THE DUAL TONING TECHNIQUE FOR MELASMA TREATMENT WITH THE 1064 nm Nd: YAG LASER: A PRELIMINARY STUDY

Kang, Hyeon‐Ji; Kim, Jae‐Hun; Goo, BC

doi:10.5978/islsm.20.189

Cited by 22 publications

(14 citation statements)

References 23 publications

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“…The number of required treatments is generally more than those for other light- and laser-based treatment modalities. Several recent studies suggest that fractionating the laser energy ( Yue et al, 2016 ) or combining low-fluence Q-switched lasers with long-pulsed Nd:YAG (laser toning [ Kang et al, 2011 ] or IPL [ Vachiramon et al, 2015 , Yun et al, 2014 ]) may reduce the recurrence rate. However, until the recurrence rate is reduced significantly in a reproducible way and the relatively high rates of posttreatment dyspigmentation are resolved, Q-switched laser therapy for patients with melasma is likely reserved for very recalcitrant cases that have failed with other laser modalities first.…”

Section: Overview Of Laser- and Light-based Treatment Optionsmentioning

confidence: 99%

A review of laser and light therapy in melasma

Trivedi

Yang

Cho³

2017

International Journal of Women's Dermatology

140

135

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Melasma is a dysregulation of the homeostatic mechanisms that control skin pigmentation and excess pigment is produced. Traditional treatment approaches with topical medications and chemical peels are commonly used but due to the refractory and recurrent nature of melasma, patients often seek alternative treatment strategies such as laser and light therapy. Several types of laser and light therapy have been studied in the treatment of melasma. Intense pulsed light, low fluence Q-switched lasers, and non-ablative fractionated lasers are the most common lasers and light treatments that are currently performed. They all appear effective but there is a high level of recurrence with time and some techniques are associated with an increased risk for postinflammatory hyper- or hypopigmentation. The number and frequency of treatments varies by device type but overall, Q-switched lasers require the greatest number of treatment applications to see a benefit. Vascular-specific lasers do not appear to be effective for the treatment of melasma. Ablative fractionated lasers should be used with caution because they have a very high risk for postinflammatory hypo- and hyperpigmentation. The use of nonablative fractionated laser treatments compared with other laser and light options may result in slightly longer remission intervals. Picosecond lasers, fractional radiofrequency, and laser-assisted drug delivery are promising future approaches to treat melasma. The goal of this review is to summarize the efficacy and safety of the most commonly used laser and light therapies to treat melasma, briefly present future laser-based treatment options for patients with melasma, and provide recommendations for treatment on the basis of the reviewed information.

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Section: Overview Of Laser- and Light-based Treatment Optionsmentioning

confidence: 99%

A review of laser and light therapy in melasma

Trivedi

Yang

Cho³

2017

International Journal of Women's Dermatology

140

135

View full text Add to dashboard Cite

show abstract

“…24,28,29 Kang et al introduced a dual toning technique combining two modes, nanosecond and microsecond, using 1,064nm Nd:YAG. 30 We subsequently named it the "pico-toning technique" as laser toning using a picosecond laser. This study demonstrates the efficacy and safety of picotoning technique with a low fluence picosecond 1,064nm Nd:YAG laser in Asian female melasma patients.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the Pico-toning Technique for the Treatment of Melasma with a Low Fluence 1,064-nm Nd:YAG Laser in Asian Patients

et al. 2020

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“…[ 3 ] Some authors had been combining Q-switched laser with microsecond Nd:YAG 1064 nm laser in order to reduce the side effects of laser toning. [ 4 ] Over the past few years, the picosecond-pulsed laser systems were introduced with shortening pulse durations creating a largely photomechanical effect on the targeted tissue with the subsequent hypothesis that applying a 1064 nm picosecond Nd:YAG (PSNY) laser to treat melasma should achieve better result compared to Q-switched Nd:YAG (QSNY) laser. [ 5 6 ]…”

Section: Introductionmentioning

confidence: 99%