The Effects of Fractional CO2 Laser on Poikiloderma of Civatte

Inclusion Criteria: * Male and female subjects, English and non-English speakers, and subjects more than 18 years old * Clinical diagnosis of poikiloderma of Civatte affecting the neck and chest * Agree to not undergo any other procedures on the neck and chest area during the study * Agree to refrain from tanning for 6 months post-procedure * Willing and able to read, understand, and sign the consent form * Willing and able to adhere to the treatment and follow-up schedule as well as post-treatment care Exclusion Criteria: * Patients under 18 years old * Active skin infection, dermatitis, or a rash on the treatment area * Pregnant or lactating patients * Patients on immunosuppressive medications * Any laser procedures or chemical peel procedures on the neck or chest area within the past 6 months * Patients with multiple comorbidities such as diabetes mellitus, cardiovascular diseases, neurologic disorders, internal malignancies * Personal history or family history of forming keloids or hypertrophic scars, or abnormal wound healing * Patients with known bleeding disorders or taking more than one anticoagulation medications * Undergoing any surgery in the treatment area within the past 12 months * History of radiation to the head, neck, and chest area * Systemic use of isotretinoin within 6 months * Any use of gold therapy * Current smoker or history of smoking within 12 months of study * Any physical or mental condition in which the investigators deem unsafe for the subject…