Complications of laser resurfacing and their management.
OBJECTIVE
To describe complications associated with laser resurfacing along with specific treatment recommendations.


METHODS
The authors' experiences with laser resurfacing complications are discussed in conjunction with a review of published reports. Current preoperative and postoperative regimens are also presented.


RESULTS
Postoperative erythema occurs in all patients and is considered a transient side effect, not a complication. Postinflammatory hyperpigmentation, hypopigmentation, scarring, wound infections, milia, ectropion, pain, acneiform eruptions, pruritus, and contact dermatitis are reported by multiple authors. Specific interventions combined with the passage of time allow most of these complications to resolve, leaving the patient with an acceptable final result.


CONCLUSIONS
Although laser resurfacing is a safe and effective method of facial rejuvenation, the cosmetic surgeon must be aware of the various complications that may be encountered. Prompt recognition of complications and appropriate management provide the best opportunity for an acceptable aesthetic outcome.
Sullivan
S A
SA
Department of Ophthalmic Plastic and Reconstructive Surgery, Casey Eye Institute, Oregon Health Sciences University, Portland 97201, USA.
Dailey
R A
RA
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001504:Beauty; D003646:Debridement; D005145:Face / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy*; D011379:Prognosis; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D012086:Reoperation
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents