title: Nonablative laser treatment of wrinkles: meeting the objective? Assessment by 25 dermatologists.
abstract: BACKGROUND
  Established skin resurfacing methods causing superficial wounds and extended recovery times have become less popular since the introduction of nonablative lasers.
  
  
  OBJECTIVE
  To evaluate the clinical efficacy of a nonablative 1450-nm diode laser system.
  
  
  METHODS
  Nine patients (Fitzpatrick skin type II-IV) with periorbital wrinkling class I-II were treated three times at 3-weekly intervals with a 1450-nm diode laser. Clinical outcome was determined by 25 independent dermatologists evaluating standardized photographs taken before treatment and 1 month after treatment.
  
  
  RESULTS
  The patients were satisfied with the procedure, and reported a mild to moderate improvement in all cases. Among 25 dermatologists, only two provided ratings which were significantly in favour of a positive treatment effect.
  
  
  CONCLUSIONS
  Nonablative laser treatment subjectively satisfies patients but does not convince objective judgement.
authors.affiliation: Department of Dermatology, University of Graz, Auenbruggerplatz 8, A-8036 Graz, Austria. daisy.kopera@uni-graz.at
authors.forename: D
authors.initials: D
authors.lastname: Kopera
authors.forename: J
authors.initials: J
authors.lastname: Smolle
authors.forename: S
authors.initials: S
authors.lastname: Kaddu
authors.forename: H
authors.initials: H
authors.lastname: Kerl
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D053685:Laser Therapy; D008875:Middle Aged; D017060:Patient Satisfaction; D015361:Rhytidoplasty / Q000379:methods*; D015595:Skin Aging / Q000473:pathology / Q000528:radiation effects*; D016896:Treatment Outcome