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Intense Pulsed Light Treatment of 1,000 Consecutive Patients with Facial Vascular Marks

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Abstract

Background:

Facial teleangectasias or vascular marks often represent a very cosmetically detracting problem for the affected patient, who tries to cover the lesions by camouflage strategies. This study describes the response of these vascular lesions after an intense pulsed light source was used on 1,000 consecutive patients.

Methods:

Between October 1998 and April 2005, 1,000 consecutive patients with various skin types (Fitzpatrick I to IV) were treated with Photoderm VL. The average age of the patients was 47.1 years. These patients were subjected to a mean of 2.16 treatments (range, 1–9), then followed up 48 h, 72 h, 1 week, 3 weeks, and 1 month after each treatment. All the patients were followed up 2 months after the last treatment, and the percentage of clearance was assessed by comparison of pre- and posttreatment photographs. The patients also answered a questionnaire in which they expressed personal satisfaction. The final physicians-nurse evaluation also was recorded on the same form.

Results:

Most of the patients (89.70%) experienced a clearance of 75% to 100%. The results appear to be correlated with operator experience, but not with lesion size, age, or skin type. Minimal adverse side effects occurred for 14.6% of the patients, but only for 6.76% of the treatments.

Conclusion:

The intense pulsed light source Photoderm VL can be considered a fast, safe, and effective treatment for facial teleangectasias or vascular marks.

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References

  1. Achauer BM, Vanderkam VM: Argon laser treatment of the face and neck: 5 years’ experience, Laser Surg Med 7:495, 1987

    CAS  Google Scholar 

  2. Angermeier MC: Treatment of facial vascular lesions with intense pulsed light. J Cutan Laser Ther 1:95, 1999

    Article  CAS  PubMed  Google Scholar 

  3. Apfelberg DB, Maser MR, Lash H: Argon laser management of cutaneous vascular deformities: A preliminary report. West J Med 124:99, 1976

    CAS  PubMed  Google Scholar 

  4. Bean WB: Vascular spiders and related lesions of the skin. Charles C Thomas: Springfield, 1958

    Google Scholar 

  5. Berlien HP, Cremer H, Djawari D, Grantzow R, Gubisch W: Leitninien zur Behandkung angeborener Gefasserkrankungen. Padiat Prax 46:87, 1994

    Google Scholar 

  6. Biegelseisen HI: Teleangectasia associated with varicose veins: Treatment by a microinjection technique. JAMA 102:2092, 1934

    Google Scholar 

  7. Bitter PH: Noninvasive rejuvenation of photodamaged skin using serial, full-face intense pulsed light treatments. Dermatol Surg 26:835, discussion 843, 2000

    Article  CAS  Google Scholar 

  8. Bjerring P, Christiansen K, Troilius A: Intense pulsed light source for treatment of facial teleangectasias. J Cosmet Laser Ther 3:169, 2001

    Article  CAS  PubMed  Google Scholar 

  9. Broska P, Martinho E, Goodman MM: Comparison of the argon tunable dye laser with the flashlamp pulsed dye laser in treatment of facial teleangectasia. J Dermatol Surg Oncol 20:749, 1994

    CAS  PubMed  Google Scholar 

  10. Cosman B: Role of retreatment in minimal-power argon laser therapy for port-wine stains. Laser Surg Med 13:368, 1993

    Google Scholar 

  11. Eremia S, Li CY: Treatment of face veins with a cryogen spray variable-pulse-width 1,064-nm Nd:Yag laser: A prospective study of 17 patients. Dermatol Surg 28:244–247, 2002

    PubMed  Google Scholar 

  12. Fitzpatrick RE, Feinberg JA: Low-dose argon laser therapy of port-wine stain. ICALEO ‘83 Proc 6:47, 1984

    Google Scholar 

  13. Fodor L, Peled IJ, Rissin Y, Yitzchak R, Shoshani O, Eldor L, Gaiman A, Ullmann Y: Using intense pulsed light for cosmetic purposes: Our experience. Plast Reconstr Surg 1789:1795, 2004

    Google Scholar 

  14. Geronemus RG, Greiken H: In: Candela Corporation Brochure, 1992

  15. Glasberg E, Lask GP, Tan EML, Uitto J: Cellular effects of the pulsed tunable dye laser at 577 nanometers on human endothelial cells, fibroblast, and erythrocytes: An in vitro study. Lasers Surg Med 8:567, 1988

    Google Scholar 

  16. Goldberg DJ, Cutler KB: Nonablative treatment of rhytids with intense pulsed light. Lasers Surg Med 26:196, 2000

    Article  CAS  PubMed  Google Scholar 

  17. Goldberg DJ, Marcus J: The use of the frequency-doubled Q-switched Nd:Yag laser in the treatment of small cutaneous vascular lesions. Dermatol Surg 22:841, 1996

    CAS  PubMed  Google Scholar 

  18. Goldman MP, Fitzpatrick RE: Laser treatment of cutaneous vascular lesions In: Cutaneous laser surgery: The art and science of selective phototermolysis. 2nd ed. Mosby: St. Louis, 1999

  19. Greenwald J, et al: Comparative histological studies of the tunable dye (at 577 nm) laser and argon laser: The specific vascular effects of the dye laser. J Invest Dermatol 77:305, 1981

    Article  CAS  PubMed  Google Scholar 

  20. Hevia O: New laser treatment for facial teleangectasias: A randomized study. Cosmetic Dermatol 10:53, 1997

    Google Scholar 

  21. Japlan I, Peled I: The carbon dioxide laser in treatment of superficial teleangectases. Br J Plast Surg 28:214, 1975

    Google Scholar 

  22. Kirsch N: Teleangectasia and electrolysis [letter]. J Dermatol Surg Oncol 10:9, 1984

    CAS  PubMed  Google Scholar 

  23. Landthaler M: Laser therapy of venous lake (Bean-walsh) and teleangectasias. Plast Reconstr Surg 73:78, 1984

    CAS  PubMed  Google Scholar 

  24. Landthaler M, Haina D, Seipp V, et al: Zur Behandlung von naevi flammei mit dem argon laser. Hautarzt 38:652, 1987

    Google Scholar 

  25. McBurney EJ: Carbon dioxide laser treatment of dermatologic lesions. South Med J 71:795–797

  26. McCoy SE: Copper bromide laser treatment of facial teleangectasia: Results of patients treated over five years. Laser Surg Med 21:329, 1997

    Article  CAS  Google Scholar 

  27. Mulliken JB: Classification of vascular birthmarks. In: Mulliken JB, Young AG (eds) Vascular birthmarks, Hemangiomas and malformations. WB Saunders: Philadelphia, pp. 24–39, 1988

    Google Scholar 

  28. Ornstein A, Nelson JS: Treatment of facial vascular lesions with a 100-micron-spot 577-nm pulsed continuous wave dye laser. Ann Plast Surg 23:310, 1989

    Google Scholar 

  29. Parkin JL, Dixon JA: Argon laser treatment of head and neck vascular lesions. Otolaryngol Head Neck Surg 93:211, 1985

    CAS  PubMed  Google Scholar 

  30. Recoules-Arche J: Elettrocoagulation. Phlebologie 33:885, 1966

    Google Scholar 

  31. Redisch W, Pelzer RH: Localized vascular dilatations of the human skin: Capillary microscopy and related studies. Am Heart J 37:106, 1949

    Article  Google Scholar 

  32. Requena L, Sangueza OP: Cutaneous vascular anomalies: Part 1. Hamartomas, malformations, and dilatation of preexsisting vessels. J Am Acad Dermatol 37:523–549, 1997

    CAS  PubMed  Google Scholar 

  33. Sadick N: A comparison study of a continuous wave laser (Krypton HGM) vs long-pulse tunable dye laser (Sclerolaser–Candela) in the treatment of nasal actinic teleangectasis. Presented at 24th Annual Meeting of the American Society for Dermatologic Surgery, Boston, May 1997

  34. Sadick NS, Weiss R, Kilmer S, Bitter P: Photorejuvenation with intense pulsed light: Results of a multicenter study. J Drugs Dermatol 3:41–49, 2004

    PubMed  Google Scholar 

  35. Scheibner A, Applebaum J, Wheeland RG: Treatment of port-wine hemangioma in children. Laser Surg Med Suppl 1:42, 1989

    Google Scholar 

  36. Scheibner A, Wheeland RG: Argon-pumped tunable dye laser therapy for facial port-wine stain hemangiomas in adults: A new technique using small spot size and minimal power. J Dermatol Surg Oncol 15:277, 1989

    CAS  PubMed  Google Scholar 

  37. Scheibner A, Wheeland RG: Use of argon pumped tunable dye laser for port wine stains in children. J Dermatol Surg Oncol 17:735, 1991

    CAS  PubMed  Google Scholar 

  38. Schroeter CA, Neumann HA: An intense light source: The photoderm VL–flashlamp as a new treatment possibility for vascular skin lesions. Dermatol Surg 24:743, 1998

    Article  CAS  PubMed  Google Scholar 

  39. Silver BE, Livshots YL: Preliminary experience with KTP/532-nm laser in the treatment of facial teleangectasia. Cosmetic Dermatol 9:61, 1996

    Google Scholar 

  40. Staubesand JI, Seydewitz V: Ultrastructural changes following paravascular and intraarterial injection of sclerosing agent: An experimental contribution to the problem of iatrogenic damage, Phlebologie 20:1, 1991

    Google Scholar 

  41. Thibault PK: A patient’s questionnaire evaluation of krypton laser treatment of facial teleangectasia. Dermatol Surg 23:37, 1997

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Matteo Tretti Clementoni, Patrizia Gilardino, Gabriele F. Muti, Massimo Signorini, Milano, Italy

    Matteo Tretti Clementoni M.D., Patrizia Gilardino M.D., Gabriele F. Muti M.D. & Massimo Signorini M.D.

  2. Antonio Pistorale, Paolo G. Morselli, Carlo Cavina, Bologna, Italy

    Antonio Pistorale M.D., Paolo G. Morselli M.D. & Carlo Cavina M.D.

Authors
  1. Matteo Tretti Clementoni M.D.
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  2. Patrizia Gilardino M.D.
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  3. Gabriele F. Muti M.D.
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  4. Massimo Signorini M.D.
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  5. Antonio Pistorale M.D.
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  6. Paolo G. Morselli M.D.
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Correspondence to Matteo Tretti Clementoni M.D..

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Clementoni, M.T., Gilardino, P., Muti, G.F. et al. Intense Pulsed Light Treatment of 1,000 Consecutive Patients with Facial Vascular Marks. Aesth Plast Surg 30, 226–232 (2006). https://doi.org/10.1007/s00266-005-0086-0

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  • DOI: https://doi.org/10.1007/s00266-005-0086-0

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