LASER Skin Resurfation
Transcript of LASER Skin Resurfation
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LASER SKIN
RESURFACINGLight Ampl i f icat ion of St imu lat ion Em itedRadiation
Oleh :
Oktaviana Sari Dewi - 102010101004
Rahma Fadhilah - 102010101007
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Definisi LASER
LASER merupakan suatu bentuk enargi
elektromagnetik baik dalam range visible
maupun invisible.
LASER Prinsip Mekanika Quantum dan
Spontaneus Emission
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Penggolongan LASER
Power
Power Laser
(Argon, Nd Yag,
CO2, Rubi,
Alexandrite)
LLLT/Soft Laser
Media
Gas (Argon, CO2)
Liquid (Pulsed Dye)
Solid (Alexandrite,
erbium, er yag, nd
yag)
Semikonduktor
(diode)
Karakteristik Pulse
Beam
Continous(Satuan
Second)
Pulsed(Mikro
Second)
Quality Switced
(nano second)
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Mekanisme Tindakan LASER
PemindahanEnergi oleh
SinarKemilau
Jaringan Diserap
Photostimula-
tion
PhotodynamicReaction
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LASER Skin Resurfacing
Laser resurfacing adalah perawatan untuk
mengurangi kerutan wajah dan kelainan
kulit, seperti noda atau bekas jerawat
Nama Lain : lasabrasion
laser peel
laser vaporization
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Teknik Dasar
Diaplikasikan dengan
concentrated pulsating
beam, secara
langsung dan singkatpada kulit yang
mengalami kelainan,
dan secara tepatmemperbaikinya lapis
demi lapis kulit
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Tipe LASER Skin Resurfacing
Ada 2 :
CO2 Laser Resurfacing
Menggunakan very short pulsed light
energy/ultrapulse
Untuk mengatasi keriput, bekas luka, kutil,
pembesaran kelenjar minyak, dll.
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Erbium Laser Resurfacing
Merupakan LLLT
Menghilangkan masalah seperti kerut di
wajah,tangan leher, atau bagain tubuh
lain.
Efek radiasi panas lebih minimal masa
penyembuhan lebih cepat
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Indikasi
Garis-garis halus atau keriput di sekitar
mata atau mulut atau di dahi.
Jerawat, atau bekas luka dangkal jerawat Kulit yang non responsif setelah facelift
Anti inflamasi
Anti aging dan kulit kusam
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Post dermabrasi
Perawatan herpes genital/labial/zooster
Luka
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Source : www.truswellplasticsurg.com
http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122 -
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Kontraindikasi
Iradiasi ocular
Tumor
Proses bakteri akut Penyakit endokrin
Pengguna obat fotosensitizing dan obat
yang berpengaruh pada pembekuan darah(min.10 hari)
Merokok (min. 2 minggu)
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Wanita hamil
Cardiac pace maker
Epilepsi Aritmia jantung
Fibrocystic mastophathy
Jerawat baru Kulit yang gelap
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Langkah Tindakan
Anamnesis pasien
Pastikan pasien benar-benar terindikasi
untuk melakukan tindakan ini
Pastikan juga pasien tidak memiliki kontra
indikasi tindakan ini
Tentukan dosis yang akan digunakan dankombinasi tindakan/terapi jika diperlukan
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Siapkan alat
alat yang diperlukan,
termasuk alat pelindung mata
Jika diperlukan, resepkan antibiotic atau
antiviral sebelum tindakan Berikan obat anestesi (local/general)
Untuk terapi luka, tidak boleh langsung
disinari pada dasar luka, tetapi denganmenyinari 1-2mm di atas luka.
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Terdapat 2 Metode Pengaplikasian:
1.Spotting/Dotted/Grid/Didiamkan
Untuk area tindakan yang cukup luas tiapspot-nya memancar dengan radius 1 cm.
Penyinaran dilakukan langsung pada trigger
point.
Lebih efektif.
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2. Sweeping/Sapuan
Kepala aplikator digerakkan pada area yang
ditangani
Dosis ditentukan per titik tindakan per cm2.
Kurang Efektif
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Dosis
Indikasi Dosis (J/cm2)
Anti Inflamasi 14 20
Biostimulasi 2 6 (mukosa), 4 12 (kulit)
Perawatan otot 16 20
Jerawat 4 6
Aging dan Kulit Kusam 6 15
Post Dermabrasi 2
10Herpes
Genital/Labial/Zooster
5 10
Luka 5 20
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Sou
rce:scienceofacne.com
http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122 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Pasca Tindakan
Merupakan rawat jalan
Pasang penutup di area yang diterapi
Ingatkan pasien untuk membersihkanmuka 4-5x/hari, serta memakai salep
untuk menghambat pembentukan
keropeng (petroleum jelly) dan sunscreen
SPF tinggi.
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Inflamasi normal, berikan steroid,
anjurkan pasien tidur dengan posisi lebihtinggi atau memakai kompres es pada 24-
48 jam pertama.
Selama 2-3 bulan gunakan pelembab (Retin A / Glicolic Acid), oil-free makeup
Sembuh dalam 10-21 hari
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Sou
rce:scienceofacne.com
http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=ra2BL4wdxahkNM&tbnid=EBpBg89Iy6ZUdM:&ved=0CAcQjB0wAA&url=http://www.truswellplasticsurg.com/procedures/laser-resurfacing-scar-revision&ei=QFI_Uc_5L8r_rAffr4AY&psig=AFQjCNHnSC7dH7ncme4YEIOHm4_FvLbgtA&ust=1363190720876122 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Komplikasi
Luka bakar
Scar
Perubahan pigmen Infeksi bakterial/viral
Milia
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7/30/2019 LASER Skin Resurfation
24/24
Sou
rce:www.amarillo
vein.com
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