%0 Journal Article %T Periorbital Post-Inflammatory Hyperpigmentation after Fractionated CO<sub>2</sub> Laser Resurfacing in Asians %A Randal Tanh Hoang Pham %A Ingerlisa Mattoch %A Sterling S. Baker %J Modern Plastic Surgery %P 9-13 %@ 2164-5280 %D 2015 %I Scientific Research Publishing %R 10.4236/mps.2015.52002 %X Background: Most data on laser resurfacing have come from studies of people with Fitzpatrick skin types 1 - 3; however, the worldĄŻs population is comprised mostly of Fitzpatrick skin types 4 - 6, which are more susceptible to post-inflammatory hyperpigmentation (PIH). Objective: For the purpose of expanding the expertise of plastic surgeons treating patients with darker skin types, this study examined the incidence of PIH in Asians who underwent laser resurfacing, including a histologic arm on fractional ablative resurfacing. Methods & Materials: The clinical study included six subjects of Vietnamese origin who underwent single-depth fractionated CO2 laser resurfacing. The histologic study involved a seventh subject. The MiXto SX<sup>&reg;</sup> laser with a new scanning handpiece was used, along with magnifying loupes to assess ablative depth after each of three laser passes performed. Photographs were taken at various postoperative intervals. Results: All six clinical subjects showed cosmetic improvement in skin texture and tone with no post-inflammatory hyperpigmentation. In the histologic study, H&E stained sections revealed uniform diathermy. Conclusion: It is possible to significantly reduce PIH in darker skinned subjects through use of a new scanning handpiece and a technique using loupes to assess the depth of ablative resurfacing. The histologic study confirms these findings. %K Laser %K CO< %K sub> %K 2< %K /sub> %K Laser %K CO< %K sub> %K 2< %K /sub> %K Laser Resurfacing %K Fractionated CO< %K sub> %K 2< %K /sub> %K Laser Resurfacing %K PIH %K Post Inflammatory Hyperpigmentation %K Asian %K Face %K Eyelid %K Pigment %K Wrinkles %K Rhytid %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53864