Conflict of interest: none.
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Clinical Report
Reduction of thickened flap using fractional carbon dioxide laser†
Article first published online: 17 OCT 2011
DOI: 10.1002/lsm.21125
Copyright © 2011 Wiley Periodicals, Inc.
Additional Information
How to Cite
Brightman, L. A., Brauer, J. A., Anolik, R., Weiss, E. T., Karen, J., Chapas, A., Hale, E., Bernstein, L. and Geronemus, R. G. (2011), Reduction of thickened flap using fractional carbon dioxide laser. Lasers Surg. Med., 43: 873–874. doi: 10.1002/lsm.21125
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Publication History
- Issue published online: 17 OCT 2011
- Article first published online: 17 OCT 2011
- Manuscript Accepted: 25 AUG 2011
- Abstract
- Article
- References
- Cited By
Abstract
Background and Objective
The paramedian forehead flap is an excellent choice when repairing a large nasal defect. However, even when carefully thinned, the flap may develop a bulky appearance, an ill-fitting contour, or trap door deformity. When on the face, these suboptimal results can be quite distressing. Surgical and non-surgical options for improvement exist. Surgical options include additional debulking and reorientation of the flap. Non-surgical options include intralesional corticosteroids or 5-flourouracil, dermabrasion, and ablative and non-ablative laser resurfacing. Each option has limited benefit as well potential side effects.
Study Design/Materials and Methods
Case report.
Results
In this report, we present dramatic improvement of a thickened paramedian forehead flap using the Fraxel Re:pair, a fractional carbon dioxide (CO2) laser (Solta Medical, Inc. Hayward, CA).
Conclusion
To our knowledge, this is the first case in the literature demonstrating successful reduction of a bulky flap using a fractional ablative laser. Lasers Surg. Med. 43:873-874, 2011. © 2011 Wiley Periodicals, Inc.