Headings
Skin type · Pre-treatment assessment · Device and settings · Areas treated · Passes · Immediate response · Aftercare given · Follow-up
When to use it
Use this for ablative or fractional laser sessions aimed at texture, wrinkles or scarring. Recording settings and passes per area lets you adjust safely next time, especially on darker skin. IPL, which targets color and vessels with light rather than resurfacing, has its own template.
Example
Fictional example
Skin type
Fitzpatrick II.
Pre-treatment assessment
D.K., 61F. Perioral lines and fine crepey texture of the cheeks. On valacyclovir since yesterday. No isotretinoin in the last year. Topical anesthetic for 60 minutes.
Device and settings
Fractional CO2 laser. 15 mJ, 10% density on cheeks. 20 mJ, 15% density perioral.
Areas treated
Full cheeks and perioral area. Eyes protected with metal shields.
Passes
Two passes on cheeks. Three passes perioral, feathered at the jawline.
Immediate response
Even erythema and pinpoint bleeding perioral. No blistering. Tolerated well.
Aftercare given
Occlusive ointment, gentle cleanser twice daily. No makeup for 7 days. Strict sun avoidance.
Follow-up
Phone check on day 2. Clinic review at day 7.