Application of modern Q-Switched lasers for the correction of complex cosmetic facial skin defects


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Abstract

The article presents a comprehensive literature review on the possibilities of laser therapy in the treatment of post-traumatic scars and traumatic tattoos. The main physical effects and mechanisms underlying the therapeutic action of laser radiation are disclosed. Indications for use, time of therapy initiation, techniques and side effects of ablative and non-ablative laser systems, pulsed dye lasers are discussed. The emphasis is made on modern Q-Switched lasers as an effective tool for the treatment of complex cosmetic facial defects. Two clinical cases of successful treatment of patients with postoperative scars and traumatic tattoo are presented. For the correction of scar tissue, the ablative fractional mode of the Q-Switched laser was used. Traumatic tattoo treatment was carried out using a combined technique with the formation of micro-holes to relieve gas pressure and remove the decay products of pigment microparticles at the first stage; at the second stage, a photoacoustic procedure for tattoo removal with a Q-Switched Nd: YAG laser using a hybrid nanosecond high-power pulse was carried out.

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About the authors

Natalia A. Shanina

S.M. Kirov Military Medical Academy

Email: shanina_n@mail.ru
Cand. Sci. (Med.), Head of the Laser Department of the Clinic for Skin and Venereal Diseases St. Petersburg, Russia

A. V Patrushev

S.M. Kirov Military Medical Academy

St. Petersburg, Russia

I. G Kurganskaya

S.M. Kirov Military Medical Academy

St. Petersburg, Russia

K. S Grigoriev

S.M. Kirov Military Medical Academy

St. Petersburg, Russia

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