激光在整形外科中的应用 90p.pptVIP

* * * * * * * * * * * * * * * * Choice of lasers for the treatment of tattoos is guided by the absorption spectrum of the ink colors present within the tattoo. Orange and yellow tattoo inks are targeted specifically by lasers in the low (500-nm) range, making the 532-nm Q-switched Nd:YAG laser or the 510-nm pulseddye laser optimal for treatment. The Q-switched alexandrite (755-nm) and Q-switched ruby (694-nm) lasers can be used for black, blue, and green pigments. The Q-switched Nd:YAG (1064-nm) laser is optimal for black pigment. Nd:YAG, long-pulsed 1320-nm laser treatment was the first system developed solely for nonablative skin remodeling. Q-switched ruby laser is the best. CO2 laser is not used in tattoo removal bcs it is non-selective and would result in a lot of scarring. Excision and Dermabrasion are options, but probably bad options that would have a horrible cosmetic outcome. Oxyhemoglobin is the correct answer. The PDL at this wavelength is the gold standard for PWS and used in other vascular lesions. Melanin absorption has a very wide range of absorptions. The notable ones are the 510nm PDL and the ruby/alexandrite lasers that are in the 600-700s range. Water is preferrential absorbed in the near-infrared and infrared region by Er;YAG and CO2 lasers. Laser abrasion is commonly used for skin resurfacing in patients with fine periocular rhytids and other signs of sundamaged skin. As mentioned before, you have to take into consideration the pts. Skin type as darker skinned folks will have hypopigmentation changes. he best candidates for skin resurfacing have skin types I through III. Patients with skin type IV require pretreatment with retinoic acid, hydroquinone, and sunscreens followed by the same regimen postoperatively to decrease the risk of skin pigmentary changes. Skin types V and VI are not as amenable to laser resurfacing, so the technique should be approached cautiously in patients with these skin types. Significant improvements in the