Successful Treatment of Reticular Blue Veins of the Lower Eyelid by Long-Pulse Nd: YAG – Case Report with 8-Year Follow-Up

Goldman, Alberto; Lotti, Torello; Tchernev, Georgi; Wollina, Uwe

doi:10.3889/oamjms.2018.021

Cited by 7 publications

(11 citation statements)

References 13 publications

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“…Anesthesia included topical anesthetic cream 10 or cryogen spray. 9 None of the included articles reported use of intra-ocular shields.…”

Section: Ethicsmentioning

confidence: 99%

Treatment of periorbital veins with vascular laser: A systematic review and retrospective case series

Mandavia,

Ahmed,

Parmar

et al. 2024

J of Cosmetic Dermatology

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IntroductionVascular lasers may represent a promising treatment option for periorbital veins. This article aims to: (1) systematically review the literature on the safety and effectiveness of vascular laser treatment for periorbital veins and (2) assess safety and effectiveness through a retrospective case series.MethodsSystematic review: Articles that assessed the safety and effectiveness of vascular laser treatment for periorbital veins were included and quality assessed using the Downs and Black checklist.Case series: Patient records were retrospectively reviewed from January 2020 to November 2023 to identify all patients who underwent laser treatment for periorbital veins.Outcomes assessment included percentage improvement, patient overall satisfaction and adverse effects.ResultsSystematic review: Three articles were included, discussing treatment of blue, periorbital veins using a 1064 nm Nd:YAG laser. Patient Fitzpatrick skin Types I–IV were treated with high patient satisfaction rates and complete clearance of treated veins. Adverse effects included pain, erythema, mild oedema, urticaria and blister formation. Quality of included studies ranged from 7 to 14 out of 21 points.Case series: Thirty‐four patients with skin Types I–V were included. Blue and red periorbital veins were treated using 1064 and 532 nm wavelengths respectively. Mean percentage improvement was 4.8 (complete resolution) and patients' overall satisfaction was ranked 3 (completely satisfied). Adverse effects included erythema, oedema, and bruising.ConclusionTreatment of red and blue periorbital veins using 532 and 1064 nm vascular lasers appears a safe treatment option. The procedure has a short recovery time, with patients able to resume normal activities within 1 day of treatment.

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“…Anesthesia included topical anesthetic cream 10 or cryogen spray. 9 None of the included articles reported use of intra-ocular shields.…”

Section: Ethicsmentioning

confidence: 99%

Treatment of periorbital veins with vascular laser: A systematic review and retrospective case series

Mandavia,

Ahmed,

Parmar

et al. 2024

J of Cosmetic Dermatology

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“… 44 Treatment of periocular blue reticular veins have also been treated using this method with long-term results. 45 …”

Section: Lasersmentioning

confidence: 99%

Updates and Best Practices in the Management of Facial Erythema

Loyal¹,

Carr²,

Almukhtar³

et al. 2021

CCID

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Facial erythema is a common dermatologic complaint. There are many medical and procedure-based treatments to help reduce the appearance of unwanted facial redness. The authors review a variety of treatment options and techniques to reduce facial erythema and prominent facial veins including topical medical therapies, a variety of lasers, light- and energy-based devices as well as the use of neuromodulators and sclerotherapy. The benefits and potential pitfalls of each procedure modality are also highlighted.

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“…The fluence ranged from 100 to 150 J/cm 2 with a 2.5 or 4.0 mm spot size. The pulse width varied from 3 msec to 15 msec [36].…”

Section: Our Patients and Conceptmentioning

confidence: 99%

Periorbital Hyperpigmentation—Dark Circles under the Eyes; Treatment Suggestions and Combining Procedures

2021

Self Cite

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Periorbital hyperpigmentation (POH) is a frequent concern among both young and adult patients. The etiology is multifactorial with a genetic background. Prevalence is higher in darker skin types. It has been estimated as high as 30% in a recent Indian study. Females are often more disappointed by POH than males. Treatment has to consider underlying pathologies and patients’ needs. We present our treatment algorithm for POH. In this study, 74 patients with POH, 64 females (86.5%) and 10 males (13.3%), were treated. Of these, 39 patients (53%) had a family history of POH. The age range of patients was 18−57 years (average: 36.1 years). In case of tear trough deformity, soft tissue augmentation was used by injection of hyaluronic acid gel, calcium hydroxylapatite, or autologous fat. Blepharoplasty with partial fat pad resection or repositioning via arcus marginalis release was used to correct severe orbital fat herniation and excess of the lower lid skin. Melanin hyperpigmentation of the skin was improved by sessions of Q-switched 1064 and 532 nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser. Small vessels (capillaries and veins) were targeted by a 1064 nm long-pulsed Nd-YAG laser. Sessions of intense pulsed light (IPL) or CO2 fractional laser were employed to improve skin texture and fine lines. Topical hyaluronic acid-based formulations may be used as adjuvant self-treatment by patients. For pigmented and mixed-type POH, ultraviolet light protection is recommended as a maintenance treatment. By the use of various technologies, treatment can be individually tailored.

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Successful Treatment of Reticular Blue Veins of the Lower Eyelid by Long-Pulse Nd: YAG – Case Report with 8-Year Follow-Up

Cited by 7 publications

References 13 publications

Treatment of periorbital veins with vascular laser: A systematic review and retrospective case series

Treatment of periorbital veins with vascular laser: A systematic review and retrospective case series

Updates and Best Practices in the Management of Facial Erythema

Periorbital Hyperpigmentation—Dark Circles under the Eyes; Treatment Suggestions and Combining Procedures

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