Efficacy of long pulse Nd:YAG laser versus fractional Er:YAG laser in the treatment of hand wrinkles

Robati, Reza M.; Asadi, Elmira; Shafiee, Anoosh; Namazi, Nastaran; Talebi, Atefeh

doi:10.1007/s10103-017-2351-2

Cited by 11 publications

(8 citation statements)

References 17 publications

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“…Three studies considered the difference between ablative lasers and Nd:YAG nonablative laser treatments. Robati et al 4 studied the use of Er:YAG lasers compared with Nd:YAG lasers for the treatment of hand wrinkles in 33 patients. No significant difference was found between the two modalities in terms of efficacy ( P < .05) and patient satisfaction ( P < .05).…”

Section: Resultsmentioning

confidence: 99%

“…Robati et al found no significant difference between ablative therapy and nonablative therapy, while Azim et al found statistically significant improvement in combined therapy vs nonablative therapy. 4,5 All studies demonstrated ablative laser resurfacing to be an effective means of treating patients for a variety of pathologies. Many studies, including Kaplan and Kaplan, 21 Waibel et al, 23 and Trelles et al 19 among others, found significant improvement utilizing a combination of ablative and nonablative hybrid therapies.…”

Section: Summary Of Resultsmentioning

confidence: 99%

“…Kwon et al 11 found ablative modalities to have superior improvement, less pain, and lower side effects ( P < .05). Robati et al found no significant difference between ablative therapy and nonablative therapy, while Azim et al found statistically significant improvement in combined therapy vs nonablative therapy 4,5 …”

Section: Discussionmentioning

confidence: 99%

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Outcomes and adverse effects of ablative vs nonablative lasers for skin resurfacing: A systematic review of 1093 patients

Mirza

Khatri

2020

Dermatologic Therapy

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It is generally believed that ablative laser therapies result in prolonged healing and greater adverse events when compared with nonablative lasers for skin resurfacing. To evaluate the efficacy of ablative laser use for skin resurfacing and adverse events as a consequence of treatment in comparison to other modalities, a PRISMA‐compliant systematic review (Systematic Review Registration Number: 204016) of twelve electronic databases was conducted for the terms “ablative laser” and “skin resurfacing” from March 2002 until July 2020. Studies included meta‐analyses, randomized control trials, cohort studies, and case reports to facilitate evaluation of the data. All articles were evaluated for bias. The search strategy produced 34 studies. Of 1093 patients included in the studies of interest, adverse events were reported in a total of 106 patients (9.7%). Higher rates of adverse events were described in nonablative therapies (12.2% ± 2.19%, 31 events) when compared with ablative therapy (8.28% ± 2.46%, 81 events). 147 patients (13.4%) reported no side effects, 68 (6.22%) reported expected, transient self‐resolving events, and five (0.046%) presented with hypertrophic scarring. Excluding transient events, ablative lasers had fewer complications overall when compared with nonablative lasers (2.56% ± 2.19% vs 7.48% ± 3.29%). This systematic review suggests ablative laser use for skin resurfacing is a safe and effective modality to treat a range of pathologies from photodamage and acne scars to hidradenitis suppurativa and posttraumatic scarring from basal cell carcinoma excision. Further studies are needed, but these results suggest that ablative lasers are a superior, safe, and effective modality to treat damaged skin.

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Section: Resultsmentioning

confidence: 99%

Section: Summary Of Resultsmentioning

confidence: 99%

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Outcomes and adverse effects of ablative vs nonablative lasers for skin resurfacing: A systematic review of 1093 patients

Mirza

Khatri

2020

Dermatologic Therapy

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“…Subtle improvement in coarse wrinkles, skin laxity, and overall improvement was noted at 1 and 6 months after treatment (Dayan, Vartanian, Menaker, Mobley, & Dayan, ). Robati et al found that both Nd:YAG laser (Spot size: 7 mm, pulse duration: 5 ms, fluence: 10–20 J/cm 2 , three monthly treatments) and fractional Er:YAG laser seem to be similarly effective and safe in hand rejuvenation (Robati, Asadi, Shafiee, Namazi, & Talebi, ). Lee performed 3–6 treatments with 10 mm spot, 30–65 ms pulses and fluences of 24–30 J/cm 2 pulses and achieved a 10–30% improvement in skin tightness (Lee, ).…”

Section: Skin Rejuvenationmentioning

confidence: 99%

Long pulse 1,064‐nm neodymium‐doped yttrium aluminum garnet laser in aesthetic dermatology

Kaya

Güvenç

2019

Dermatologic Therapy

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Long pulse 1,064‐nm neodymium‐doped yttrium aluminum garnet (Nd:YAG) laser is a very versatile laser due to its deep penetration and absorption by hemoglobin, melanin, and water, which has gained increasing popularity over recent years for the treatment of leg veins and permanent hair removal as well as skin rejuvenation. The long‐pulse Nd:YAG laser was appointed as treatment of choice for the treatment of 0.5–3.0 mm deoxygenated, unsightly leg veins. Hair removal is another application of long pulse Nd:YAG lasers, and decreased light absorption by melanin at 1,064 nm reduces the risk of pigmentary side effects, which makes long pulse Nd:YAG laser the safest laser in darker skin types. The long pulse Nd:YAG lasers are also being employed for skin rejuvenation based on their ability to heat dermal water and stimulate collagen production. We have reviewed the parameters of Nd:YAG laser and shared our experiences in these indications that may be useful for good clinical response with minimal side effects.

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“…However, its main field of use is dentistry, where this type of laser is a cornerstone in oral surgery and implantology [3][4][5][6]. The Erbium laser emits at 2940 nm and is characterized by an active medium consisting of a Yttrium-Aluminium-Garnet (YAG) crystal doped with erbium ions [7,8]. The 2940 nm wavelength guarantees a maximum absorption by the aqueous tissue component (this wavelength is the closest to the 3000 nm absorption peak of water), thus allowing a very superficial epidermal ablation, a minimal thermal effect, and a limited area of necrosis.…”

Section: Introductionmentioning

confidence: 99%

Erbium Laser for Skin Surgery: A Single-Center Twenty-Five Years’ Experience

et al. 2021

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(1) Introduction: The Erbium laser is a very versatile laser system used in dermatology. Its ability to be almost selectively absorbed by water makes it a perfect device for managing various cutaneous skin conditions. (2) Methods: In this paper, we report our twenty-five years’ experience with the Erbium laser. More than three thousand patients were treated for common skin disorders such as flat warts, seborrheic keratosis, xanthelasmas, and scars. (3) Results: A complete response was observed in 89.6%, without significant side effects. Local anesthesia was used in only a tiny percentage of patients. (4) Conclusions: This study confirms that the Erbium laser is a valuable and flexible procedure for laser surgery with excellent safety and short healing times.

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Efficacy of long pulse Nd:YAG laser versus fractional Er:YAG laser in the treatment of hand wrinkles

Abstract: IRCT2016032020468N4.

Cited by 11 publications

References 17 publications

Outcomes and adverse effects of ablative vs nonablative lasers for skin resurfacing: A systematic review of 1093 patients

Outcomes and adverse effects of ablative vs nonablative lasers for skin resurfacing: A systematic review of 1093 patients

Long pulse 1,064‐nm neodymium‐doped yttrium aluminum garnet laser in aesthetic dermatology

Erbium Laser for Skin Surgery: A Single-Center Twenty-Five Years’ Experience

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