{"title":"The use of Q-switched alexandrite laser (755 nm, 100 ns) for eyeliner tattoo removal.","authors":"G. Moreno-Arias, A. Camps‐Fresneda","doi":"10.1080/14628839950516968","DOIUrl":"https://doi.org/10.1080/14628839950516968","url":null,"abstract":"BACKGROUND Eyelid tattooing for cosmetic reasons has increased in the past few years, and unsatisfied customers may request pigment removal. Q-switched laser systems have been useful in these cases. OBJECTIVE To evaluate the clinical result of a patient with a bluish-black eyelid tattoo treated with Q-switched alexandrite laser. METHODS Threshold fluence was determined and a spot test made on the first visit. Treatment was with QSAL, with a fluence range of 6.75-7.50 J/cm2 (mean fluence 7.125 +/- 0.26) and overlapping +/- 10% at 4-week intervals. RESULTS The eyeliner tattoo was not completely removed after five treatments with QSAL, but noticeable pigment lightening was obtained. No side effects were seen. CONCLUSIONS Q-switched alexandrite laser may be a useful device to remove the bluish-black pigment used in cosmetic eyeliner tattoo.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"1 2 1","pages":"113-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628839950516968","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59799515","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":"Perivulvar inflammatory linear verrucous epidermal nevus (ILVEN) treated with CO2 laser.","authors":"Lars Molin, Gunnel Särhammar","doi":"10.1080/14628839950517110","DOIUrl":"https://doi.org/10.1080/14628839950517110","url":null,"abstract":"Inflammatory linear verrucous epidermal nevus (ILVEN) is a type of epidermal nevus with the onset usually at early childhood. It is generally rather persistent with pruritus as a prominent symptom and is resistant to various treatments. We report a case of disfiguring ILVEN of the vulvar area, which was treated successfully with low fluence CO2 laser. The patient remains improved 2 years following laser therapy.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"1 1 1","pages":"53-6"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628839950517110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59799653","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":"Pulsed carbon dioxide and erbium-YAG laser resurfacing: a comparative clinical and histologic study.","authors":"R. Adrian","doi":"10.1080/14628839950517066","DOIUrl":"https://doi.org/10.1080/14628839950517066","url":null,"abstract":"BACKGROUND The recent introduction of pulsed erbium-YAG (Er:YAG) laser technology has been accompanied by relatively few clinical studies with widely varying claims regarding post-operative healing, clinical side effects and efficacy. OBJECTIVE The aim was to evaluate comparatively pulsed CO2 and Er:YAG lasers with regard to clinical side effects, post-operative healing and efficacy when equivalent depths of histologic damage were produced. METHODS Bilateral periocular or perioral sites were treated using a pulsed CO2 laser on one side and a pulsed Er:YAG laser on the opposite side. Attempts were made to produce equivalent depths of coagulation (CO2) and ablation (erbium). RESULTS Results showed almost equivalent post-operative healing. However, the pulsed CO2 laser proved more effective in the treatment of moderate and deep rhytids. CONCLUSION When equivalent depths of coagulation and ablation are compared, the healing time is similar. CO2 proved to be more efficacious in the treatment of perioral and periocular rhytids.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"1 1 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628839950517066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59800001","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":"Non-ablative subsurface remodeling: clinical and histologic evaluation of a 1320-nm Nd:YAG laser.","authors":"David J. Goldberg","doi":"10.1080/14628839950516805","DOIUrl":"https://doi.org/10.1080/14628839950516805","url":null,"abstract":"BACKGROUND Laser resurfacing in the treatment of facial rhytids has traditionally involved ablative methods with their associated complications and limitations. Rhytid improval requires dermal collagen remodeling. Dermal remodeling can occur without epidermal ablation. OBJECTIVE The aim of this study was to evaluate the clinical and histologic changes occurring after treatment with a 1320-nm Nd:YAG laser. METHODS Ten subjects with class I-III rhytids and Fitzpatrick skin types I-II were treated four times with a 1320-nm Nd:YAG laser. Subjects were evaluated for degree of clinical improvement and histologic evidence of new collagen formation six months after their final treatment. RESULTS Eight subjects showed subjective improvement in the quality of their skin. All ten subjects showed histologic evidence of new upper papillary dermal collagen formation. CONCLUSION 1320-nm Nd:YAG laser irradiation can lead to new collagen formation and associated clinical improvement. Such improvement can occur without epidermal ablation.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"1 3 1","pages":"153-7"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628839950516805","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59799148","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 spider veins of the leg using a long-pulsed Nd:YAG laser (Versapulse) at 532 nm.","authors":"T. McMeekin","doi":"10.1080/14628839950516841","DOIUrl":"https://doi.org/10.1080/14628839950516841","url":null,"abstract":"BACKGROUND AND OBJECTIVE Prior studies have shown improvement in leg telangiectasias using a long pulse, frequency-doubled nd:YAG laser at 532 nm. The following study, with longer follow-up, was undertaken to determine the effectiveness of this laser and incidence of side-effects from a single treatment for lower extremity telangiectasia of less than 1 mm in diameter. MATERIALS AND METHODS Ten patients of skin types I-III received a single treatment on each of 18 treatment sites. One to three passes were used on each vessel with a repetition rate of 2 Hz. Two energy fluences of 12 J/cm2 and 16 J/cm2 were compared. Patients were followed for 1 year with follow-up photographs taken, from which the percentage of vessel clearance and side-effects were rated. RESULTS Overall, 44% of patients had a greater than 50% clearance from a single treatment using the frequency-doubled Nd:YAG laser at 532 nm. The higher fluence of 16 J/cm2 showed a better response than the lower fluence of 12 J/cm2. Side-effects were more marked and were seen in more patients treated at 16 J/cm2 than at the 12 J/cm2 setting. Some 94% of patients had hyperpigmentation that took up to 6 months to resolve. One patient treated at 16 J/cm2 experienced blisters, crusts and scarring, which persisted for 1 year. There was further improvement from 6 months to 1 year in one-third of the treatment sites. CONCLUSION The long-pulsed Nd:YAG laser at 532 nm with a chilled sapphire tip can treat leg telangiectasias of 0.5 to 1.0 mm in diameter with greater than 50% clearance at 44% of sites with a single treatment. Higher fluences of 16 J/cm2 demonstrated a greater clearance, but also greater adverse effects, including atrophic scarring persisting for 1 year. Further clinical improvement was seen at 6-month to 1-year follow-ups.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"1 3 1","pages":"179-80"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628839950516841","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59799271","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":"Basic physics of erbium laser resurfacing.","authors":"J. Coates","doi":"10.1080/14628839950516896","DOIUrl":"https://doi.org/10.1080/14628839950516896","url":null,"abstract":"The rapid growth in erbium laser resurfacing gives rise to a need for clinicians to become familiar with some new terminology and concepts. The design of erbium laser machines used for these procedures is described giving clinicians a basis for machine selection. The basic concepts of energy, fluence and overlap will allow the clinician to manipulate the laser parameters so as to achieve the desired clinical results.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"1 2 1","pages":"71-5"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628839950516896","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59799322","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":"Clinical and histological effect of a single treatment of normal mode alexandrite (755 nm) laser on small melanocytic nevi.","authors":"A. Reda, I. Taha, H. Riad","doi":"10.1080/14628839950516698","DOIUrl":"https://doi.org/10.1080/14628839950516698","url":null,"abstract":"BACKGROUND AND OBJECTIVE Earlier studies on the treatment of congenital melanocytic nevi have reported the efficacy of Q-switched ruby laser and Nd:YAG lasers. In this study we evaluated the clinical and the histological effects of a single treatment of normal mode (3 msec) alexandrite laser (755 nm) on small melanocytic nevi. MATERIALS AND METHODS Fourteen patients having 40 nevi entered into the study. Twenty six nevi were clinically followed up after laser treatment for 4 months. Fourteen nevi were biopsied after laser treatment: 8 nevi immediately, 3 nevi after 10 days and 3 nevi after 1 month. RESULTS At the end of 4 months, 20 (76.92%) nevi attained moderate to significant lightening of color, 5 (19%) nevi had their color matching that of the surrounding skin, one nevus (3.85%) showed very mild hypopigmentation, and 18 (69%) nevi had a surface level similar to the surrounding skin. One nevus healed with keloid formation. Histologically, immediately following laser, there was necrosis of nevus cells in the papillary and uppermost reticular dermis. Nevus cells in the deeper layers of the dermis were not affected. Ten days following laser, the upper dermis showed granulation tissue. One month after laser, there was mild fibrosis in the upper dermis and persistence of nevus cells in the middle and deep dermis. CONCLUSION These results suggest that normal mode alexandrite laser may clear or cosmetically improve small melanocytic nevi whether congenital or acquired. However, the concern about the recurrence of the nevi and the potential for malignant transformation should be addressed by long-term follow-up studies.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"1 4 1","pages":"209-15"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628839950516698","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59799362","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 individual café au lait macules with the Q-switched Nd:YAG: a clinicopathologic correlation.","authors":"J. Levy, S. Mordon, M. Pizzi-Anselme","doi":"10.1080/14628839950516706","DOIUrl":"https://doi.org/10.1080/14628839950516706","url":null,"abstract":"BACKGROUND Café au lait macules (CALMs) respond variably to treatment with lasers. This study was carried out to identify which individual features of CALMs could predict a good clinical response to treatment. METHODS Twenty-two patients aged 3-43 years were treated with the frequency-doubled Q-switched Nd:YAG (10 ns, Ø = 3 mm, 2.0 to 3.0 J/cm2). Biopsy specimens of the CALMs were obtained before treatment in 11 patients to achieve the diagnosis of CALMs. Treatment of CALMs usually requires several laser sessions, so the treatment was carried out at 2-month intervals. Clinical follow-up was done 3 and 12 months after the final treatment to observe results and recurrences. RESULTS The analysis shows that the only statistically significant criteria was the jagged aspects of the edges of the CALMs. Consequently, this criteria should be evaluated in further studies in relation with the laser treatment of CALMs.","PeriodicalId":81650,"journal":{"name":"Journal of cutaneous laser therapy","volume":"1 4 1","pages":"217-23"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14628839950516706","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59799373","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}