Erbium lasers have been used for years, but newer
technologies and advances have yielded a vastly superior
product whose energy and affinity for the water in the skin
causes a superficial zone of destruction that achieves results,
but heals amazingly quickly.Clinical improvement of severe
rhytides treated with a modulated Er:YAG laser can be impressive.
Erbium laser systems, such as the Whisper, can greatly improve atrophic scars caused by acne, trauma, or surgery. In a series
of 78 patients, Weinstein reported 70-90% improvement of acne scarring in the majority of patients treated with a modulated
Er:YAG laser. Pitted acne scars may require ancillary procedures,
such as subscision or punch excision, for optimal results. These procedures can be performed either prior to or concomitant with Er:YAG laser resurfacing.

A variety of benign epidermal and dermal conditions respond favorably to Er:YAG laser resurfacing, including sebaceous hyperplasia, eruptive hair cysts, adenoma sebaceum, angiofibroma, hidradenoma, xanthelasma, and syringomas.
Laser surgeons such as Dr. Ewanowski can combine Er:YAG
lasers and carbon dioxide lasers to take advantage of the unique properties of each laser. The addition of Er:YAG laser following
carbon dioxide laser resurfacing may decrease the duration of postoperative crusting and edema presumably by reducing the
amount of thermal necrosis induced by the carbon dioxide laser. Suncoast Skin has both of these modalities available, and we can combine them for added effect.