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What are the advantages of using authentic CO2 vs. erbium lasers that lengthen pulse width in an effort to achieve clinical results similar to CO2?

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What are the advantages of using authentic CO2 vs. erbium lasers that lengthen pulse width in an effort to achieve clinical results similar to CO2?

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A bilateral study comparing resurfacing with long pulse erbium:YAG followed by traditional short-pulse erbium ablation to UltraPulse CO2 followed by short-pulse erbium ablation (Rostan E, Goldman M, Fitzpatrick R. Laser Resurfacing With a Dual-Mode, Long-Pulse Erbium:YAG Laser Compared to the 950-s Pulsed CO2 Laser. Am J Cosmetic Surg. 2000; 17(4):227-231.) found that there was no statistical difference in healing between the two sides and in 5 patients (26%), greater clinical improvement in periorbital lines, perioral lines, or both was noted on the UltraPulse CO2 side. (A reprint of this article can be ordered from the Lumenis web site, Lumenis Lit. # 5448).

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