Skip to main content
SpringerLink
Log in

Fundamentals of Pulsed UV and Mid-infrared Laser Skin Ablation

  • Conference paper
Lasers in Dermatology

Abstract

For many years continous wave (cw) lasers, especially CO2 lasers, have been used to cut or to ablate tissue. The advantages are contact free application, high cutting or vaporizing efficiency and hemostasis. Hemostasis is due to coagulation of tissue adjacent to the cut. However, this thermally damaged tissue has subsequently to be disintegrated by the body causing an impaired wound healing and the risk of hypertrophic scar formation. For non vascularized tissue coagulation has no benefit and ablation with less thermal side effects is more advantageous. This can be achieved using pulsed laser systems like excimer or Er:YAG lasers. Tissue can be removed very precisely and sparingly, so that even the drilling of holes into a hair is possible ( Fig. 1 ).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Puliafito CA, Steinert RF, Deutsch TF, Hillenkamp F, Dehm EJ Adlar CM: Excimer laser ablation of the cornea and lens. Ophthalmology 1985, 92: 741–748

    PubMed  CAS  Google Scholar 

  2. Seller T, Bende T, Wollensack J, Trokel S: Excimer laser keratectomy for correction of astigmatism. Am J Ophthalmol 1988, 105: 117–124

    Google Scholar 

  3. Litvack F.: Interventional cardiovascular therapy by laser and thermal angioplasty. Circulation 1990, 81 (suppl IV): 109–116

    Google Scholar 

  4. Karsch: Percutaneous coronary excimer laser angioplasty: initial clinical results The Lancet 1989, 2 (8664): 647–650

    CAS  Google Scholar 

  5. Kaufmann R, Hibst R: Pulsed UV- and mid-infrared laser skin ablation: experimental and first clinical results. This volume

    Google Scholar 

  6. Kaufmann R, Hibst R: Pulsed 2.94 nm erbium-YAG laser skin ablation: experimental results and first clinical application. Clin Exp Dermatol 1990, 15: 389–393

    Article  PubMed  CAS  Google Scholar 

  7. Zolotatrev VM, Mikhailov BA, Alperovich LI, Popov SI: Dispersion and absorption of liquid water in the infrared and radio regions of the spectrum. Opt Spectrosc 1969, 26: 430–432

    Google Scholar 

  8. Esterowitz L, Hoffman C: Laser tissue/water interaction of the of the erbium 2.9 ptm laser. Proc SPIE 1987, 712: 196–197

    Google Scholar 

  9. Robertson CW, Williams D: Lambert absorption coefficients of water in the infrared. J Opt Soc Am 1971, 61: 1316–1320

    Article  CAS  Google Scholar 

  10. L. Esterowitz: Angioplasty with a laser and fiber optics at 2.94 (im. Proc SPIE 1986, 605: 32–36

    Google Scholar 

  11. Bonner RF, Prevosti LG, Leon MB, Levin K, Tran D: New source for laser angioplasty: Er:YAG laser pulses transmitted through zirconium fluoride optical fiber catheters. Proc SPIE 1988, 906: 288–293

    Google Scholar 

  12. Nuss RC, Fabian RL, Sarkar R, Puliafito CA: Infrared laser bone ablation. Lasers Surg Med 1988, 8: 381–391

    Article  PubMed  CAS  Google Scholar 

  13. Nishioka NS, Domankevitz Y, Flotte JS, Anderson RR: Ablation of rabbit liver, stomach, and colon with a pulsed holmium laser. Gastroenterology 1989, 96: 831–837

    PubMed  CAS  Google Scholar 

  14. Walsh JT, Deutsch TF: Pulsed C02 laser rissue ablation: measurement of ablation rate. Lasers Surg Med 1988, 8: 264–275

    Article  PubMed  Google Scholar 

  15. Walsh JT, Deutsch TF: Er:YAG laser ablation of tissue: measurement of ablation rates. Lasers Surg Med 1989, 9: 327–337

    Article  PubMed  Google Scholar 

  16. Zweig AD, Frenz M, Romano V, Weber HP: A comparatitive study of laser tissue interaction at 2.94 p. m and 10.6 y. m. Appl Phys B 1988, 47: 259–265

    Article  Google Scholar 

  17. Young JS: Evaluation of nonisothermal band model for HO. J Quant Spectrosc Radiat Transfer 1977, 18: 29–45

    Article  CAS  Google Scholar 

  18. Hibst R, Keller U: Experimental studies of the application of the Er:YAG laser on dental hard substances: I. measurement of the ablation rate. Lasers Surg Med 1989, 9: 338–344

    Article  PubMed  CAS  Google Scholar 

  19. Partovi F, Izatt JA, Cothren RM, Kittrell C, Thomas JE, Strikwerda S, Kramer JR, Feld MS: A model for thermal ablation of biological tissue using laser radiation. Lasers Surg Med 1987, 7: 141–154

    Article  PubMed  CAS  Google Scholar 

  20. Zweig AD, Weber HP: Mechanical and thermal parameters in pulsed laser cutting of tissue. IEEE J Quant Electron 1987 QE-23(10): 1787–1793

    Google Scholar 

  21. Bowker TJ, Cross FW, Rumsby PT, Gower MC, Rickards AF, Bown SG: Excimer laser angioplasty: quantitative comparison in vitro of three ultraviolet wavelengths on tissue ablation and haemolysis. Lasers Med Sci 1986, 1: 91–99

    Article  Google Scholar 

  22. Harnoss BM, Kar H, Biamino G, Berlien HP, Muller G, Ziihlke H, Haring R: Laser angioplasty with short pulsed U.V. light - physical and experimental investigation. Laser Med Surg 1988, 4: 87–92

    Google Scholar 

  23. Wieshammer S, Hibst R, Bellekens M, Steiner R: Ultraviolet laser ablation of biologic tissue. Quantitation of etch rate as a function of incident fluence. Lasers Life Sci 1987, 2:125–135

    Google Scholar 

  24. Jacques SL, McAuliffe DJ, Blank IH, Parrish JA: Controlled removal of stratum corneum by pulsed laser J Invest Dermatol 1987, 88: 88–93

    CAS  Google Scholar 

  25. Srinivasan R: Ablation of polymers and biologic tissue by ultraviolet lasers Science 234: 559–565

    Google Scholar 

  26. Kaufmann R, Hibst R: Pulsed Er:YAG and 308 nmn UV-Excimer laser: an in vitro and in vivo study of skin ablative effects. Lasers Surg Med 1989, 9: 132–140

    Article  PubMed  CAS  Google Scholar 

  27. Srinivasan R, Leigh WJ: Ablative photodecomposition: Action of far-ultraviolet; (193 nm) laser radiation on poly (ethylene terephthalate) films.; J Am Chem Soc 1982, 104: 6784–6785

    CAS  Google Scholar 

  28. Lane RJ, Linsker R, Wynne JJ, Torres A, Geronemus RG: Ultraviolet-laser ablation of skin. Arch Dermatol 1985,121: 609–617 I

    Article  PubMed  CAS  Google Scholar 

  29. Lane RJ, Wynne JJ, Geronemus RG: Ultraviolet laser ablation of skin: I Healing studies and a thermal model. Lasers Surg Med 1987, 6: 504 –513 J

    Google Scholar 

  30. Jaques SL: The ArF excimer laser in dermatology. This volume

    Google Scholar 

  31. Hibst R, Kolbe T, Weinbrenner S, Hombach: Excimer laser angioplasty: efficiency and damage, in: Hombach V. techniques in cardiovascular medicine (Kluver, Dortrecht), in press

    Google Scholar 

  32. Morelli J, Kibbi AG, Farinelli W, Boll J, Tan OT: Ultraviolet excimer laser ablation: The effect of wavelength and repetition rate on in vivo guinea pig skin. J Invest Dermatol 1987, 88: 769–773

    Article  PubMed  CAS  Google Scholar 

  33. Walsh JT, Flotte TJ, Anderson RR, Deutsch TF: Pulsed C02 laser tissue ablation: Effect of tissue and pulse duration on thermal damage. Lasers Surg Med 1988, 8: 108–110

    Article  PubMed  Google Scholar 

  34. Walsh JT, Flotte TJ, Deutsch TF: Er:YAG laser ablation of tissue: effect of pulse duration and tissue type on thermal damage. Lasers Surg Med 1989, 9: 314–326

    Article  PubMed  Google Scholar 

  35. Hibst R, Kaufmann R: Effects of laser parameters on pulsed Er:YAG laser skin ablation. Lasers Med Sci (in press)

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Institut für Lasertechnologien in der Medizin an der Universität Ulm, Postfach 4066, W-7900, Ulm, Fed. Rep. of Germany

    R. Hibst

  2. Dermatologische Klinik, der Universität Ulm, Oberer Eselsberg 40, W-7900, Ulm, Fed. Rep. of Germany

    R. Kaufmann

Authors
  1. R. Hibst
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Kaufmann
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institut für Lasertechnologien in der Medizin an, der Universität Ulm, Helmholtzstrasse 12, Postfach 4066, W-7900, Ulm, Fed. Rep. of Germany

    Rudolf Steiner

  2. Dermatologische Klinik, der Universität Ulm, Oberer Eselsberg 40, W-7900, Ulm, Fed. Rep. of Germany

    Roland Kaufmann

  3. Dermatologische Klinik und Poliklinik, der Ludwig-Maximilians-Universität München, Frauenlobstrasse 9–11, W-8000, München 2, Fed. Rep. of Germany

    Michael Landthaler  & Otto Braun-Falco  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag Berlin, Heidelberg

About this paper

Cite this paper

Hibst, R., Kaufmann, R. (1991). Fundamentals of Pulsed UV and Mid-infrared Laser Skin Ablation. In: Steiner, R., Kaufmann, R., Landthaler, M., Braun-Falco, O. (eds) Lasers in Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75201-8_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-75201-8_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-75203-2

  • Online ISBN: 978-3-642-75201-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation