{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T16:40:32Z","timestamp":1751388032415,"version":"3.40.5"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T00:00:00Z","timestamp":1548979200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Measure the sound levels produced by various lasers commonly used during routine outpatient cosmetic surgery to determine whether or not their use exceeds exposure levels set forth by the US National Institute for Occupational Safety and Health (NIOSH) and the US Occupational Safety and Health Administration (OSHA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Using two different meters, the sound levels of lasers commonly used in cosmetic surgery were recorded during various procedures for several indications: tattoo removal, treatment of lentigines and pigmented lesions, facial erythema and vascular lesions, hair removal and resurfacing of acne scars, and photoaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All but five lasers had a maximum sound level below 85 dBA, the limit proposed by NIOSH. The loudest laser examined was a fully ablative 2,940\u2009nm Er:YAG during facial resurfacing, with an average maximum sound level of 101.5 decibels (dBA). Two other lasers used for resurfacing exceeded 85\u2009dBA including a fractional ablative 1064 Nd:YAG with an average maximum of 97.8 and a different fully ablative 2,940\u2009nm Er:YAG which had an average maximum of 96.3\u2009nm. The two other lasers that exceeded 85\u2009dBA were picosecond lasers used to treat black tattoos, including a 1,064\u2009nm Nd:YAG with an average maximum of 93.7\u2009dBA and a 755\u2009nm alexandrite with an average maximum of 93.6\u2009dBA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although some lasers in cosmetic surgery may be perceived as being quite loud, they remain safe. Even the loudest laser studied would have to be used for nearly 2 hours before exceeding the OSHA recommended exposure limit. Even physicians who spend a large amount of time using lasers in clinical practice should be reassured that these devices are not likely to produce noise\u2010induced hearing loss (NIHL) hearing loss. Lasers Surg. Med. 51:491\u2013494, 2019. \u00a9 2019 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lsm.23062","type":"journal-article","created":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T15:09:01Z","timestamp":1549033741000},"page":"491-494","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Sound levels and safety in cosmetic laser surgery"],"prefix":"10.1002","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2478-5629","authenticated-orcid":false,"suffix":"III","given":"Daniel J.","family":"Callaghan","sequence":"first","affiliation":[{"name":"SkinCare Physicians 1244 Boylston Street, Suite 103 Chestnut Hill Massachusetts 02467"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren M.","family":"Bonati","sequence":"additional","affiliation":[{"name":"SkinCare Physicians 1244 Boylston Street, Suite 103 Chestnut Hill Massachusetts 02467"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murad","family":"Alam","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Feinberg School of Medicine Northwestern University 676 N. St Clair St, Ste 1600 Chicago Illinois 60611"},{"name":"Department of Otolaryngology, Feinberg School of Medicine Northwestern University 676 N. St Clair St, Ste 1600 Chicago Illinois 60611"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberly","family":"Jerdan","sequence":"additional","affiliation":[{"name":"Gateway Aesthetic Institute Salt Lake City Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark B.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Gateway Aesthetic Institute Salt Lake City Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey S.","family":"Dover","sequence":"additional","affiliation":[{"name":"SkinCare Physicians 1244 Boylston Street, Suite 103 Chestnut Hill Massachusetts 02467"},{"name":"Department of Dermatology Yale University School of Medicine New Haven Connecticut"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2077.155063"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2014.915924"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e3181579316"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6605e3"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-015-1083-5"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940911800604"},{"issue":"85","key":"e_1_2_6_8_1","first-page":"347","article-title":"Prevalence of tinnitus and noise\u2010induced hearing loss in dentists","volume":"18","author":"Myers J","year":"2016","journal-title":"Noise Health"},{"issue":"3","key":"e_1_2_6_9_1","first-page":"71","article-title":"Hearing loss associated with long\u2010term exposure to high\u2010speed dental handpieces","volume":"63","author":"Theodoroff SM","year":"2015","journal-title":"Gen Dent"}],"container-title":["Lasers in Surgery and Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flsm.23062","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lsm.23062","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lsm.23062","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lsm.23062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T05:48:11Z","timestamp":1694324891000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lsm.23062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,8]]}},"alternative-id":["10.1002\/lsm.23062"],"URL":"https:\/\/doi.org\/10.1002\/lsm.23062","archive":["Portico"],"relation":{},"ISSN":["0196-8092","1096-9101"],"issn-type":[{"type":"print","value":"0196-8092"},{"type":"electronic","value":"1096-9101"}],"subject":[],"published":{"date-parts":[[2019,2]]},"assertion":[{"value":"2019-01-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}