Skin vascular lesions: A new therapeutic option with sequential laser‐assisted technique

Abstract

Treatment of skin unaesthetic vascular lesions is still suboptimal. In this article, we present a multicenter study evaluating the efficacy and safety of the sequential 755 nm Alexandrite and 1064 nm ND:YAG lasers for the treatment of acquired and congenital vascular lesions of the skin. A total of 171 patients were included in the study (141 female and 30 male), median age 38, skin type from I to IV. Numbers of patients categorized for treated disease: 22 spider angiomas, 67 facial telangiectasia/spider veins, 58 leg telangiectasia/reticular leg veins, 24 port wine stains (PWS). Of those lesions 30.7% was on legs, 63.7% on face (6.7% on forehead, 10.1% on temples, 21.7% on cheeks, 25.2% on nose, 1.7% on chin) and 5.6% on chest. Spider angiomas required from 1 to 3 treatments. Facial telangiectasias had been treated from 1 to 4 times. Leg telangiectasias needed from 2 to 6 treatment sessions. Regarding PWS, it takes from 6 to 9 laser treatment to reach the clearance of the lesion. All the vascular disorders treated showed marked improvement while side effects were limited to low pain sensation and transitory fenomena. This sequential treatment is an effective, safe, and new approach for unaesthetic skin vascular lesions.

Effectiveness and safety of a narrow band spectrum intense pulsed‐light dye with long pulse Nd:YAG laser for treating facial vascular lesions

“…20 Furthermore, a recently published study has suggested that the sequential 755 nm Alexandrite and 1064 nm LP Nd:YAG lasers may be effective for treating diverse congenital and acquired vascular lesions of the skin. 25 Together, these results suggest that dual therapy is superior to single-module treatments. In addition, IPL and 1064-nm Nd:YAG laser have shown to be effective for treating inflammatory facial acne vulgaris, without significant differences between them.…”

“…Additionally, this dual‐wavelength therapy has provided better aesthetic outcomes in patients with facial telangiectasias than its components 20 . Furthermore, a recently published study has suggested that the sequential 755 nm Alexandrite and 1064 nm LP Nd:YAG lasers may be effective for treating diverse congenital and acquired vascular lesions of the skin 25 . Together, these results suggest that dual therapy is superior to single‐module treatments.…”