K. Khatri, A. Machado, Cynthia Magro, Sarah Davenport
{"title":"Laser peel: facial rejuvenation with a superficial erbium:YAG laser treatment","authors":"K. Khatri, A. Machado, Cynthia Magro, Sarah Davenport","doi":"10.1080/14628830050516353","DOIUrl":"https://doi.org/10.1080/14628830050516353","url":null,"abstract":"BACKGROUND : Facial rejuvenation is a popular procedure to temporarily mask the effects of aging. Most patients desiring this treatment are younger and want improvement without any down time. This study was conducted to evaluate the use of Er:YAG laser as a facial rejuvenation tool. METHODS : The full faces of 18 volunteers were treated with an Er:YAG laser using a fluence of either 5 or 10 J/cm 2 . All volunteers applied EMLA ® cream (lidocaine 2.5% and prilocaine 2.5%) two hours before the procedure and were treated with a single pass using a pulse duration of about 300µs. Follow-up visits were made in order to evaluate the degree of discomfort, erythema, swelling and improvement in skin aging. Skin biopsy was performed in one volunteer before and two hours after EMLA ® application, although preceding laser treatment. RESULTS : Most volunteers experienced moderate discomfort during the treatment. There was mild to moderate erythema and mild swelling. The improvement in general skin appearance, actinic bronzing and photo-damage was mild to moderate. The microscopic evaluation of pre-laser treated skin two hours after EMLA ® application was suggestive of increased water content in the dermis. CONCLUSION : The Er:YAG laser is an effective and safe tool for facial rejuvenation. With a superficial treatment, resolution of intense erythema is fairly rapid, averaging two to three days. The improvement, however, is mild compared to full laser skin resurfacing (LSR).","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"2 1","pages":"119 - 123"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628830050516353","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59798223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A structured treatment protocol improves results with laser hair removal","authors":"B. M. Freedman, Robert V Earley","doi":"10.1080/14628830050516371","DOIUrl":"https://doi.org/10.1080/14628830050516371","url":null,"abstract":"BACKGROUND : As laser epilation has become a widely accepted method for hair removal, questions regarding timing and frequency of treatments have arisen. OBJECTIVE : To determine whether a structured treatment protocol for laser hair removal improves clinical results in reducing hair growth. METHODS : A group of 100 patients (Group A) underwent laser epilation with four regularly spaced treatments; a group of 100 patients (Group B) determined their own treatment plan with respect to timing and frequency (not exceeding four treatments). RESULTS : Group A experienced a 78 - 8% reduction in hair with four treatments per patient while Group B experienced a 48 - 12% reduction with an average of 2.5 - 0.5 treatments per patient. These differences were statistically significant ( P < 0.05). Patient satisfaction was significantly improved in Group A compared with Group B ( P < 0.05). A positive linear relationship was identified in Group B between treatment frequency and hair reduction ( r = 0.94) and between treatment frequency and patient satisfaction ( r = 0.89). CONCLUSION : This study concludes that patients who participate in a structured treatment protocol note superior clinical results following laser hair removal.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"2 1","pages":"131 - 135"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628830050516371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59798281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The use of hydroquinone with facial laser resurfacing","authors":"M. Goldman","doi":"10.1080/14628830050516489","DOIUrl":"https://doi.org/10.1080/14628830050516489","url":null,"abstract":"BACKGROUND : One complication of laser resurfacing that is especially common in people with skin types III-VI is hyperpigmentation. This may last for several months after the laser resurfacing procedure. OBJECTIVE : To review the literature and detail the author's use of various techniques, including hydroquinone cream, in patients who develop pigmentation after laser resurfacing. CONCLUSION : Limiting the amount of non-specific thermal and minimizing inflammation should help limit post-laser resurfacing hyperpigmentation. If pigmentation occurs, the use of hydroquinone cream with other depigmenting agents speeds its resolution.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"2 1","pages":"73 - 77"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628830050516489","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59798565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment of scars with a pulsed Er:YAG laser","authors":"S. Kwon, Y. Kye","doi":"10.1080/14628830050516579","DOIUrl":"https://doi.org/10.1080/14628830050516579","url":null,"abstract":"BACKGROUND: Numerous revision procedures such as surgical excision, intralesional steroid injection, cryotherapy, dermabrasion, soft tissue augmentation, chemical peeling and laser therapy are available for the correction of various types of scars. Recently, Er:YAG laser resurfacing has proved to be a useful and safe means for several kinds of scars. OBJECTIVE: The purpose of this study was to assess the efficacy and safety of pulsed Er:YAG laser scar resurfacing for the various types of scars induced by trauma, burns, or surgery. METHODS: This study included 36 patients with various types of scars resulting from picking, scratching, knife injury, laceration, car accident, simple surgical excision, focal burn and focal inflammation. Twelve of these patients were treated for hypertrophic scars, 20 for depressed scars, and four for burn scars. The pulsed Er:YAG laser with a 2-mm handpiece at the setting of 500-1200 mJ/pulse at 3.5-9 W was used. Photographs were obtained at baseline and 2-week intervals postoperatively. The results of laser treatment were assessed by two independent physicians and the surgeon according to contour, skin texture and color. RESULTS: In all, 9 of 12 hypertrophic scars, 17 of 20 depressd scars, and two of four burn scars were improved more than 50%. In one patient who had a depressed scar, minimal postinflammatory hyperpigmentation was observed 3 months after laser treatment. Mild erythema was sustained 4 months after laser treatment in one patient with a depressed scar and in all patients with burn scars. No other side effects were observed. CONCLUSION: A pulsed erbium:YAG laser is an effective and safe treatment modality for scar revision.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"2 1","pages":"27 - 31"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628830050516579","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59799064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment of facial telangiectasias with a diode-pumped Nd:YAG laser at 532nm","authors":"D. Cassuto, D. M. Ancona, G. Emanuelli","doi":"10.1080/14628830050516399","DOIUrl":"https://doi.org/10.1080/14628830050516399","url":null,"abstract":"OBJECTIVE : Facial telangiectasias are a common cause of cosmetic concern. Current treatment modalities present various untoward effects and limits. The pulsed dye laser has been considered the gold standard in efficacy and safety; unfortunately it causes postoperative intracutaneous hematomata, discouraging many patients from undergoing this treatment. Several other vascular lasers (argon, tunable dye, copper, krypton, etc.) are disadvantaged by the risk of hypopigmented and atrophic scars. MATERIALS AND METHODS : We assessed a recent powerful version of the potassium titanyl phosphate (KTP) 532 nm laser, which delivers sufficient energy in single pulses lasting 10-50 msec (DioLite 532; IRIDEX, Mountain View, CA, USA). Collateral damage is reduced while the heating of the vessel is slow enough to avoid explosive photothermolysis with its associated purpura. Sixty six patients with facial telangiectasias were treated. RESULTS : In 62/66 patients (93.9%) we achieved a 75-100% clearance of the lesions, while two treatments were needed to reach an acceptable clearance in the remaining 4/66 patients (6.1%). The eventual need for more sessions was well tolerated because the acceptable postoperative appearance allowed patients to continue normal business and social activities between treatments. No permanent complications or undesired effects were noted. CONCLUSION : We conclude that this diode-pumped frequency-doubled Nd:YAG laser is an effective device for the treatment of facial telangiectasias, with a low profile of undesired effects that can be well tolerated by patients.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"2 1","pages":"141 - 146"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628830050516399","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59798333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New collagen formation after dermal remodeling with an intense pulsed light source","authors":"D. Goldberg","doi":"10.1080/14628830050516461","DOIUrl":"https://doi.org/10.1080/14628830050516461","url":null,"abstract":"BACKGROUND : Laser resurfacing in the treatment of facial rhytides has traditionally involved ablative methods with their associated complications and limitations. More recently, rhytid improvement and dermal remodeling has been seen with non-ablative approaches. Such laser-induced remodeling may be associated with evidence of new dermal collagen formation. OBJECTIVE : The aim of this study was to evaluate the histologic changes seen after dermal remodeling with a non-laser intense pulsed light source. METHODS : Five patients underwent four sessions of dermal remodeling with an intense pulsed light source. All patients received a pretreatment biopsy and a second biopsy 6 months after the final treatment. Biopsies were evaluated for histologic evidence of new collagen formation 6 months after the final treatment. RESULTS : All patients showed histologic evidence of new upper papillary dermal collagen formation. CONCLUSION : Dermal remodeling with an intense pulsed light source can lead to histologic evidence of new collagen formation with associated clinical improvement.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"2 1","pages":"59 - 61"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628830050516461","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59798466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment of widespread generalized congenital aberrant telangiectasia with a flashlight source","authors":"P. Podmore","doi":"10.1080/14628830050516498","DOIUrl":"https://doi.org/10.1080/14628830050516498","url":null,"abstract":"Port wine stains have been in the past successfully treated with various different types of laser. Variable results have been achieved. Treatment programmes tend to be prolonged, which can cause considerable patient inconvenience in terms of posttreatment morbidity. This young man underwent successful treatment with the Photoderm VL with minimal posttreatment morbidity and therefore minimal disruption of his lifestyle. During the course of treatment as a result of the changing nature of his lesion due to response to treatment, different wavelength cut-off filters were required.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"2 1","pages":"79 - 80"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628830050516498","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59798585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Laser resurfacing of the face","authors":"I. Pitanguy, B. Machado","doi":"10.1080/14628830050516632","DOIUrl":"https://doi.org/10.1080/14628830050516632","url":null,"abstract":"","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"2 1","pages":"51 - 51"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628830050516632","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59798744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Bjerring, Henrik Egevist, M. Clement, L. Heickendorff, M. Kiernan
{"title":"Selective non-ablative wrinkle reduction by laser","authors":"P. Bjerring, Henrik Egevist, M. Clement, L. Heickendorff, M. Kiernan","doi":"10.1080/14628830050516542","DOIUrl":"https://doi.org/10.1080/14628830050516542","url":null,"abstract":"BACKGROUND AND OBJECTIVES: Skin resurfacing and wrinkle removal is a large medical laser market. However, the rate of undesirable side effects is high and sometimes is not warranted by the aesthetic improvement observed. The authors have evaluated the potential benefits of an approach to selective non-ablative wrinkle reduction. MATERIALS AND METHODS: This technique selectively targets the microvasculature which plays a key role in the stimulation of enhanced collagen production. RESULTS: The study reported shows that application of the laser parameters described enhances collagen production by an average of 84%, measured 72 hours after a single laser treatment. This is achieved whilst leaving the skin barrier intact and with no adverse pigmentary changes. The study further shows that a cosmetic improvement is observed with an average value of 1.88 reduction in wrinkle appearance as measured on the Fitzpatrick Wrinkle Severity scale. This improvement was achieved with one brief treatment and no reported incidence of side effects. CONCLUSION: In conclusion, the treatment modality described may be a new approach to the treatment of wrinkles.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"44 1","pages":"15 - 9"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628830050516542","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59799006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dark skin tissue reaction in laser assisted hair removal with a long-pulse ruby laser","authors":"M. Elman, Arie Klein, Michael Slatkine","doi":"10.1080/14628830050516551","DOIUrl":"https://doi.org/10.1080/14628830050516551","url":null,"abstract":"BACKGROUND: Photo-epilation has become an accepted modality for the removal of unwanted hair. However, adverse effects may occur in darker skin patients. Treatment with the ruby laser is generally advised for skin types I-III. Treatment of over 3000 patients (skin types I-III) in our clinic has resulted in a minimal percentage (approximately 3%) of adverse effects. Increasing pulse duration should allow the epidermis to cool and thus minimize thermal damage so that treatment can be extended to dark skin patients. OBJECTIVES: The purpose of our study was to compare tissue reaction in dark skin patients (skin type IV) after treatment with a long-pulse (20 msec) ruby laser and compare the reaction with a 1 msec ruby laser treatment. RESULTS: Hair removal efficacy was determined to be similar with both pulse durations, but tissue reaction was more severe, including eschar and hypo-pigmentation, following treatment of dark skin patients with the 1 msec protocol. Increasing the pulse duration to 20 msec appears to result in safe and efficacious ruby laser treatment even for darker skinned patients.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"2 1","pages":"17 - 20"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628830050516551","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59799043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}