laser skin resurfation

7/30/2019 LASER Skin Resurfation

1/24

LASER SKIN

RESURFACINGLight Ampl i f icat ion of St imu lat ion Em itedRadiation

Oleh :

Oktaviana Sari Dewi - 102010101004

Rahma Fadhilah - 102010101007


2/24

Definisi LASER

LASER merupakan suatu bentuk enargi

elektromagnetik baik dalam range visible

maupun invisible.

LASER Prinsip Mekanika Quantum dan

Spontaneus Emission


3/24

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)


4/24

Mekanisme Tindakan LASER

PemindahanEnergi oleh

SinarKemilau

Jaringan Diserap

Photostimula-

tion

PhotodynamicReaction


5/24

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


6/24

Teknik Dasar

Diaplikasikan dengan

concentrated pulsating

beam, secara

langsung dan singkatpada kulit yang

mengalami kelainan,

dan secara tepatmemperbaikinya lapis

demi lapis kulit


7/24

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.


8/24

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


9/24

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


10/24

Post dermabrasi

Perawatan herpes genital/labial/zooster

Luka


11/24

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


12/24

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)


13/24

Wanita hamil

Cardiac pace maker

Epilepsi Aritmia jantung

Fibrocystic mastophathy

Jerawat baru Kulit yang gelap


14/24

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


15/24

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.


16/24

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.


17/24

2. Sweeping/Sapuan

Kepala aplikator digerakkan pada area yang

ditangani

Dosis ditentukan per titik tindakan per cm2.

Kurang Efektif


18/24

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


19/24

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


20/24

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.


21/24

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


22/24

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


23/24

Komplikasi

Luka bakar

Scar

Perubahan pigmen Infeksi bakterial/viral

Milia


24/24

Sou

rce:www.amarillo

vein.com
http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=hLi7IfCjhjpIAM&tbnid=zj7SWYNTWvzEyM:&ved=0CAcQjB0wADgf&url=http://www.amarillovein.com/erbiumLaserResurfacing.php&ei=zVU_UfuzDsbQrQfV34D4Aw&psig=AFQjCNFr8yS30Fm7TnbO-Unh7Hej9bQ9kA&ust=1363191629325046

laser skin resurfation

Documents