Conclusion

Skin remodeling using ablative and nonablative laser and other technologies is an area of continued growth and evolution. Further refinement of technology will serve to enhance clinical outcomes whilst minimizing side effects. Nonablative procedures for rhytides, scars, and tissue tightening offer a variable degree of improvement over a 3 to 6 month period. Results after treatment will disappoint patients who desire dramatic improvement in a short period of time. Additionally, although these technologies have a much lower side effect profile, they are not devoid of risks. For patients with frequent oral herpes outbreaks, antiviral prophylaxis should be considered prior to treatment with any laser or light source application due to possible viral activation. Patients with darker skin tones are at higher risk of hyperpigmentation after treatment with many lasers and light sources, therefore fluences and cryogen spray times should be adjusted accordingly and patients should be forewarned of this reversible complication.