Clinical use of lasers and energy-based devices in selected skin diseases
DOI:
https://doi.org/10.12775/JEHS.2024.74.51726Keywords
laser, intense pulsed light, dermatology, rosacea, scars, acne, tattoo removalAbstract
Introduction and purpose In recent years, there has been notable progress in the role of light-emitting technologies, including lasers and other energy-based devices, across various medical disciplines. Dermatology stands out as one of the prominent fields where laser treatments have gained significant popularity. In the clinical setting, a variety of laser types are utilized. A fundamental aspect of ensuring the safe use of laser devices involves comprehending their mechanisms at the tissue level. This knowledge enables practitioners to attain the desired outcomes effectively while minimizing the risk of complications. Lasers have demonstrated effectiveness in treating cutaneous vascular conditions because of their capacity to selectively target intravascular oxyhemoglobin. Rosacea, juvenile hemangioma, and port wine stains are among the vascular skin conditions for which laser therapy has shown notable success. Laser therapy is employed in treating hypertrophic scars, keloids, and acne scars because it facilitates the restructuring of the skin's architecture at the scar site, with the goal of minimizing its size and visibility. Laser therapy stands as the gold standard for removing tattoos.
Materials and methods The methodology for conducting literature search involved utilizing medical subject headings terms to explore PubMed. Search terms included: “lasers”, “intense pulsed light”, “dermatology”, “rosacea”, “acne”, “scars”, “tattoo removal”.
Conclusions Laser dermatological treatments are gaining popularity worldwide, driving new innovations and clinical applications. This review highlights the significant role and diverse clinical applications of lasers and intense pulsed light in dermatological practice. Improving the quality of skin in patients suffering from skin diseases can significantly increase their quality of life.
References
Chen SX, Cheng J, Watchmaker J, Dover JS, Chung HJ. Review of Lasers and Energy-Based Devices for Skin Rejuvenation and Scar Treatment With Histologic Correlations. Dermatol Surg. 2022 Apr 1;48(4):441-448. doi: 10.1097/DSS.0000000000003397. PMID: 35165220.
El Arabi Y, Hali F, Chiheb S. Laser Management and Safety in Dermatology. Cureus. 2022 Jun 16;14(6):e25991. doi: 10.7759/cureus.25991. PMID: 35859982; PMCID: PMC9287998.
Husain Z, Alster TS. The role of lasers and intense pulsed light technology in dermatology. Clin Cosmet Investig Dermatol. 2016 Feb 4;9:29-40. doi: 10.2147/CCID.S69106. PMID: 26893574; PMCID: PMC4745852.
Han G. Applications of lasers in medical dermatology. Cutis. 2014 Nov;94(5):E20-3. PMID: 25474463.
Giovanni C, Marina PB, Tiziano Z. A retrospective 10 years- experience overview of dye laser treatments for vascular pathologies. Skin Res Technol. 2023 Aug;29(8):e13427. doi: 10.1111/srt.13427. Erratum in: Skin Res Technol. 2023 Sep;29(9):e13458. PMID: 37632184; PMCID: PMC10397371.
Astafyeva LG, Gade R, Schmidt WD, Ledneva GP, Wollina U, Fassler D. Laser heating of biological tissue with blood vessels: modeling and clinical trials. Opt Spectrosc. 2006;100(5):789–796
Zhang H, Tang K, Wang Y, Fang R, Sun Q. Rosacea Treatment: Review and Update. Dermatol Ther (Heidelb). 2021 Feb;11(1):13-24. doi: 10.1007/s13555-020-00461-0. Epub 2020 Nov 10. PMID: 33170491; PMCID: PMC7858727.
van Zuuren EJ, Fedorowicz Z, Tan J, van der Linden MMD, Arents BWM, Carter B, Charland L. Interventions for rosacea based on the phenotype approach: an updated systematic review including GRADE assessments. Br J Dermatol. 2019 Jul;181(1):65-79. doi: 10.1111/bjd.17590. Epub 2019 Mar 10. PMID: 30585305; PMCID: PMC6850438.
Zhang Y, Jiang S, Lu Y, Yan W, Yan H, Xu Y, Xu T, Li Y, Geng L, Gao X, Chen H. A decade retrospective study of light/laser devices in treating nasal rosacea. J Dermatolog Treat. 2020 Feb;31(1):84-90. doi: 10.1080/09546634.2019.1580669. Epub 2019 Feb 22. PMID: 30732485.
Kim TG, Roh HJ, Cho SB, Lee JH, Lee SJ, Oh SH. Enhancing effect of pretreatment with topical niacin in the treatment of rosacea-associated erythema by 585-nm pulsed dye laser in Koreans: a randomized, prospective, split-face trial. Br J Dermatol. 2011 Mar;164(3):573-9. doi: 10.1111/j.1365-2133.2010.10174.x. Epub 2011 Feb 17. PMID: 21143465.
Luo Y, Luan XL, Zhang JH, Wu LX, Zhou N. Improved telangiectasia and reduced recurrence rate of rosacea after treatment with 540 nm-wavelength intense pulsed light: A prospective randomized controlled trial with a 2-year follow-up. Exp Ther Med. 2020 Jun;19(6):3543-3550. doi: 10.3892/etm.2020.8617. Epub 2020 Mar 20. PMID: 32346416; PMCID: PMC7185073.
Macca L, Altavilla D, Di Bartolomeo L, Irrera N, Borgia F, Li Pomi F, Vaccaro F, Squadrito V, Squadrito F, Vaccaro M. Update on Treatment of Infantile Hemangiomas: What's New in the Last Five Years? Front Pharmacol. 2022 May 26;13:879602. doi: 10.3389/fphar.2022.879602. PMID: 35721150; PMCID: PMC9204338.
Xu W, Zhao H. Management of infantile hemangiomas: Recent advances. Front Oncol. 2022 Nov 29;12:1064048. doi: 10.3389/fonc.2022.1064048. PMID: 36523969; PMCID: PMC9745076.
Ying H., Zou Y., Yu W., Qiu Y., Ma G., Chang L., et al. (2017). Prospective, Open-Label, Rater-Blinded and Self-Controlled Pilot Study of the Treatment of Proliferating Superficial Infantile Hemangiomas with 0.5% Topical Timolol Cream versus 595-nm Pulsed Dye Laser. J. Dermatol. 44, 660–665. 10.1111/1346-8138.13747
Shi W, Wang J, Lin Y, Geng J, Wang H, Gong Y, Liu H, Zhang F. Treatment of port wine stains with pulsed dye laser: a retrospective study of 848 cases in Shandong Province, People's Republic of China. Drug Des Devel Ther. 2014 Dec 12;8:2531-8. doi: 10.2147/DDDT.S71710. PMID: 25548515; PMCID: PMC4271787.
Chen JK, Ghasri P, Aguilar G, van Drooge AM, Wolkerstorfer A, Kelly KM, Heger M. An overview of clinical and experimental treatment modalities for port wine stains. J Am Acad Dermatol. 2012 Aug;67(2):289-304. doi: 10.1016/j.jaad.2011.11.938. Epub 2012 Feb 3. PMID: 22305042; PMCID: PMC4143189.
Alster TS, Tanzi EL. Combined 595-nm and 1,064-nm laser irradiation of recalcitrant and hypertrophic port-wine stains in children and adults. Dermatol Surg. 2009 Jun;35(6):914-8; discussion 918-9. doi: 10.1111/j.1524-4725.2009.01155.x. Epub 2009 Apr 9. PMID: 19397657.
Ogawa R, Dohi T, Tosa M, Aoki M, Akaishi S. The Latest Strategy for Keloid and Hypertrophic Scar Prevention and Treatment: The Nippon Medical School (NMS) Protocol. J Nippon Med Sch. 2021 Mar 11;88(1):2-9. doi: 10.1272/jnms.JNMS.2021_88-106. Epub 2020 Aug 1. PMID: 32741903.
Leszczynski R, da Silva CA, Pinto ACPN, Kuczynski U, da Silva EM. Laser therapy for treating hypertrophic and keloid scars. Cochrane Database Syst Rev. 2022 Sep 26;9(9):CD011642. doi: 10.1002/14651858.CD011642.pub2. PMID: 36161591; PMCID: PMC9511989.
Lee J, Kim J. Emerging Technologies in Scar Management: Laser-Assisted Delivery of Therapeutic Agents. 2020 Dec 8. In: Téot L, Mustoe TA, Middelkoop E, Gauglitz GG, editors. Textbook on Scar Management: State of the Art Management and Emerging Technologies [Internet]. Cham (CH): Springer; 2020. Chapter 50. PMID: 36351133.
Altemir A, Boixeda P. Laser Treatment of Burn Scars. Actas Dermosifiliogr. 2022 Nov-Dec;113(10):938-944. English, Spanish. doi: 10.1016/j.ad.2022.06.018. Epub 2022 Aug 11. PMID: 35963335.
Willows BM, Ilyas M, Sharma A. Laser in the management of burn scars. Burns. 2017 Nov;43(7):1379-1389. doi: 10.1016/j.burns.2017.07.001. Epub 2017 Aug 4. PMID: 28784339.
Fabbrocini G, Annunziata MC, D'Arco V, De Vita V, Lodi G, Mauriello MC, Pastore F, Monfrecola G. Acne scars: pathogenesis, classification and treatment. Dermatol Res Pract. 2010;2010:893080. doi: 10.1155/2010/893080. Epub 2010 Oct 14. PMID: 20981308; PMCID: PMC2958495.
Meghe SR, Khan A, Jangid SD, Sarda B, Vangala N, Saoji V. Shedding Light on Acne Scars: A Comprehensive Review of CO2 vs. Erbium-Doped Yttrium Aluminium Garnet (Er:YAG) Laser Therapy. Cureus. 2024 Apr 3;16(4):e57572. doi: 10.7759/cureus.57572. PMID: 38707019; PMCID: PMC11069036.
Mokhtari F, Safavi Z, Faghihi G, Asilian A, Shahmoradi Z. A Comparative Study on the Usefulness of Fractional CO2 and Fractional Er:YAG in Acne Scars: A Split-Face Trial. Adv Biomed Res. 2023 Apr 25;12:90. doi: 10.4103/abr.abr_330_21. PMID: 37288037; PMCID: PMC10241645.
Gawdat HI, Hegazy RA, Fawzy MM, Fathy M. Autologous platelet rich plasma: topical versus intradermal after fractional ablative carbon dioxide laser treatment of atrophic acne scars. Dermatol Surg. 2014 Feb;40(2):152-61. doi: 10.1111/dsu.12392. Epub 2013 Dec 19. Erratum in: Dermatol Surg. 2014 May;40(5):601. PMID: 24354616.
Everts P, Onishi K, Jayaram P, Lana JF, Mautner K. Platelet-Rich Plasma: New Performance Understandings and Therapeutic Considerations in 2020. Int J Mol Sci. 2020 Oct 21;21(20):7794. doi: 10.3390/ijms21207794. PMID: 33096812; PMCID: PMC7589810.
Bernstein EF. Laser tattoo removal. Semin Plast Surg. 2007 Aug;21(3):175-92. doi: 10.1055/s-2007-991186. PMID: 20567669; PMCID: PMC2884836.
Ho SG, Goh CL. Laser tattoo removal: a clinical update. J Cutan Aesthet Surg. 2015 Jan-Mar;8(1):9-15. doi: 10.4103/0974-2077.155066. PMID: 25949017; PMCID: PMC4411606.
Sardana K, Ranjan R, Ghunawat S. Optimising laser tattoo removal. J Cutan Aesthet Surg. 2015 Jan-Mar;8(1):16-24. doi: 10.4103/0974-2077.155068. PMID: 25949018; PMCID: PMC4411587.
Ross V, Naseef G, Lin G, Kelly M, Michaud N, Flotte TJ, Raythen J, Anderson RR. Comparison of responses of tattoos to picosecond and nanosecond Q-switched neodymium: YAG lasers. Arch Dermatol. 1998 Feb;134(2):167-71. doi: 10.1001/archderm.134.2.167. PMID: 9487208.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Aleksandra Janocha, Paweł Ziemba, Aneta Jerzak , Katarzyna Jakubowska
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 379
Number of citations: 0