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Extra info for Management of Complications of Cosmetic Procedures: Handling Common and More Uncommon Problems
Hypopigmentation (Fig. 5) is due N. Cameli et al. 42 Fig. 6 Blistering – Nd:YAG Fig. 4 Hyperpigmentation – Nd:YAG Nowadays, the impact of these feelings is well known, it varies between patients, depending on the individual threshold, and it is considered crucial for the success of every therapeutical approach. It has been defined as “sufficient for patients to express reservations about additional future treatments,” and it could mean the interruption of the laser sessions with negative consequences on the clinical outcome and the practitioner revenues.
However, in addition to the laser modifications, patients were to remain indoors for 7 days, apply hydroquinone and tretinoin on days 3–14 after treatment, among other measures to limit pigmentary abnormalities. 6 Although no studies specifically evaluate management of contact dermatitis in the setting of fractional laser resurfacing, we recommend standard dermatologic care including gentle skin care (mild soaps, gentle emollients) and would consider topical corticosteroids as needed. 5 Dyspigmentation Management of dyspigmentation particularly starts with prevention.
Pruritus was noted in 37% arising 3 days after treatment. 6%, yet described as an unconcerning suntan by many patients. Increased sensitivity was reported in 10%, which resolved within Fig. 3 Marked crusting in a patient 3 days after AFR treatment 3 Complications of Fractional Lasers (Ablative and Nonablative) 2 weeks. One hundred percent reported pain during the procedure, but this pain was easily tolerated when pretreating with 30% lidocaine in ointment. None of the patients experienced scarring, infection (including herpetic activation), dyspigmentation, or prolonged erythema.