Laser Treatment of Pigmented Lesions

  • Zeena Al-DujailiEmail author
  • Christine C. Dierickx


  • Accurate diagnosis of pigmented lesions is mandatory before laser treatment. For some pigmented lesions, laser treatment may even be the only treatment option.

  • Tattoos respond well to Q-switched lasers.

  • Amateur and traumatic tattoos respond more readily to treatment than do professional tattoos.

  • Cosmetic tattoos should be approached with caution.

  • Treatment of melanocytic nevi remains controversial, but worth pursuing.


Intense Pulse Light Melanocytic Nevus Pigment Lesion Erbium Laser Alexandrite Laser 
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Further Readings

  1. Adrian RM, Griffin L (2000) Laser tattoo removal. Clin Plast Surg 27(2):181–192PubMedGoogle Scholar
  2. Alster TS (1995) Q-switched alexandrite laser treatment (755 nm) of professional and amateur tattoos. J Am Acad Dermatol 33(1):69–73PubMedCrossRefGoogle Scholar
  3. Alster TS (1996) Comparison of two high-energy, pulsed carbon dioxide lasers in the treatment of periorbital rhytides. Dermatol Surg 22(6):541–545PubMedCrossRefGoogle Scholar
  4. Alster TS, Williams CM (1995) Cafe-au-lait macule in type V skin: successful treatment with a 510 nm pulsed dye laser. J Am Acad Dermatol 33(6):1042–1043PubMedCrossRefGoogle Scholar
  5. Anderson R, Parrish J (1983) Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science 220:524–526PubMedCrossRefGoogle Scholar
  6. Ashinoff R et al (1995) Allergic reactions to tattoo pigment after laser treatment. Dermatol Surg 21(4):291–294PubMedCrossRefGoogle Scholar
  7. Carpo BG et al (1999) Laser treatment of pigmented lesions in children. Semin Cutan Med Surg 18(3):233–243PubMedCrossRefGoogle Scholar
  8. Choudhary S et al (2010) Lasers for tattoo removal: a review. Lasers Med Sci 25(5):619–627PubMedCrossRefGoogle Scholar
  9. Duke D et al (1999) Treatment of benign and atypical nevi with the normal-mode ruby laser and the Q-switched ruby laser: clinical improvement but failure to completely eliminate nevomelanocytes. Arch Dermatol 135(3):290–296PubMedCrossRefGoogle Scholar
  10. Geronemus RG (1992) Q-switched ruby laser therapy of nevus of Ota. Arch Dermatol 128(12):1618–1622PubMedCrossRefGoogle Scholar
  11. Goldberg DJ, Nychay S (1992) Q-switched ruby laser treatment of nevus of Ota. J Dermatol Surg Oncol 18(9):817–821PubMedGoogle Scholar
  12. Goldberg DJ, Stampien T (1995) Q-switched ruby laser treatment of congenital nevi. Arch Dermatol 131(5):621–623PubMedCrossRefGoogle Scholar
  13. Goldman MP et al (1987) Postsclerotherapy hyperpigmentation: a histologic evaluation. J Dermatol Surg Oncol 13(5):547–550PubMedGoogle Scholar
  14. Kilmer SL (2002) Laser eradication of pigmented lesions and tattoos. Dermatol Clin 20(1):37–53PubMedCrossRefGoogle Scholar
  15. Kilmer SL et al (1993) Hazards of Q-switched lasers. Lasers Surg Med S5:56Google Scholar
  16. Levine VJ, Geronemus RG (1995) Tattoo removal with the Q-switched ruby laser and the Q-switched Nd:YAG laser: a comparative study. Cutis 55(5):291–296PubMedGoogle Scholar
  17. Ross V et al (1998) Comparison of responses of tattoos to picosecond and nanosecons Q-switched neodymium: YAG lasers. Arch Dermatol 134(2):167–171PubMedCrossRefGoogle Scholar
  18. Sanchez NP et al (1981) Melasma: a clinical, light microscopic, ultrastructural, and immunofluorescence study. J Am Acad Dermatol 4(6):698–710PubMedCrossRefGoogle Scholar
  19. Sherling M et al (2010) Consensus recommendations on the use of an erbium-doped 1,550-nm fractionated laser and its applications in dermatologic laser surgery. Dermatol Surg 36:461–469PubMedCrossRefGoogle Scholar
  20. Vano-Galvan S et al (2009) Treatment of light-coloured solar lentigines with cryotherapy plus alexandrite laser. J Eur Acad Dermatol Venereol 23:850–852PubMedCrossRefGoogle Scholar
  21. Wanner M et al (2007) Fractional photothermolysis: treatment of facial and nonfacial cutaneous photodamage with a 1,550-nm erbium-doped fiber laser. Dermatol Surg 33:23–28PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Skin Laser and Skin Specialists of NY/NJNew YorkUSA
  2. 2.Skin and Laser Surgery CenterBoomBelgium

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