Reduction of thickened flap using fractional carbon dioxide laser

Lori A. Brightman, Jeremy A. Brauer, Robert Anolik, Elliot T. Weiss, Julie Karen, Anne Chapas, Elizabeth Hale, Leonard Bernstein, Roy G. Geronemus

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Background and Objective The paramedian forehead flap is an excellent choice when repairing a large nasal defect. However, even when carefully thinned, the flap may develop a bulky appearance, an ill-fitting contour, or trap door deformity. When on the face, these suboptimal results can be quite distressing. Surgical and non-surgical options for improvement exist. Surgical options include additional debulking and reorientation of the flap. Non-surgical options include intralesional corticosteroids or 5-flourouracil, dermabrasion, and ablative and non-ablative laser resurfacing. Each option has limited benefit as well potential side effects. Study Design/Materials and Methods Case report. Results In this report, we present dramatic improvement of a thickened paramedian forehead flap using the Fraxel Re:pair, a fractional carbon dioxide (CO 2) laser (Solta Medical, Inc. Hayward, CA). Conclusion To our knowledge, this is the first case in the literature demonstrating successful reduction of a bulky flap using a fractional ablative laser.

Original languageEnglish
Pages (from-to)873-874
Number of pages2
JournalLasers in Surgery and Medicine
Issue number9
StatePublished - Nov 2011
Externally publishedYes


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