Fractional carbon dioxide laser versus carbon‐assisted Q‐switched Nd: YAG laser in the treatment of dilated facial pores

Eldeeb, Fatma; Wahid, Reham M.; Alakad, Rania

doi:10.1111/jocd.14311

Cited by 4 publications

(4 citation statements)

References 13 publications

(41 reference statements)

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“…Therefore, the fractional CO2 laser showed a higher clearance rate, needed less number of sessions, and had a long‐lasting effect, especially for elderlies. On the other hand, the use of Q‐switched Nd:YAG resulted in less downtime and a greater reduction in sebum secretion, predominantly in younger patients 21 …”

Section: Resultsmentioning

confidence: 99%

“…Clinical observation showed the CO2 fractional laser (ablative laser) to be more effective than the Q‐switched ND:YAG laser (nonablative laser). Multiple sessions are needed to achieve further improvements 14–21 . Nonablative and unipolar radiofrequency devices reduce sebum production and increase dermal collagen bundles, improving large facial pores.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the use of Q-switched Nd:YAG resulted in less downtime and a greater reduction in sebum secretion, predominantly in younger patients. 21…”

Section: Nonablative Fractional 1440-nm Lasermentioning

confidence: 99%

“…Multiple sessions are needed to achieve further improvements. [14][15][16][17][18][19][20][21] Nonablative and unipolar radiofrequency devices reduce sebum production and increase dermal collagen bundles, improving large facial pores. These devices are safe and have minimal side effects.…”

Section: Ultrasoundmentioning

confidence: 99%

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“The efficacy and adverse effects of treatment options for facial pores: A review article”

Parvar

Amani

Shafiei

et al. 2022

J of Cosmetic Dermatology

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Introduction Skin pores are enlarged openings of the pilosebaceous follicles that can be affected by age, gender, genetics, exposure to UV light, ethnicity, and sebum secretion. Many treatment modalities reduce facial pores’ count and area, including oral and topical medications as well as different wavelengths of lasers. Finding a safe and cost‐effective treatment protocol is necessary since facial pores are one of the main reasons for cosmetic complaints. Aim This review compares available treatment options for reducing facial pores’ number and area according to the published clinical trials. Methods A search on PubMed and Google Scholar was performed. Nineteen published clinical trials regarding treatment options for facial pores were included and reviewed based on the authors’ clinical experience. Results A total number of 591 cases (83.7% female) aged 18–80 years were included. Three assessment methods including digital imaging, physician assessment, and patient’ satisfaction were used in the studies to evaluate the therapeutic efficacy of each modality. Furthermore, combining different modalities increased the efficacy of reducing pores’ size and number. Mild, reversible burning and erythema were common side effects. Conclusion Multiple sessions and combination therapies improve facial pores’ area and number. In young patients, the focus should be on controlling sebum production, while in older patients, the focus should be on rejuvenation in addition to the control of sebum production.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…On the other hand, the use of Q-switched Nd:YAG resulted in less downtime and a greater reduction in sebum secretion, predominantly in younger patients. 21…”

Section: Nonablative Fractional 1440-nm Lasermentioning

confidence: 99%

Section: Ultrasoundmentioning

confidence: 99%

See 2 more Smart Citations

“The efficacy and adverse effects of treatment options for facial pores: A review article”

Parvar

Amani

Shafiei

et al. 2022

J of Cosmetic Dermatology

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Fractional CO2 laser versus 1064-nm long-pulsed Nd:YAG laser for inflammatory acne vulgaris treatment: a randomized clinical trial

Hammoda,

Ahmed,

Hamdino

2023

Lasers Med Sci

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Acne vulgaris is challenging to treat for several individuals. Laser therapy may be a desirable alternative to traditional therapies with limited success. This study aimed to assess efficacy of fractional CO2 laser versus Nd:YAG laser for acne vulgaris therapy. Thirty cases with acne vulgaris underwent both fractional CO2 laser and Nd: YAG laser treatments in a randomized split face design at a 14-day interval for four sessions. The clinical efficacy was evaluated by counting acne lesions and utilizing the Global Acne Severity Scale (GEA Scale). GEAs decreased significantly after both fractional CO2 and Nd:YAG modalities after treatment and at a 3-month follow-up; fractional CO2 demonstrated significant more decrease in GEAs with (P = 0.006, 0.00 (respectively. Moreover, fractional CO2 showed a significantly higher satisfaction level (P = 0.004) and a better clinical improvement percentage regarding inflammatory and noninflammatory acne lesions (P = 0.007 and 0.000, respectively) after 3 months of follow-up. Apart from transient erythema, there were insignificant adverse effects concerning both treated sides. Fractional CO2 and Nd:YAG lasers are efficient physical modalities of acne treatment. However, fractional CO2 laser was more effective and more satisfying to the patients.

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Comparison of efficacy and safety of tretinoin 0.05% and glycolic acid peeling 70% in axillary and neck lesions of acanthosis nigricans: A single‐blinded, randomized trial

Ghiasi,

Samii,

Tootoonchi

et al. 2024

J of Cosmetic Dermatology

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BackgroundAcanthosis nigricans is a non‐inflammatory skin pigmentary disorder characterized by a dark, velvety appearance, primarily observed in the neck and axillary areas. It is commonly associated with obesity, diabetes, and insulin resistance. Although the primary treatment is correcting the underlying disorders, many aesthetic modalities have been established to improve appearance owing to cosmetic concerns.AimsWe aimed to compare and investigate the effectiveness and side effects of tretinoin 0.05% and glycolic acid 70% in treating acanthosis nigricans lesions of the axillary and neck area.MethodsThis single‐blinded, randomized trial recruited patients with neck or axillary involvement. Each patient was randomized to use cream tretinoin 0.05% every other night on one side, while the other side was treated with glycolic acid 70%, which was applied every 2 weeks at the clinic for four consecutive sessions. The study duration was 8 weeks, and patients were evaluated every 2 weeks based on their response to treatment, satisfaction, and side effects.ResultsThirty patients, including 14 with neck lesions and 16 with axillary lesions, were included. Tretinoin was significantly more effective for axillary lesions in terms of treatment response and patient satisfaction (p = 0.02 and p = 0.008, respectively). It was also shown that as the severity of the lesions increased, the response to treatment and patient satisfaction decreased, specifically when treating axillary lesions with glycolic acid (p = 0.02 and p = 0.03, respectively).ConclusionNeither method was significantly effective for neck lesions. However, tretinoin 0.05% was shown to be more efficacious in treating axillary lesions of acanthosis nigricans, despite causing minimal side effects.

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Fractional carbon dioxide laser versus carbon‐assisted Q‐switched Nd: YAG laser in the treatment of dilated facial pores

Cited by 4 publications

References 13 publications

“The efficacy and adverse effects of treatment options for facial pores: A review article”

“The efficacy and adverse effects of treatment options for facial pores: A review article”

Fractional CO2 laser versus 1064-nm long-pulsed Nd:YAG laser for inflammatory acne vulgaris treatment: a randomized clinical trial

Comparison of efficacy and safety of tretinoin 0.05% and glycolic acid peeling 70% in axillary and neck lesions of acanthosis nigricans: A single‐blinded, randomized trial

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