Does simultaneous contact cooling reduce intravascular temperature during laser irradiation and impinge on selective vascular destruction?

the Chief of Retina at UCLA, Dr. Buz Kreiger, and asked him if he had ever heard of anything like this. He fully concurred with me that there is no credibility in this article. Finally, and most importantly, I think it would be a great disservice to dermatologists to tell them not to use epinephrine around the cheek or eyelid. I believe this article inappropriately intimidates dermatologic surgeons by providing them with inaccurate information.

[1]  J M Noe,et al.  Chilling Port Wine Stains Improves the Response to Argon Laser Therapy , 1982, Plastic and reconstructive surgery.

[2]  T. Alster,et al.  Effect of Dynamic Cooling on 585‐nm Pulsed Dye Laser Treatment of Port–Wine Stain Birthmarks , 1997, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[3]  C Chess,et al.  Cool laser optics treatment of large telangiectasia of the lower extremities. , 1993, The Journal of dermatologic surgery and oncology.

[4]  B. S. Tanenbaum,et al.  Dynamic epidermal cooling during pulsed laser treatment of port-wine stain. A new methodology with preliminary clinical evaluation. , 1995, Archives of dermatology.