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    Experts' top device picks

    Dermatologists with established laser practices agree on their picks for the best workhorse lasers. These are the lasers, dermatologists say, they use day after day, regardless of where they practice in the United States.

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    Pulsed Dye, Nonablative Fractionated

    Tina S. Alster, M.D., who started the Washington Institute of Dermatologic Laser Surgery in 1990, says there are a few devices she can’t live without at her Washington, D.C., laser practice.

    Dr. Alster“One is the pulsed dye laser, which is a vascular-specific laser that I use for birthmarks, port wine stains, hemangiomas, hypertrophic scars (and) for a variety of other vascular conditions,” she says. “It is a workhorse laser for me. It also happens to be my oldest laser. Of course, the system has received several upgrades over the years, but it’s the laser system that is my longest-standing and most used.”

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    Dr. Alster’s second pick is her nonablative fractionated laser, the Fraxel Dual (Solta Medical).

    “I like it because you can treat atrophic acne and traumatic or surgical scars, as well as wrinkles, dyspigmentation, large pores and stretch marks. Unlike prior resurfacing lasers, it is useful for treatment of photodamaged and scarred skin in nonfacial areas, as well,” she says.

    Dr. Alster says she could start a new laser practice with the pulsed dye and nonablative fractionated devices, alone, along with fillers and injectables.

    Dr. KeaneyTerrence Keaney, M.D., clinical professor of dermatology and urology at George Washington University Medical Center, and director of Men’s Cosmetic Center at the Washington Institute of Dermatologic Laser Surgery, says the two most popular lasers for his male patients are the pulsed dye and nonablative fractionated resurfacing lasers.

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    “There are a lot of men coming in for the treatment of rosacea, which is common in men, as well as a lot of male patients coming in for treatment of acne scarring or traumatic scarring,” Dr. Keaney says. “I found that both those lasers can be used for scarring. The pulsed dye laser is indicated for hypertrophic, erythematous traumatic scars; whereas the fractionated nonablative resurfacing laser is great for atrophic acne scarring or older atrophic scars.”

    NEXT: Scar treatment 

    Lisette Hilton
    Lisette Hilton is president of Words Come Alive, based in Boca Raton, Florida.

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    • Anonymous
      Great post.

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