Periorbital Post-Inflammatory Hyperpigmentation after Fractionated CO2 Laser Resurfacing in Asians - Modern Plastic Surgery

MPS > Vol.5 No.2, April 2015

Periorbital Post-Inflammatory Hyperpigmentation after Fractionated CO₂ Laser Resurfacing in Asians ()

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DOI: 10.4236/mps.2015.52002 5,049 Downloads 6,811 Views Citations

Author(s)

Randal Tanh Hoang Pham¹, Ingerlisa Mattoch², Sterling S. Baker^3,4

Affiliation(s)

¹Aesthetic and Refractive Surgery Medical Center, San Jose, USA.
²Private Practice, Fort Collins, USA.
³Department of Ophthalmology, College of Medicine, University of Oklahoma, Oklahoma City, USA.
⁴Department of Dermatology, College of Medicine, University of Oklahoma, Oklahoma City, USA.

ABSTRACT

Background: Most data on laser resurfacing have come from studies of people with Fitzpatrick skin types 1 - 3; however, the world’s population is comprised mostly of Fitzpatrick skin types 4 - 6, which are more susceptible to post-inflammatory hyperpigmentation (PIH). Objective: For the purpose of expanding the expertise of plastic surgeons treating patients with darker skin types, this study examined the incidence of PIH in Asians who underwent laser resurfacing, including a histologic arm on fractional ablative resurfacing. Methods & Materials: The clinical study included six subjects of Vietnamese origin who underwent single-depth fractionated CO₂ laser resurfacing. The histologic study involved a seventh subject. The MiXto SX^® laser with a new scanning handpiece was used, along with magnifying loupes to assess ablative depth after each of three laser passes performed. Photographs were taken at various postoperative intervals. Results: All six clinical subjects showed cosmetic improvement in skin texture and tone with no post-inflammatory hyperpigmentation. In the histologic study, H&E stained sections revealed uniform diathermy. Conclusion: It is possible to significantly reduce PIH in darker skinned subjects through use of a new scanning handpiece and a technique using loupes to assess the depth of ablative resurfacing. The histologic study confirms these findings.

KEYWORDS

Laser, CO₂ Laser, CO₂ Laser Resurfacing, Fractionated CO₂ Laser Resurfacing, PIH, Post Inflammatory Hyperpigmentation, Asian, Face, Eyelid, Pigment, Wrinkles, Rhytid

Share and Cite:

Pham, R. , Mattoch, I. and Baker, S. (2015) Periorbital Post-Inflammatory Hyperpigmentation after Fractionated CO₂ Laser Resurfacing in Asians. Modern Plastic Surgery, 5, 9-13. doi: 10.4236/mps.2015.52002.

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