Dr Zachary speaks at Laser International 2010
Fractional Ablative Resurfacing including acne scarring
Fractional ablative lasers have literally changed the face of laser rejuvenation, making this procedure safer in all ethnic types, with faster healing, fewer complications, and with predictable outcomes. This will never have the same benefit compared with traditional CO2 laser resurfacing, which still has a place in modern rejuvenating processes. But since the latter takes so long to recover, has persistent redness, and the strong possibility of delayed onset permanent hypopigmentation, it is much less commonly used. And for acne scarring, while traditional CO2 and Er:YAG lasers were useful, this author believes that the same benefits can be achieved with the fractional ablative lasers, if used aggressively (70mj/70%) and on multiple occasions. A detailed explanation of the science and optimal techniques will be given.
Energy based devices for facial rejuvenation
25 years ago, there were only a few devices available for facial rejuvenation, including the CW CO2 laser, the argon lasers, the copper vapor laser, and a few others. So it was relatively easy to become an expert in these few devices, though one needed great technique to avoid complications and achieve nice results. How the times have changed! There are literally hundreds of devices available, which are pushed and marketed by the laser companies. Some physicians in the community have seen the easy money in cosmetic surgery and have become Cosmetic Surgeons overnight, with very little training, and few ethics. This presentation will emphasize those devices that work, those that are practical, and those to be avoided.
Fat and cellulite: Do Devices Really work?
The next billion $$ market, or so the device manufacturers would have us believe, will be the treatment of fat and cellulite. These two are often bundled together, though they are really very separate conditions. Neither of them is indeed abnormal; they are both normal and physiological. However, nearly 100% of women have cellulite, and most of them might like to lose this curd cheese appearance of their thighs. Most of the technologies marketed for these conditions are at best temporary, and many do not work at all. Sorting through all the marketing hype is not too difficult; most of it is nonsense. We should demand side by side comparisons, require some element of standardization, bring some component of reality to the equation. In the end, it will be the consumer who will make the final assessment of efficacy. In the meantime, most will be fooled by the sharp advertisements and the fancy talk. As physicians, we stand to lose all credibility unless we become more objective, more thoughtful, and less involved with the mythology.
Cryolipolysis and Radiofrequency for localized fat reduction
The bright areas of hope for localized fat reduction are in cryolipolysis, RF, and possibly in ultrasound. As always, physicians should look to good medical advice relating to a healthy lifestyle, a good diet and regular exercise. But for those areas where individuals can’t lose that love handle or prominent abdomen, there is indeed hope. Tumescent liposuction remains the mainstay for fat reduction in these areas, but is invasive, and is associated with a healing process and the potential for complications. The advent of cryolipolysis has changed this equation dramatically. This presentation will underscore the science behind the technologies, and look at some objective data as they pertain to fat reduction.
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