The Use of Fractional Laser Photothermolysis for the Treatment of Atrophic Scars. Alster TS, Tanzi EL, Lazarus M Dermatol Surg. ; BACKGROUND Fractional photothermolysis (FP) is one of the most significant milestones in laser technology and resurfacing. METHODS. Fractional Photothermolysis in. Laser Skin Rejuvenation by Steven K. Struck, MD. Non-surgical forms of facial rejuvenation represent the most rapidly growing.

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None, Conflict of Interest: Fractional laser technology is a new emerging technology to improve scars, fine lines, dyspigmentation, striae and wrinkles. The technique is easy, safe to use and has been used effectively for several clinical and cosmetic indications in Indian skin.

Different fractional laser machines, with different wavelengths, both ablative and non-ablative, are now available in India. A detailed understanding of the device being used is recommended. Common indications include resurfacing for acne, chickenpox phottohermolysis surgical scars, periorbital and perioral wrinkles, photoageing changes, facial dyschromias.

The use of fractional lasers in stretch marks, melasma and other pigmentary conditions, dermatological conditions such as fractoinal annulare has been reported. But further data are needed before adopting them for routine use in such conditions.


Any qualified dermatologist may administer fractional laser treatment. Since parameters may vary with different systems, photothermolyeis training tailored towards the concerned device at either the manufacturer’s facility or at another center using the machine is recommended.

Fractional lasers can be used in the dermatologist’s minor procedure room for the above indications.

Fractional photothermolysis: current and future applications.

Preoperative counseling and Informed consent: Detailed counseling with respect to the treatment, desired effects and possible postoperative complications should be provided to the patient. The patient should be provided brochures to study and also adequate opportunity to seek information. A detailed consent form needs to be completed by the patient.

Consent form should include information on the machine, possible postoperative course expected and postoperative complications. Preoperative photography should be carried out in all cases of resurfacing. A close-up front and degree lateral photographs of both sides must be taken. There are different machines based on different technologies available. Choice parameters depend on the type of machine, location and fractinoal of lesion, and skin color.

Fractional photothermolysis for skin rejuvenation.

Physician needs to be familiar with these requirements before using photothermolyais machine. Fractional laser treatment can be carried out under topical anesthesia with eutectic mixture of lidocaine and prilocaine. Some machines can be used without any anesthesia or only with topical cooling or cryospray. But for maximal patient comfort, a topical anesthetic prior to the procedure is recommended. Proper postoperative care is important in avoiding complications.


Fractional photothermolysis for skin rejuvenation.

Post-treatment edema and redness settle in a few hours to a few days. A sunscreen is mandatory, and emollients may be prescribed for the dryness and peeling that could occur. A Review Joseph F. Related articles Acne scars fractional photothermolysis lasers photoageing.

How to cite this article: Fractional lasers in dermatology – Current status and recommendations. Indian J Dermatol Venereol Leprol ; How to cite this URL: Principle of Fractional Photothermolysis. Technology and Information about Different Machines. Various fractional laser technologies available in India Click here to view. Indications for Fractional Laser Treatment. Indications for fractional laser treatment Click here to view.

Patient Selection and Preoperative Management.

Complications of fractional laser resurfacing Click here to view. This article has been cited by. Evidence-Based Treatment for Melasma: Expert Opinion and a Review.

Striae after topical corticosteroid: Topical Anesthetics for Dermatologic Procedures: Online since 15 th March ‘ Published by Wolters Kluwer – Medknow.