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Dermatology & Plastic Surgery: Benign Lesion Removal

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LINLINE removes benign skin lesions with two complementary tools on the MULTILINE™ platform:

  • Laser scalpel (Nd:YAP, long-pulse) for precise contact excision with immediate hemostasis—ideal for pedunculated or nodular lesions, deeper bases, or whenever you want a specimen for histology.
  • Er:YAG ablation (2940 nm) for layer-by-layer, char-free vaporization and gentle contour “polishing” of superficial, flat, or sessile lesions—minimal thermal zone (≈20–50 µm) supports excellent cosmesis. 

What we treat

Papillomas, soft fibromas, dermatofibromas, seborrheic keratoses, xanthelasma, warty horn, telangiectatic granuloma, epidermoid/sebaceous cysts, and HPV-related growths.

Why LINLINE’s method is different

  • Two tools, one session: Combine hemostatic contact excision (Nd:YAP) with Er:YAG’s char-free surface refinement for optimal function and cosmesis.
  • “Cold” ablation physics: you see what you remove in real time, without CO₂-style frosting.
  • Smaller thermal footprint vs CO₂: Typical Er:YAG thermal effect ≈20–50 µm vs CO₂ 100–250 µm, aiding faster re-epithelialization and reducing scar risk. 

How the procedure works

Laser scalpel excision (Nd:YAP, long-pulse)

  • Contact technique with the fiber at a low angle; short activations trace the base; coagulation precedes vaporization, enabling bloodless dissection and an intact specimen when needed. 

Er:YAG ablation (2940 nm)

  • Scanning at 90° to the lesion; high energy density to achieve true photoablation (micro-explosions) rather than slow coagulation. Work layer-by-layer until the surface is even; optional defocused passes to blend edges. Expect minimal thermal spread.  

Benefits & limitations

  • Er:YAG+ “cold” ablation, tight depth control, low scar risk; weaker hemostasis.
  • Nd:YAP laser scalpel+ speed, immediate hemostasis, versatile contact cutting; potential thermal injury if overdosed. 

Key takeaway

On MULTILINE™, Nd:YAP long-pulse gives fast, blood-sparing contact excision (with specimen when needed), while Er:YAG provides precise ablation and cosmetic smoothing. Together they deliver efficient, safe benign-lesion removal with excellent aesthetic outcomes—fully aligned with LINLINE’s clinical protocols.

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