Textbook Reading 12 Februari 2016 Fractional Laser 1 2 DEFINISI L ight A mplification by the S timulated E mission of R adiation Perangkat yang memancarkan cahaya melalui proses ID: 1032711
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1. Santi DevinaPembimbing : dr. Lynda Hariani, Sp. BP-RETextbook Reading 12 Februari 2016Fractional Laser1
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3. DEFINISILight Amplification by the Stimulated Emission of Radiation~ Perangkat yang memancarkan cahaya melalui proses amplifikasi optik berdasarkan stimulasi emisi dari radiasi elektromagnetik3
4. KARAKTERISTIK LASER4
5. Grabb & Smith Plastic Surgery, ed 75
6. ELEMEN DASAR PADA LASER6
7. MEDIUM LASER7
8. Ablative CO2 Laser ~ Gold Standard???8
9. TIPE LASER9
10. Thermal Injury Zone10
11. Microscopic-sized Thermal Injury Zones11
12. KEUNGGULAN FRACTIONAL LASER12
13. FRACTIONAL LASER, APA SAJA?Infrared-wavelength lasers (1,540–1,550 nm)Er:YAG 2,940 nmCO2 lasers 10,600 nmNd: YAGEr:glass 1,550 nmErbium fiberRadiofrequency wavelength13
14. LASER SETTINGSpot size >> Penetrasi ke dalam >> Nyeri >>Untuk mengurangi nyeri bisa dengan menurunkan Pulse width less coagulation and crusting less thermal effect less effective for skin tightening and superficial linesEnergy (mJ) = Power (W) x Pulse width (ms)14
15. IDEAL FRACTIONAL LASER15
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17. INDIKASI17
18. FITZPATRICK SKIN TYPE 18
19. Palomar 1540 nm19
20. Fraxel Erbium doped 1550 nm20
21. Er:YAG 2940 nm21
22. CO2 Fractional Laser 10,600 nm22
23. KOMPARASI ANTAR LASER23
24. KomplikasiPerdarahan bintikKrustaNyeri (minimal)InfeksiHypertrophic scar24
25. KESIMPULANFractional Laser merupakan jenis laser yang memiliki keuntungan lebih cepat masa penyembuhannya dan dapat dipalikasikan lebih luas dibanding laser ablatif.Fractional Laser memiliki respons yang baik terhadap kulit dengan penuaan dan kerutan, bekas luka, dll.25
26. ReferensiEremia, S. Cosmetic Application of Light, Radiofrequency, and Ultrasound Energy, Part 4 of Office-based Cosmetic Procedures and Techniques. 2010. New York : Cambridge University Press.Low DW, Percec I. Laser in Plastic Surgery, Chapter 18 of Grabb and Smith Plastic Surgery ed 7. 2014. Philadelphia : Lippincott-William and Wilkins.Saryazdi S, Mohebbi A. Evaluation of Fractional CO2 Laser Efficacy in Acne Scar. Journal of Lasers in Medical Sciences Volume 3 Number 2. 2012.Cassuto DA et al. An Innovative Device for Fractional CO2 Laser Resurfacing: A Preliminary Clinical Study. The American Journal of Cosmetic Surgery Vol. 25, No. 2. 2008.Avram MM et al. Hypertrophic Scarring of the Neck Following Ablative Fractional Carbon Dioxide Laser Resurfacing. Lasers Surg Med. 41(3): 185–188. 2009. Wolfenson M, Filho FCN. Scar Treatment with Fractional Laser. Journal of Plastic and Reconstructive Surgery. 2012.26
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