Treatment of Macular Seborrheic Keratoses Using a Novel 1927-nm Fractional Thulium Fiber Laser

Polder, Kristel D.; Mithani, Anum; Harrison, A.; Bruce, Suzanne

doi:10.1111/j.1524-4725.2012.02427.x

Cited by 17 publications

(13 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…More pronounced issues with acne scarring, skin texture, dyschromia as well as pore size can be simultaneously improved with low‐density “mini” treatments utilizing 1,550‐nm erbium glass (Fraxel Re:store, Solta Medical) over six sessions as discussed previously (see Atrophic Acne Scarring ) . When patients present predominantly with discrete or diffuse, mottled superficial dyspigmentation characterized mainly by macular seborrheic keratoses and solar lentigines, the fractionated 1,927‐nm thulium fiber laser (Fraxel Dual, Solta Medical) has proven to be a treatment of choice . The 1,927‐nm wavelength can be combined with 1,550‐nm to achieve both superficial and deep treatment depths, respectively, in a single session.…”

Section: Non‐ablative Fractional Therapymentioning

confidence: 99%

Fractional resurfacing in the Asian patient: Current state of the art

Wat

Chan

2016

Lasers Surg Med

View full text Add to dashboard Cite

Taking into account the unique characteristics and cosmetic concerns of the Asian population, fractional resurfacing can be considered a safe and effective option for the treatment of atrophic and hypertrophic scarring, and photorejuvenation in ethnic skin types. Select cases of melasma may be treated with fractionated non-ablative devices, but utilized with caution. The predominant complication associated with fractional resurfacing for these conditions is post-inflammatory hyperpigmentation (PIH) and rebound worsening of melasma. A greater number of treatments at lower density settings and wider treatment intervals typically produce the lowest risks of PIH without compromising treatment efficacy. Lasers Surg. Med. 49:45-59, 2017. © 2016 Wiley Periodicals, Inc.

show abstract

Section: Non‐ablative Fractional Therapymentioning

confidence: 99%

Fractional resurfacing in the Asian patient: Current state of the art

Wat

Chan

2016

Lasers Surg Med

View full text Add to dashboard Cite

show abstract

“…1 Evaluation of six recruited patients who underwent 3 monthly laser sessions revealed >50% reduction in overall global SKs 1 month after treatment, with even more-pronounced improvement at 6-month follow-up. In their pilot clinical study, Polder and colleagues investigated the use of a 1927-nm thulium fiber laser in the clearance of macular SKs.…”

mentioning

confidence: 89%

“…In their pilot clinical study, Polder and colleagues investigated the use of a 1927-nm thulium fiber laser in the clearance of macular SKs. 1 Evaluation of six recruited patients who underwent 3 monthly laser sessions revealed >50% reduction in overall global SKs 1 month after treatment, with even more-pronounced improvement at 6-month follow-up.…”

mentioning

confidence: 89%

Commentary: Can 1927-nm Thulium Fractional Laser Treatment Truly Remove Seborrheic Keratoses?

Metelitsa

2012

Dermatologic Surgery

View full text Add to dashboard Cite

“…62 In addition, there is a report of successful treatment of macular seborrheic keratoses with the 1927-nm NAFL. 64 While the improvement in pigmentation, fine rhytides, and overall texture is well established with NAFLs, there has been some controversy over whether the NAFLs truly have a skin-tightening effect, despite several studies reporting this benefit. 1,65,66 A true skin-tightening effect comes from dermal fibroplasia and wound contraction, thought to be at least partially induced by heat shock protein 70.…”

Section: Skin Rejuvenation and Tighteningmentioning

confidence: 99%

Advances in fractional technology for skin rejuvenation, skin tightening, drug delivery, and treating scars and skin defects

2017

View full text Add to dashboard Cite

I n recent decades, there has been a revolution in energy-based treatment options for skin scarring, rejuvenation, and tightening. One of the most promising developments has been the introduction of fractional photothermolysis, developed by Anderson and Manstein in 2004. Fractionated systems deliver laser energy in a grid-like pattern, creating microscopic columns of ablative and/or coagulative damage termed microthermal zones (MTZs), which stimulate collagen remodeling.1 The incorporation of fractional photothermolysis into energy-based devices has allowed less destruction to surrounding tissue, leading to desired results with the minimization of unwanted side effects, leading to both ablative and nonablative laser devices becoming desirable treatment options for cutaneous scarring and rejuvenation. Given their impressive results, newer fractional laser treatment options, including picosecond lasers, quality-switched (QS) lasers, and combined ablative and nonablative lasers, are being investigated for the treatment of these common skin conditions.The following review addresses the current and emerging topics on fractional laser treatment of skin scarring and rejuvenation based on the device type, including ablative, nonablative, QS, picosecond, and hybrid fractional lasers (HFLs). Additionally, newer energy-based fractional devices, such as radiofrequency (RF) with and without microneedling and the use of fractionated technology for drug delivery, are discussed in the context of these common skin conditions. Fractionated lasersTreatment options for cutaneous scars and skin rejuvenation have evolved significantly since the rise in popularity of ablative lasers in the 1990s. Newer treatment options, including ablative fractional lasers (AFL) and nonablative fractional lasers (NAFL), have garnered favor, given the milder side effect profile in comparison with traditional fully ablative lasers. Ablative fractional lasersAcne scarring AFLs were developed in an attempt to achieve the efficacy of traditional ablative lasers with the milder side effect profile of fractional technology. Although a single treatment produces less dramatic, albeit noticeable, results than traditional fully ablative lasers can, multiple treatments result in greater clinical improvement.2 Currently, there are 3 types of AFLs available for scar treatment: the 10600-nm carbon dioxide (CO2), the 2940-nm erbium:yttrium aluminum garnet (Er:YAG), and the 2740-nm yttrium scandium gallium garnet (YSGG) lasers. AFL is associated with the increased risk of both protracted erythema and postinflammatory hyperpigmentation (PIH) in darker skin types, which has led many clinicians to prefer a longer series of NAFL treatments over AFL treatments to achieve similar results with a lower risk of side effects.Multiple studies support the efficacy of the fractional CO2 laser in acne scars. The overwhelming majority of these studies investigate the utility of these lasers in atrophic facial scars. While NAFLs typically require multiple sessions to achieve modest ...

show abstract

Treatment of Macular Seborrheic Keratoses Using a Novel 1927-nm Fractional Thulium Fiber Laser

Abstract: Nonablative fractional resurfacing using the 1927-nm thulium fiber laser is a safe and effective treatment modality to decrease nonfacial macular SK.

Cited by 17 publications

References 17 publications

Fractional resurfacing in the Asian patient: Current state of the art

Fractional resurfacing in the Asian patient: Current state of the art

Commentary: Can 1927-nm Thulium Fractional Laser Treatment Truly Remove Seborrheic Keratoses?

Advances in fractional technology for skin rejuvenation, skin tightening, drug delivery, and treating scars and skin defects

Contact Info

Product

Resources

About