The erbium:YAG laser (wavelength 2940 nm; pulse duration 0.350 ms; pulse en
ergy 0.1-1.7 J) allows vaporization of very thin skin layers without scarri
ng and minimal lateral thermal injury due to an extremely short pulse durat
ion. It permits exact ablation of relatively large areas of facial skin. We
report our results with 216 patients following treatment for different fac
ial lesions (facial wrinkles, acne scars, syringomas, and circumscribed seb
aceous gland hyperplasia) using a new erbium:YAG laser system. Good-to-exce
llent cosmetic results were obtained in these patients. Our findings show t
hat the erbium:YAG laser is an elegant and promising new method for the tre
atment of facial lesions.