Treatment of light‐coloured solar lentigines with cryotherapy plus alexandrite laser

Vañó‐Galván, Sergio; Ja, Matarredona; Harto, A.; Escudero, A; Jc, Pascual; Jaén, Pedro

doi:10.1111/j.1468-3083.2008.03050.x

Cited by 9 publications

(6 citation statements)

References 7 publications

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“…Therapeutic options of actinic lentigines can be divided into two main categories: photochemical and topical applications of specific actives . Photochemical treatments include cryotherapy, laser, intense pulsed light and chemical peels . Topical application of specific actives aims at inhibition of melanin production, blockage of melanocyte biostimulation and suppression of melanin delivery to final acceptor cells, not without possible side‐effects .…”

Section: Clinical Indicationsmentioning

confidence: 99%

“…8 Photochemical treatments include cryotherapy, laser, intense pulsed light and chemical peels. [9][10][11][12] Topical application of specific actives aims at inhibition of melanin production, blockage of melanocyte biostimulation and suppression of melanin delivery to final acceptor cells, not without possible side-effects. 13,14 It is now demonstrated that laser approaches are significantly more effective than topical treatments or liquid nitrogen for treating actinic lentigo.…”

Section: Melanin-related Hyperpigmentationmentioning

confidence: 99%

“…26,29 Performing cryotherapy prior to laser could give good results although we would not recommended it as first line and in dark-skinned individuals due to the hyperpigmentation risk. 10 The 595 nm PDL can effectively treat lentigines using a compression hand piece to minimize the risk of purpura. 30,31 Another valuable option is IPLS, which has been successful in treating superficial pigmented lesions.…”

Section: Lentigo Simplex and Lentiginosismentioning

confidence: 99%

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Laser treatment of hyperpigmented lesions: position statement of the European Society of Laser in Dermatology

Passeron

Genedy

Salah

et al. 2019

Acad Dermatol Venereol

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Background Lasers and intense pulsed light sources (IPLS) are proposed for the treatment of many pigmentary disorders. They are sometimes considered as magic tools able to remove any type of lesions. Although being the best option for several hyperpigmented lesions, they can also worsen some conditions and have potential side‐effects. Objective The aim of this review was to give evidence‐based recommendations for the use of lasers and IPLS in the treatment of hyperpigmented lesions. Methods These recommendations were produced for the European Society of Laser Dermatology by a consensus panel made up of experts in the field of pigment laser surgery. Recommendations on the use of lasers and light treatments were made based on the quality of evidence for efficacy, safety, tolerability, cosmetic outcome, patient satisfaction/preference and, where appropriate, on the experts' opinion. Results Lasers and IPLS are very effective for treating many hyperpigmented lesions such as lentigos, dermal hypermelanocytosis or heavy metal depositions. In the other hand, they have to be considered with great caution for other disorders, such as café au lait macules, melasma or postinflammatory hyperpigmentation. After making the correct diagnosis, if lasers or IPLS are indicated, the optimal wavelengths and parameters will be chosen taking into account the skin phototype, origin and depth of the target pigments. Conclusion Although potentially very effective, lasers and IPLS cannot be proposed for all types of hyperpigmented lesions. In all cases, precise recognition of the disorder is mandatory for choosing between these devices and other therapeutic approaches.

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Section: Clinical Indicationsmentioning

confidence: 99%

Section: Melanin-related Hyperpigmentationmentioning

confidence: 99%

Section: Lentigo Simplex and Lentiginosismentioning

confidence: 99%

See 1 more Smart Citation

Laser treatment of hyperpigmented lesions: position statement of the European Society of Laser in Dermatology

Passeron

Genedy

Salah

et al. 2019

Acad Dermatol Venereol

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show abstract

“…19 In 2009, Vano-Galvan and colleagues reported on the use of an AL for the treatment of light-colored solar lentigines after pretreatment with cryotherapy to darken the lentigines, which increased the efficacy of the laser. 20 At followup, all lentigines showed substantial lightening.…”

Section: Lentigo Simplex Solar Lentigomentioning

confidence: 96%

“…Also in 2007, Redbord and Hanke described the use of an AL in two patients (Fitzpatrick skin type IV) who both had excellent clearance and lightening of all lentigines without recurrence 14 to 19 months after treatment 19 . In 2009, Vano‐Galvan and colleagues reported on the use of an AL for the treatment of light‐colored solar lentigines after pretreatment with cryotherapy to darken the lentigines, which increased the efficacy of the laser 20 . At follow‐up, all lentigines showed substantial lightening.…”

Section: Lentigo Simplex Solar Lentigomentioning

confidence: 99%