S2k guideline: Laser therapy of the skin

Paasch, Uwe; Zidane, Miriam; Baron, Jens Malte; Bund, Thorsten; Cappius, Hans-Joachim; Drosner, Michael; Feise, Konstantin; Gauglitz, Gerd G.; Gerber, Peter Arne; Grunewald, Sonja; Herberger, Katharina; Jung, Anja; Karsai, Syrus; Kautz, G.; Philipp, Carsten M.; Schädel, Daniela; Seitz, Anna-Theresa; Nast, Alexander

doi:10.1111/ddg.14879

Cited by 17 publications

(31 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is mixed evidence for the use of equipment‐based epilation methods (laser, intense pulsed light, electrolysis). The advantage of these methods is that epilation is usually long‐lasting or permanent 2,76 . These methods should be used by an experienced and competent therapist.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Epilation and depilation in the genital area – motivation, methods, risks and recommendations from a dermatological point of view

Mezin-Sarbu

Wohlrab

2023

J Deutsche Derma Gesell

View full text Add to dashboard Cite

Pubic hair removal is a body modification practice done worldwide for different socio-cultural reasons, which is more common in women than in men, more common in younger than in older people, and more common in sexually active people than in abstinent individuals. Since there is no medical indication for genital epilation and depilation, with a few exceptions, there is only very limited evidence in the literature about the methods used and their risks. In order to provide users with guidance from a dermatological perspective on the use of different procedures and associated risks, the existing data were collected, analyzed and evaluated in a systematic literature search. For this purpose, a total of 290 articles in the English-and German-language scientific literature were identified in databases (PubMed, Google Scholar) according to defined search strategies, and 61 publications with scientific significance were identified after assessing relevance. It became clear that depilation methods (shaving, trimming, chemical depilation) are used more frequently compared to epilation methods (waxing, sugaring, mechanical epilation, electro-epilation, laser, intense pulsed light, drug epilation). The different risks and undesirable effects were analyzed in a method-associated manner and prophylactic strategies to avoid complications were developed.

show abstract

Section: Discussionmentioning

confidence: 99%

“…The advantage of these methods is that epilation is usually long-lasting or permanent. 2,76 These methods should be used by an experienced and competent therapist.…”

Section: Discussionmentioning

confidence: 99%

Epilation and depilation in the genital area – motivation, methods, risks and recommendations from a dermatological point of view

Mezin-Sarbu

Wohlrab

2023

J Deutsche Derma Gesell

View full text Add to dashboard Cite

show abstract

“…26 The laser-assisted skin healing technique defines a laser procedure that modifies the immediate postoperative wound healing process by increasing temperature within the skin. 18,[21][22][23] This technique has been developed following experimental works showing that moderate hyperthermia (45°-55°C) can induce the overexpression of heat shock proteins, naturally involved in protecting the body from various types of stress. [27][28][29][30][31][32][33] This heat shock response seemed notably to attenuate the inflammatory response, better organize the collagen fibre networks in the dermis, and thus improve the healing process.…”

Section: Introductionmentioning

confidence: 99%

“…[10][11][12][13] Additional measures may include silicone-based products, compression therapy, pressure garments, and laser interventions. 7,[11][12][13][14][15][16][17][18] Laser interventions seem to gain broader application in scar management each year, 16,[18][19][20] and the benefits of an early intervention are highlighted by several systematic reviews 19,20 and guidelines. 11,12,17,18 Five randomized controlled trials (RCTs) have notably established that a single session of various lasers performed the day of the surgery, can improve the appearance of the treated scars compared with untreated control scars.…”

Section: Introductionmentioning

confidence: 99%

“…7,[11][12][13][14][15][16][17][18] Laser interventions seem to gain broader application in scar management each year, 16,[18][19][20] and the benefits of an early intervention are highlighted by several systematic reviews 19,20 and guidelines. 11,12,17,18 Five randomized controlled trials (RCTs) have notably established that a single session of various lasers performed the day of the surgery, can improve the appearance of the treated scars compared with untreated control scars. [21][22][23][24][25] The modalities by which such interventions are modifying the wound healing process are not completely understood yet, but seem to, at least, involve the induction of heat shock response.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Postabdominoplasty Scar Improvement after a Single Session with an Automated 1210-nm Laser

Palao

Gallego-Escuredo²,

Bohbot

2023

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Background: Abdominoplasty, one of the most commonly performed aesthetic procedures, aims at correcting excess abdominal skin and fat, but generates a long abdominal scar. The efficacy of an automated portative 1210-nm laser in improving the appearance of surgical scars has been previously demonstrated in a double-blind randomized controlled trial. The purpose of this work was to document the use of this laser in real-life practice. Methods: Eighteen patients undergoing abdominoplasty and treated with the evaluated laser (UrgoTouch, Laboratoires Urgo; one single session immediately after the surgery) were included in this prospective, mono-center, observational study. Change in scar characteristics was assessed using the validated Observer Scar Assessment Scale, and the patients’ and surgeon’s satisfaction was rated using a four-point scale. Results: The aesthetic outcome of the scars was very positive with a mean Observer Scar Assessment Scale score of 17.0 (SD 4.6) and 14.4 (SD 3.8) on the 6–60 point scale (60: the worst possible outcome) at 6 and 12 months, respectively. A high degree of satisfaction was also expressed by both surgeon and patients at 6 weeks, 6 months, and 12 months. No laser-related incident was reported during the study, including in patients with darker phototypes. Conclusions: These findings seem to be consistent with previous clinical evidence on the use of this laser on fresh incisions. The high degree of satisfaction reported by both surgeon and patients seems to comfort the benefits of this procedure at short- and long-term and support the use of this laser in daily practice of plastic surgery.

show abstract

Comparison of 755‐nm picosecond alexandrite laser versus 1064‐nm Q‐switched Nd:YAG laser for melasma: A randomized, split‐face controlled, 2‐year follow‐up study

Zhou,

Li,

Hamblin

et al. 2024

Lasers Surg Med

View full text Add to dashboard Cite

ObjectivesPulsed laser treatment of melasma has shown some promising results. To compare the effectiveness and safety of 755‐nm picosecond alexandrite laser (PSAL) fitted with diffractive lens array (DLA) versus 1064‐nm Q‐switched neodynimum:yttrium aluminum garnet laser (QSNYL) for the treatment of melasma.MethodsWe conducted a randomized, split face controlled, 2‐year follow‐up study. Each face was divided into two parts, each side receiving three treatments with either PSAL or QSNYL at 1 month intervals. Modified Melasma Area Severity Index scores (mMASI), pain scores, patient satisfaction and adverse events were recorded. In vivo reflectance confocal microscopy (RCM) images were acquired.ResultsTwenty subjects were enrolled and three dropped out. At 6 months, mMASI scores were significantly lower than baseline for QSNYL sides (p = 0.022), with no statistically significant difference between PSAL sides before and after treatment, PSAL sides versus QSNYL sides, or patient satisfaction scores. QSNYL treatment was associated with less pain (p = 0.014). No serious adverse events were reported. In the PSAL sides RCM showed a large number of dendritic melanocytes infiltrated in the dermis at 2 weeks and 4 weeks after treatment. Ten patients (58.82%) reported recurrence or exacerbation at 2‐year follow‐up with no statistically significant difference between the two lasers.ConclusionsQSNYL demonstrated short term clinical efficacy for melasma, but did not provide any additional benefit compared to PSAL with DLA. QSNYL was associated with less pain. There was a high recurrence rate at 2‐year follow‐up. RCM allowed the detection of cellular changes in melasma lesions.

show abstract

S2k guideline: Laser therapy of the skin

Cited by 17 publications

References 55 publications

Epilation and depilation in the genital area – motivation, methods, risks and recommendations from a dermatological point of view

Epilation and depilation in the genital area – motivation, methods, risks and recommendations from a dermatological point of view

Postabdominoplasty Scar Improvement after a Single Session with an Automated 1210-nm Laser

Comparison of 755‐nm picosecond alexandrite laser versus 1064‐nm Q‐switched Nd:YAG laser for melasma: A randomized, split‐face controlled, 2‐year follow‐up study

Contact Info

Product

Resources

About