I congratulate Ward and Baker1 for their review of carbon dioxide laser resurfacing. This is a procedure that has fallen into disrepute in recent years despite its potential to provide outstanding results unachievable with other modalities. I have treated hundreds of patients since 1995, and patient satisfaction has been very high. This has been documented by others as well.2 Adverse effects, such as acne, erythema, and hyperpigmentation, are temporary and treatable. Scarring should never occur in experienced hands. The one truly significant adverse effect that has caused carbon dioxide resurfacing to lose favor is hypopigmentation, which can be unpredictable and resistant to treatment.
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