ABSTRACT
Interest in skin rejuvenation has seen a marked increase over the past few decades. Whereas ptotic facial tissue may demand a rhytidectomy or blepharoplasty, signs of sun damage (photodamage), scarring and hyperpigmentation can be treated relatively effectively with skin resurfacing. Treatments available include topical retinoids and chemical peels, dermabrasion and laser resurfacing. Of these, laser skin resurfacing offers the patient the greatest, often dramatic, clinical improvement and new technology has increased its availability and acceptability. The patient's Fitzpatrick skin phototype should be recorded and high quality pre-operative photographs taken. Key features of photodamaged skin are documented; the presence of scars, keloid or skin lesions should be noted and further characterized if extensive. Non-Ablative Fractional Resurfacing (NAFR) is suitable for finer rhytides, most scars, textural imperfections, dyspigmentation and melasma. Meticulous wound care is essential to minimize the risk of complications.
