Invited Commentary

Invited Commentary Eur J Plast Surg (2000) 23:397 © Springer-Verlag 2000 CO laser resurfacing of the face has become a widely of keeping the skin moist, yet absorbing excessive accepted treatment for facial rejuvenation and, with re- amounts of exudate; it has the ability to monitor the cent advances in laser technology, this procedure will healing process because of its transparent nature – and continue to be in the forefront of cosmetic surgery. Laser the ability to remain on the wound for 10 days. Ease of resurfacing is an invasive medical procedure that re- application was also very important. However, there are quires meticulous postoperative management, as the some concerns regarding Omiderm that should be ad- state of the tissue immediately after the procedure is es- dressed. Firstly, what is the cost of Omiderm as com- sentially an open wound. pared with some of the more popular occlusive dressings Numerous studies have provided clinical evidence such as Flexzan or Duoderm? Is Omiderm a dressing supporting the benefits of closed dressing systems. The that is readily available? Today there are many wound use of an occlusive dressing has been known to aid in dressings on the market, and because of supply and de- patient comfort and facilitates re-epithelialization, and mand, many of these dressings are fairly inexpensive. there is an array of wound dressings available on the Another consideration that must be addressed is patient market today. How does one determine which dressing comfort and satisfaction. Patients are very unhappy to use? Experimenting with different dressings is costly about red faces for long periods of time and seek effi- and challenging and usually results in the return to those cient service with little inconvenience. Many cosmetic “tried and true dressings.” patients are more concerned with comfort than cost and The authors have provided an insightful report of have the disposable income to spend on products that their experience with both meshed and unmeshed Omi- make them feel better. derm as a post procedural occlusive dressing. The char- Does Omiderm help healing time or decrease the po- acteristics of Omiderm as a burn dressing appear to also tential for wound infection? Is prolonged erythema a fac- be advantageous for post laser resurfacing: it is capable tor in using Omiderm? Do patients sacrifice comfort for cost? These questions must be answered in order to as- certain whether Omiderm should become part of the physicians armamentarium in their continuing effort to B. Beal ( ) provide clinically acceptable, yet, cost effective dress- Craniofacial Institute, Fisher Center Third Floor, 16001 West Nine Mile Road, Southfield, MI48075, USA ings without sacrificing patient well being. European Journal of Plastic Surgery Springer Journals

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Copyright © 2000 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Plastic Surgery
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