Bisaccia E, Sequeira M, Magidson J, Scarborough D
Department of Dermatology, Columbia University, College of Physicians & Surgeons, New York, New York 10032, USA.
Dermatol Surg. 1998 Aug;24(8):821-6.
Patients seeking facial rejuvenation often would benefit from a combination of face-lifting and laser resurfacing. Fear of skin slough has prevented the study of this issue.
We report our experience utilizing a combination of simultaneous cervicofacial rhytidectomy and carbon dioxide (CO2) laser resurfacing, and summarize the results of a survey completed by each patient.
Forty patients underwent the combination treatment. Patients were followed and asked to respond to a questionnaire 12 months postprocedure regarding their surgical experience.
Our survey revealed an overall degree of satisfaction. Reported complications included transient swelling, redness, pigmentary alteration, and numbness. One patient experienced minimal slough in a nonresurfaced site.
The control of depth of thermal damage with the CO2 UltraPulse laser allows for precision in its combined application along with face-lifting. In the area of the flap, one pass at low power settings is safe in our experience and results in an improved cosmetic result.
寻求面部年轻化的患者通常会从面部提升术和激光换肤术的联合治疗中获益。对皮肤脱落的担忧阻碍了对该问题的研究。
我们报告了同时进行颈面部除皱术和二氧化碳（CO2）激光换肤术联合治疗的经验，并总结了每位患者完成的一项调查结果。
40例患者接受了联合治疗。对患者进行随访，并在术后12个月要求他们就手术体验填写一份问卷。
我们的调查显示总体满意度较高。报告的并发症包括短暂性肿胀、发红、色素改变和麻木。1例患者在未进行换肤的部位出现轻微皮肤脱落。
二氧化碳超脉冲激光对热损伤深度的控制使其在与面部提升术联合应用时能够做到精准操作。根据我们的经验，在皮瓣区域以低功率设置单次照射是安全的，且能改善美容效果。
