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首页> 外文期刊>Clinics in dermatology >Will nonablative rejuvenation replace ablative lasers? Facts and controversies
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Will nonablative rejuvenation replace ablative lasers? Facts and controversies

机译：非烧蚀复兴会取代烧蚀激光吗？事实与争议

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Since the early 1980s, the field of skin rejuvenation has evolved rapidly. Traditional ablative resurfacing with carbon dioxide and Er:YAG lasers offered dramatic improvement of the skin tone and texture, but prolonged postoperative period and an increased risk for side effects and complications were unacceptable for the majority of patients. It prompted the development of nonablative lasers and non- laser systems, which stimulate dermal neocollagenesis without epidermal disruption, and therefore, produce less adverse effects with little or no healing time. Recently, fractional nonablative and ablative lasers have been introduced, employing a completely new concept of fractional photothermolysis, which ensures high efficacy and fewer risks. Ablative laser resurfacing still remains the gold standard for treating advanced and severe photoaging providing excellent results in experienced hands. Alternatively, ablative fractional resurfacing can be used, with the results, which are comparable to fully ablative lasers with better standard of safety. Nonablative resurfacing is ideal for patients under the age of 50 years with minimal facial sagging, and for those who are unwilling to undergo expensive and demanding ablative procedures. It can be concluded that the key of therapeutic success is in proper patient selection, setting appropriate expectations and combining different rejuvenation technologies with other therapeutic modalities, such as botulinum toxin and fillers.
机译：自1980年代初以来，皮肤修复领域发展迅速。传统的二氧化碳和Er：YAG激光消融表面重铺术可以显着改善肤色和质感，但是延长的术后时间以及增加的副作用和并发症风险对于大多数患者来说是无法接受的。它促进了非烧蚀性激光和非激光系统的发展，它们可以刺激真皮新胶原蛋白的生成而不会破坏表皮，因此产生的不良反应更少，而治愈时间却很少或没有。近来，已经引入了分数非烧蚀和烧蚀激光器，其采用分数光热解的全新概念，从而确保了高功效和较低的风险。烧蚀性激光换肤仍然是治疗高级和严重光老化的金标准，可在经验丰富的双手中提供出色的效果。可替代地，可以使用烧蚀性分数重修表面，其结果可以与具有更好安全标准的全烧蚀激光相媲美。对于年龄在50岁以下，面部下垂最少的患者以及不愿接受昂贵且要求苛刻的消融手术的患者，非消融重铺表面非常理想。可以得出结论，治疗成功的关键在于适当的患者选择，设定适当的期望值以及将不同的嫩肤技术与其他治疗方式（例如肉毒杆菌毒素和填充剂）相结合。

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