Side effects and complications of fractional 1550-nm erbium fiber laser treatment among Asians

Vaiyavatjamai, Premjit; Wattanakrai, Penpun

doi:10.1111/j.1473-2165.2011.00585.x

Cited by 12 publications

(5 citation statements)

References 7 publications

(13 reference statements)

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“…The study found that PIH was the most common side effect, at 2.2%, which mostly occurred after first treatment and progressively subsided with topical hydroquinone cream. 70 In conclusion, fractional laser resurfacing has lower rate of post-procedure complications than conventional ablative lasers. However, in patients with skin of color, physicians should use lower energy setting, fewer passes or treatment density, and appropriate skin cooling to prevent postinflammatory hyperpigmentation.…”

Section: Fractional Lasersmentioning

confidence: 89%

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Cosmetic Considerations in Dark-Skinned Patients

Harnchoowong,

Vachiramon,

Jurairattanaporn

2024

CCID

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For dermatologists, diversities of human races result in an opportunity to encounter patients with various skin types. Cosmetic procedures have gained more popularity and become more accessible over the past decades. Thus, the selection of appropriate treatment protocol for each patient becomes inevitable. This review will focus on basic knowledge and key points in performing safe cosmetic-related procedures in patients with dark-complexioned skin. In terms of structure and function of the skin, people of color have equal epidermal thickness, corneocyte size and melanocyte number. However, they have more stratum corneum compaction, melanosome dispersion and melanocyte activity than fair skin individuals. Data regarding drug penetration and cutaneous irritation showed conflicting results. Superficial chemical peels and microdermabrasion can be done safely in dark-skinned patients. Medium-depth peel should be used with extreme caution. While deep-depth peel should be avoided at all times due to pigmentary and textural complications. Prolonged treatment interval, use of priming agents and sun protection are recommended. Injectable materials including botulinum toxin and soft tissue augmentation by hyaluronic acid filler can be done harmlessly in dark-skinned patients. Lasers and energy-based devices should be done with caution. Higher melanin dispersion and melanocyte activity acts as competitive chromophore. Pigmentary or textural changes can occur after aggressive treatment protocol. High energy setting, pulse stacking, short wavelength lasers and short treatment interval should be avoided in dark-skinned patients.

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Section: Fractional Lasersmentioning

confidence: 89%

“…The study found that PIH was the most common side effect, at 2.2%, which mostly occurred after first treatment and progressively subsided with topical hydroquinone cream. 70 …”

Section: Laser and Light-based Devicesmentioning

confidence: 99%

Cosmetic Considerations in Dark-Skinned Patients

Harnchoowong,

Vachiramon,

Jurairattanaporn

2024

CCID

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“…Adverse events from laser treatment, especially reported PIH, varied among type of laser modalities such as 2.2% after fractional 1550‐nm Ytterbium/Erbium fiber laser, 35% of acne scar patients treated with fractional erbium‐doped yttrium aluminum garnet (Er:YAG) and 92.3% after the treatment of acne scar ablative fractional CO 2 resurfacing …”

Section: Discussionmentioning

confidence: 99%

Sun protection behavior and knowledge of patients attending laser clinic to prevent adverse events of laser: A cross‐sectional, single‐center, tertiary care study

Tempark

Lueangarun

Chatproedprai

et al. 2018

Photoderm Photoimm Photomed

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“…The overall complication rate following non‐ablative fractional resurfacing is much lower than with traditional ablative resurfacing, having been reported in 3.3–7.6% of cases from large retrospective studies . In the study by Graber et al, 961 patients with skin types I‐V were evaluated and 73 treatments (7.6%) with the 1550‐nm erbium‐doped laser (Fraxel, Reliant Technologies) resulted in complications, with the most common being acneiform eruptions (1.87%) and herpes simplex virus (HSV) outbreaks (1.77%) .…”

Section: Discussionmentioning

confidence: 99%

“…The reported HSV infection rate was even lower and occurred in five treatments (0.6%). A further study evaluated 181 treatments with the fractional 1,550 nm Ytterbium/Erbium laser (Finescan; TNC Medditron Co., Ltd., Thailand) in Asian patients with skin phototypes III‐V . Only six treatments (3.3%) developed complications with the most common adverse event being postinflammatory hyperpigmentation (2.2%).…”

Section: Discussionmentioning

confidence: 99%

Bacterial infections following non‐ablative fractional laser treatment: A case series and discussion

Kilmer

Ross

et al. 2015

Lasers Surg Med

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Non-ablative fractional laser procedures have become increasingly popular since their introduction in 2004. The fractional 1,927 nm thulium laser is a non-ablative device that penetrates up to 300 μm in the skin and the 1,550 nm erbium:glass laser penetrates up to 1,400 μm. These procedures are considered minimally invasive with a high safety profile; therefore, infectious complications are exceedingly rare. However, we report five recent cases of bacterial infection with both gram-positive and gram-negative organisms following treatment with the fractional 1550/1927 nm laser approximately 1 day to 1 week post-procedure. One patient had a rapidly progressing pustular eruption with symptoms of sepsis. These patients were seen immediately, cultures were obtained and empiric antibiotic therapy was initiated. They recovered without long-term complications. Rapid-onset bacterial infections following non-ablative laser resurfacing with the 1550/1927 nm laser have not been previously reported in the literature. The infections can progress quickly and lead to serious sequelae, including systemic illness and severe scarring, if not identified and appropriately treated. We present these cases to highlight the importance of close surveillance and when appropriate, rapid intervention, following non-ablative fractional procedures, especially when patients present with atypical symptoms and signs.

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Side effects and complications of fractional 1550-nm erbium fiber laser treatment among Asians

Abstract: Fractional erbium laser treatment in Asian skin is quite safe, and the side effects in this study were relatively low. Herpes prophylaxis may not be required.

Cited by 12 publications

References 7 publications

Cosmetic Considerations in Dark-Skinned Patients

Cosmetic Considerations in Dark-Skinned Patients

Sun protection behavior and knowledge of patients attending laser clinic to prevent adverse events of laser: A cross‐sectional, single‐center, tertiary care study

Bacterial infections following non‐ablative fractional laser treatment: A case series and discussion

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