal injury. This unique modality, if implemented with proper laserdelivery systems, enables high-energy treatments while minimizing risks. In this article, we review the various fractional laser devices, including the new fractional ablative devices, as well as the results of studies on the clinical efficacy of fractional photothermolysis. This technology offers patients significant clinical improvement in photodamage, melasma, and scarring with modest treatment-related downtime and minimal risk of complications.

*For a PDF of the full article, click on the link to the left of this introduction.

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Ming H. Jih, MD, PhD, and Arash Kimyai-Asadi, MD

Fractional resurfacing is a new laser treatment modality that creates numerous microscopic thermal injury zones of controlled width, depth, and density that are surrounded by a reservoir of spared epidermal and dermal tissue, allowing for rapid repair of laser-induced thermal injury. This unique modality, if implemented with proper laserdelivery systems, enables high-energy treatments while minimizing risks. In this article, we review the various fractional laser devices, including the new fractional ablative devices, as well as the results of studies on the clinical efficacy of fractional photothermolysis. This technology offers patients significant clinical improvement in photodamage, melasma, and scarring with modest treatment-related downtime and minimal risk of complications.

*For a PDF of the full article, click on the link to the left of this introduction.

Ming H. Jih, MD, PhD, and Arash Kimyai-Asadi, MD

Fractional resurfacing is a new laser treatment modality that creates numerous microscopic thermal injury zones of controlled width, depth, and density that are surrounded by a reservoir of spared epidermal and dermal tissue, allowing for rapid repair of laser-induced thermal injury. This unique modality, if implemented with proper laserdelivery systems, enables high-energy treatments while minimizing risks. In this article, we review the various fractional laser devices, including the new fractional ablative devices, as well as the results of studies on the clinical efficacy of fractional photothermolysis. This technology offers patients significant clinical improvement in photodamage, melasma, and scarring with modest treatment-related downtime and minimal risk of complications.

*For a PDF of the full article, click on the link to the left of this introduction.

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Fractional Photothermolysis: A Review and Update
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Clinically, fractional resurfacing with fractional microscopic delivery of high energies to targeted depths in the dermis has made possible significant clinical improvements often approaching that of ablative lasers without any reports of permanent hypopigmentation or scarring.


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