Rosenberg G J
Division of Plastic Surgery, University of Miami, Delray Beach, Fla., USA.
Plast Reconstr Surg. 1997 Dec;100(7):1846-54. doi: 10.1097/00006534-199712000-00033.
Since the inception of laser skin resurfacing for the removal of facial rhytides, laser surgeons have avoided laser resurfacing of the neck. The purpose of this paper is to demonstrate that the accuracy and precision of the Ultrapulse carbon dioxide laser allows the laser surgeon to safely laser skin resurface the neck as well as the full face. This series includes 40 patients who have undergone laser skin resurfacing of the neck at the time of full-face laser skin resurfacing. Three subgroups are defined. Thick-skinned patients, thin-skinned patients, and patients who otherwise would have medical contraindications to face and neck lift are included in this study group. Patients between the ages of 40 and 60 who do not have a lot of excessive neck skin or prominent platysma bands are candidates for full face and neck laser skin resurfacing. Successful tightening for thick-skinned patients occurs by using 300 mJ at 60 W. a density of 6, and one pass. For thinner-skinned patients, the upper half of the neck is treated with 300 mJ, 60 W, a density of 6, and one pass. The lower half of the neck in these patients is treated with 125 mJ and 20 W, a density of 6, and one pass. In some patients who otherwise have medical contraindications for face and neck lift, the laser may be an indicated procedure because there is minimal bruising, lack of bleeding, minimal edema, minimal to absent use of adrenaline, and nonincisional surgery with a speedy recovery. The Ultrapulse laser delivers high energy with high speed, precision, and control. Therefore, the laser surgeon can successfully laser skin resurface the neck at the time of full face laser skin resurfacing. Immediate tightening of the face and neck, from the photothermal effect, and the neocollagenesis effectively tighten the neck in the properly selected patient.
自激光皮肤磨削术用于去除面部皱纹以来，激光外科医生一直避免对颈部进行激光磨削。本文的目的是证明超脉冲二氧化碳激光的准确性和精确性使激光外科医生能够安全地对颈部以及整个面部进行激光皮肤磨削。该系列包括40例在进行全脸激光皮肤磨削时同时接受颈部激光皮肤磨削的患者。定义了三个亚组。厚皮患者、薄皮患者以及那些因其他原因存在面部和颈部提升手术医学禁忌证的患者被纳入该研究组。年龄在40至60岁之间、颈部皮肤不过多或颈阔肌带不明显的患者适合进行全脸和颈部激光皮肤磨削。对于厚皮患者，通过使用60W、300mJ、密度为6且单次照射可实现成功紧致。对于薄皮患者，颈部上半部分采用60W、300mJ、密度为6且单次照射进行治疗。这些患者颈部下半部分采用20W、125mJ、密度为6且单次照射进行治疗。在一些因其他原因存在面部和颈部提升手术医学禁忌证的患者中，激光可能是一种适用的手术方法，因为其瘀伤最小、出血少、水肿轻微、几乎不使用肾上腺素且是非切开手术，恢复迅速。超脉冲激光以高速、精确和可控的方式传递高能量。因此，激光外科医生能够在全脸激光皮肤磨削时成功地对颈部进行激光皮肤磨削。光热效应导致的面部和颈部即时紧致以及新胶原形成能有效地在合适选择的患者中紧致颈部。
