Yüz cildi yenilenmesinde Er: YAG lazer ve dermabrazyon uygulaması
Ultraviyole ışınlarına maruz kalan ciltte oluşan kırışıklıklar ve pigmentasyon artışları ile geçirilmiş akne nedbeleri yüz cildi yenilemeyi gerektiren sebeplerdendir. Yüz cildi yenilenmesinde dermabrazyon, lazer ve kimyasal asitle soyma işlemleri kullanılır. Bu çalışmada Er: YAG lazer kullanarak sağaltımı amaçladığımız 28 olgu ile dermabrazyon uyguladığımız 10 olguyu gözden geçirerek alınan sonuçların etkinliğini sorguladık. Eylül 1999 tarihinden Ocak 2004 tarihine kadar gecen sürede 28 olguya tüm yüze lazer uygulaması, 10 olguya ise dermabrazyon uygulaması yapıldı. Yaş ortalaması 32 ± 2.3 ( 6 - 49 ) olan olguların 26'sı kadın 12'si erkekti. Cilt tiplemesi Fitzpatrick tip II ile V arasına uyan olguların 18'i yüzde mevcut kırışıklıklar nedeniyle, 14'ü geçirilmiş akneler sonucu kalan nedbe çukurları nedeniyle ve 6 olgu ise hiperpigmente alanlar nedeniyle yüz cildi yenilenmesine alındı. Kullanılan lazer cihazı Er: YAG lazer olup 8-20 j / cm2 arasında değişen güçlerde ve 2,5 mm nokta boyutu ile uygulandı. Dermabrazyon uygulaması mekanik olarak motorla veya steril edilmiş su zımparası ile uygulandı. Açık tenli ve ince kırışıklıklara sahip olgularda Er: YAG lazer uygulaması tatmin ediciydi. Ancak derin kırışıklık ve çukur şeklinde akne nedbelerinde Er: YAG lazer uygulaması memnun edici sonuçlar vermedi. Derin akne nedbelerinde dermabrazyonun daha etkili ve güvenilir bir uygulama olduğu kanaatine vardık.
Er: YAG laser and dermabrasion treatment in facial rejuvenation
The facial wrinkles, hyperpigmentation and post-acne scars are the most common causes of facial rejuvenation. Facial rejuvenation can be done with dermabrasion, laser or chemical peeling.Thirty-eight cases were included in this study. Between September 1999 and January 2004, full face Er: YAG laser was performed in 28 cases and dermabrasion was performed in 10 cases. Mean age of cases was 32 ± 2.3 ( 6 - 49 ). Twenty-six cases were female, other 12 were male. Laser treatment was performed due to facial wrinkles in 18 cases which had Fitzpatrick skin type between II and V, due to acne scars in 14 cases and in 6 cases had hiperpigmentation areas on their faces. Er: YAG laser was used with a 2,5 mm handpiece at the setting of 8-20 J / cm2. Dermabrasion was performed with motor or sterilized sandpaper. Although the results of Er: YAG application were satisfied in cases with fine wrinkles in lighter type skin, it was not effective in cases that had deep wrinkles and post-acne scars. Hyperpigmented skins which were treated Er: YAG laser have been shown some recurrence. We concluded that dermabrasion was more effective tool for surgeons in facial rejuvenation, because depth of skin abrasion was easily controlled. Benlier E, Top H, Aygıt C. A.
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- ISSN: 1300-5227
- Başlangıç: 1998
- Yayıncı: -
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