TY - CHAP M1 - Book, Section TI - Ablative Laser Resurfacing A1 - Tannous, Zeina A1 - Avram, Mathew M. A1 - Tsao, Sandy A1 - Avram, Marc R. PY - 2011 T2 - Color Atlas of Cosmetic Dermatology, 2e AB - Utilizing the principles of selective photothermolysis, ablative removal of skin in a precisely controlled fashion with resultant minimal surrounding thermal damage is achieved. The depth of tissue penetration is dependent on selective absorption of water. Immediate tissue effects are dependent on the spot size and power utilized as well as the speed of treatment administration. The time of laser–tissue interaction is the critical factor for residual thermal damage. Epidermal obliteration and(or partial ablation or coagulation of the upper dermis is the endpoint. Re-epithelialization results from the migration of cells that arise from surrounding follicular adnexae. Normal compact collagen and elastic fibers replace the amorphous elastotic dermal components, and normal, well-organized epithelial cells replace the disorganized photodamaged epidermis. Collagen remodeling is noted both intraoperatively via thermal shrinkage and contraction and postoperatively within the remodeling phase of wound healing. SN - PB - The McGraw-Hill Companies, Inc. CY - New York, NY Y2 - 2024/04/20 UR - dermatology.mhmedical.com/content.aspx?aid=1175821581 ER -