Recommendation for Laser and Intense Pulsed Light (IPL) Therapy in Dermatology

Bahmer, Friedrich A.; Drosner, Michael; Hohenleutner, Ulrích; Kaufmann, Roland; Kautz, G.; Kimmig, Wolfgang; Landthaler, Míchael; Neumann, R.; Raulin, Christian; Seeber, Nikolaus

doi:10.1111/j.1610-0387.2007.06513.x

Cited by 27 publications

(23 citation statements)

References 5 publications

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“…The mean age of the patients was 42±9.6 (33-88) years. Thirty-seven lesions (51.9%) were on the cheek, 7 lesions (13.5%) were on the zygoma, 6 lesions (11.5%) were on the chin, 4 lesions [1][2][3] . IPL, epilasyon, hiperpigmentasyon, deri yenileme, yüzeyel vasküler lezyonların tedavisinde kullanılan, dalga boyu 500-1200 nm arasında değişen non-ablatif bir ışık sistemidir.…”

Section: Methodsmentioning

confidence: 99%

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Solar lentigoda yoğun atımlı ışık (Intense Pulse Light) tedavisinin etkinliği: Retrospektif çalışma

Ertam¹,

Türk²,

Karaarslan³

et al. 2014

TURKDERM

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ÖzetGiriş: Intense Pulsed Light (IPL); epilasyon, hiperpigmentasyon, non-ablatif deri yenileme, yüzeyel vasküler lezyonların tedavisinde kullanılan, dalga boyu 500-1200 nm arasında değişen bir ışık sistemidir. IPL'nin etki mekanizmasının epidermal keratinosit ve melanositlerdeki selektif fototermolize bağlı gerçekleşen fokal epidermal koagülasyon olduğu düşünülmektedir. Solar lentigo tedavisinde çeşitli lazer sistemleri kullanılabilmektedir. Bu çalışmanın amacı solar lentigoda IPL'nin etkinliğini araştırmaktır. Yöntem ve Araçlar: Kozmetoloji Ünitesi'nin Mart 2007-Kasım 2010 tarihleri arasındaki arşivi solar lentigo tanılı olgular için retrospektif olarak tarandı. Klinik ve dermoskopik olarak solar lentigo tanısı almış ve IPL (L900 A&M IPL) tedavisi uygulanmış 139 hasta dosyası incelendi. İşlem öncesinde bilgilendirilmiş, onamları alınmıştı. Bunlar arasından tedavi öncesi ve sonrasında fotoğrafları çekilmiş, kontrollerine düzenli gelmiş olan 42 hasta çalışmaya dahil edildi. Bulgular: Çalışmaya 41 kadın, 1 erkek toplam 42 hastanın 52 lezyonu alındı. Hastaların yaş ortalamaları 42±9,6, yaş aralığı 33-80 idi. Lezyonların 27'si (%51,9) yanakta, 7'si (%13,5) zigomatik alanda, 6'sı (%11,5) çenede, 4'ü (%7,7) alında, 4'ü (%7,7) el sırtında, 2'si (%3,8) burunda, 2'si (%3,8) kolda yerleşim göstermekteydi. IPL seans sayısı 1-7 seans (ort:3,28) arasında değişmekteydi. Tedavi sonrası iyileşme 30 lezyonda (%57,7) %75 üzerinde, 9 lezyonda (%17,3) %50-75 arası, 9 lezyonda (%17,3) %25-50 arası, 4 lezyonda (%7,7) %25 altındaydı. Sonuç: Çalışmamızın sonuçlarına göre, IPL, solar lentigo tedavisinde etkili, ucuz ve yan etki açısından güvenli bir yöntem olarak kabul edilebilir. Sum maryBackground and Design: Intense Pulsed Light (IPL) is a light system of 500-1200 nm wavelength which is used for hair removal and nonablative skin resurfacing as well as for the treatment of hyperpigmentation and superficial vascular lesions. The mechanism of action is thought to be the focal epidermal coagulation due to selective photothermolysis in the epidermal keratinocytes and melanocytes. A variety of laser systems can be used in the treatment of solar lentigo. The aim of this study was to investigate the effectiveness of IPL in solar lentigo. Materials and Methods: We retrospectively reviewed the medical records of patients with the diagnosis of solar lentigo in our Cosmetology Unit from March 2007 to November 2010. There were 139 files of patients who received clinical and dermoscopic diagnosis of solar lentigo and treated by IPL (L900 A&M). Informed consent was taken from all patients. Among them, 42 patients, who had attended regular follow-up visits and had pictures taken both before and after treatment, were included in the study. Results: A total of 52 lesions in 42 female and 1 male patients were included in the study. The mean age of the patients was 42±9.6 (33-88) years. Thirty-seven lesions (51.9%) were on the cheek, 7 lesions (13.5%) were on the zygoma, 6 lesions (11.5%) were on the chin, 4 lesions

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Section: Methodsmentioning

confidence: 99%

“…Etki mekanizması selektif fototermolizdir. Kullanılan filtreler yardımıyla daha kısa dalga boyları devre dışı bırakılarak ışığın belli bir hedefe yöneltilmesi sağlanır 3,4 . Bu çalışmada amaç, solar lentigo tanılı olgularda IPL tedavisinin etkinliğini araştırmaktır.…”

Section: Methodsunclassified

Solar lentigoda yoğun atımlı ışık (Intense Pulse Light) tedavisinin etkinliği: Retrospektif çalışma

Ertam¹,

Türk²,

Karaarslan³

et al. 2014

TURKDERM

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“…[1][2][3][4] Intense pulsed light (IPL) is a versatile tool used for treatment of a variety of clinical conditions: hypertrichosis and hirsutism, skin vascular lesions (port wine stains, rosacea, teleangectasias, erythrosis), acne, and skin aging. [5][6][7][8][9][10][11][12][13] This case report presents an interesting combined application of traditional reconstructive surgery and IPL for the restoration of a post-traumatic eyebrow defect.…”

Section: Introductionmentioning

confidence: 99%

“…4 IPL is a very versatile tool that proved its effectiveness in a variety of skin conditions: hypertrichosis and hirsutism, skin vascular lesions (port wine stains, rosacea, teleangectasias, erythrosis), acne, and skin aging. [5][6][7][8][9][10][11][12][13] The potential combination of different wavelengths, fluences, pulse durations, and pulse intervals allows a patient customized treatment within a wide spectrum of therapeutic indications. In our case, we deliberately preferred IPL to laser for hair removal, as its lesser hair count reduction could provide a smooth hair thinning out rather than an aggressive and more radical epilation in the reconstructed eyebrow.…”

mentioning

confidence: 99%

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Refinements in Brow Reconstruction: Synergy Between Plastic Surgery and Aesthetic Medicine

Scevola

Nicoletti

Randisi

et al. 2014

Photomedicine and Laser Surgery

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Objective: The purpose of this study was the introduction in clinical practice of the combined application of traditional reconstructive surgery and intense pulsed light (IPL) for the restoration of a post-traumatic eyebrow defect. Case: The authors present a case of surgical eyebrow reconstruction with an axial temporal hair-bearing scalp island flap. A persistent localized erythema and a marked difference in hair density in comparison with the contralateral one harmed the eventual surgical outcome. Results: A combined sequential treatment with IPL achieved both hair density and skin erythema reduction, and eventually allowed for a very satisfactory result. Conclusions: Our experience demonstrated the efficacy of the integrated multidisciplinary approach involving traditional plastic reconstructive surgery and the innovative new technologies in aiming for perfection.

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Intense pulse light and 5‐ALA PDT: Phototoxic effects in vitro depend on the spectral overlap with protoporphyrine IX but do not match cut‐off filter notations

et al. 2011

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All IPLs assessed emit different spectra because of different filter technologies. Different radiant exposures (J/cm(2) ) were necessary to achieve a photodynamic effect with 5-ALA in vitro depending on these spectra similar to the photodynamic effect of the standard LED light source. IPLs may be applicable in clinical PDT but radiant exposure protocols must be separately evaluated for each single IPL despite similar cut-off filter specifications. Such protocols are highly important for clinical practice to avoid a potential mismatch of excitation wavelengths and to prevent photothermal side effects when light intensities of up to hundreds of W/cm(2) are applied.

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Recommendation for Laser and Intense Pulsed Light (IPL) Therapy in Dermatology

Cited by 27 publications

References 5 publications

Solar lentigoda yoğun atımlı ışık (Intense Pulse Light) tedavisinin etkinliği: Retrospektif çalışma

Solar lentigoda yoğun atımlı ışık (Intense Pulse Light) tedavisinin etkinliği: Retrospektif çalışma

Refinements in Brow Reconstruction: Synergy Between Plastic Surgery and Aesthetic Medicine

Intense pulse light and 5‐ALA PDT: Phototoxic effects in vitro depend on the spectral overlap with protoporphyrine IX but do not match cut‐off filter notations

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