Abstract
[7] The rationale behind the combination therapy is that the micro-thermal zones (MTZ) and micro-ablative zones (MAZ) created by these fractional lasers allow transepidermal clearance of the pigment along with the micro-epidermal necrotic debris (MEND), and also the use of these devices in combination with QSL allows the release of gases that build up during QSL therapy, due to rapid thermal expansion. [9] The response to treatment is usually documented based of digital photography and the physician's global assessment, either by the treating physician or a blinded observer.
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