Rejuvenation of Photoaged Skin: 5 Years Results with Intense Pulsed Light of the Face, Neck, and Chest

2002 ◽  
Vol 28 (12) ◽  
pp. 1115-1119 ◽  
Author(s):  
Robert A. Weiss ◽  
Margaret A. Weiss ◽  
Karen L. Beasley
2002 ◽  
Vol 19 (3) ◽  
pp. 177-181
Author(s):  
Victor A. Neel ◽  
Natalie Nyugen ◽  
Julie Iwasaki ◽  
Ronald L. Moy

Introduction: Facial dyschromias, particularly in Asian skin, represent a challenge to cosmetic surgeons. Intense pulsed light (IPL) has been reported to clear a number of pigmentary alterations, but we have found the results variable and the efficacy of treatment difficult to predict. Objective: To use epiluminescent microscopy (ELM) to predict the clearing of clinically pigmented lesions in Asian patients undergoing “fotofacials” with IPL. Methods: Clinically similar pigmented lesions on the face were photographed with standard techniques and with ELM before, during, and after multiple IPL treatments in 5 patients. Patients and physicians were asked to grade cosmetic improvement after 5 sequential treatments. ELM photographs were then evaluated after treatment to correlate clinical success with the type of lesion. Results: ELM was able to discriminate among several clinically similar lesions. Lentigines responded to IPL treatments, whereas macular seborrheic keratoses, melasma, and junctional nevi responded poorly. Conclusion: Careful evaluation of pigmented lesions in Asian skin before IPL treatment can predict the efficacy of treatment.


2020 ◽  
pp. 112067212096469
Author(s):  
Gaspare Monaco ◽  
Giuseppe Casalino

Purpose: To describe the clinical course of a case of bilateral Salzmann nodular degeneration (SND) treated with superficial keratectomy (SK) followed by intense pulsed light (IPL) for the treatment of coexisting meibomian gland dysfunction (MGD). Case description: A 54-year-old man who presented to us complaining of progressive blurred vision associated with foreign body sensation in both eyes because of SND and coexisting MGD. In view of symptoms and visual acuity (VA) deterioration, bilateral SK was performed. Two months after SK, IPL treatment to the face and meibomian gland expression (MGX) using the E-eye device (E-SWIN, Paris) on days 0, 15, and 45, were performed in both eyes with the aim to avoid recurrence and/or progression of MGD. One year after SK, the patient was asymptomatic and VA was 20/20 in both eyes; however because of worsening of non-invasive tear film break-up time measured on Sirius® Scheimpflug tomograph, IPL and MGX were promptly repeated and scheduled every 6 months. Conclusion: In our case, IPL was a safe and effective option to control MGD in a patient with SND requiring SK with no observed recurrence of SND 2 years after surgery.


2020 ◽  
Vol 145 ◽  
pp. 01003
Author(s):  
Yan Xiao

Purpose: To explore the clinical effect of intense pulsed light on freckles. Methods: A total of 102 patients with facial freckles treated in our hospital between November 2014 and May 2017 were taken as the subjects of this study. The patients, after being confirmed with facial freckles, were treated with M22 Photorejuvenation, and evaluated at the end of the treatment in terms of therapeutic effect, adverse reactions, changes of indicators before and after treatment as well as relapse. Results: In terms of treatment effect, there were 46 patients (45.10%) above expectation, 50 patients (49.02%) up to expectation and 6 patients (5.88%) below the standard, with a total effective rate of 94.12%. In terms of adverse reactions, there were 8 patients with temporary facial flushing, 4 patients with mild edema and 3 patients with burning sensation, with a probability of 14.71%. In terms of indicator changes before and after treatment, the skin elasticity and skin moisture of each part of the patient’s face were improved, with the skin elasticity of the patient’s forehead and lower jaw up by 8.9% and 8%, respectively, and the skin moisture of the patient’s left cheek up by 25.7%, which was very obvious. In addition, the proportion of melanin and skin oil of the patients were significantly reduced, with the melanin proportion of the left cheek down by 30.1% and the overall skin oil proportion of the face down by about 1%. At the end of the treatment, 5 patients had freckle recurrence, with a recurrence rate of 4.90%, which was statistically significant (P<0.05). Discussion: The intense pulsed light is an effective tool in the treatment of facial freckles. Despite occasional adverse reactions, multiple indicators of various parts of the patient’s face have been significantly improved, with a low probability of later recurrence, making it worthy of clinical promotion.


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