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New technique using combined pulsed dye laser and fractional resurfacing for treating facial angiofibromas in tuberous sclerosis
Author(s) -
Weiss Elliot T.,
Geronemus Roy G.
Publication year - 2010
Publication title -
lasers in surgery and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 112
eISSN - 1096-9101
pISSN - 0196-8092
DOI - 10.1002/lsm.20939
Subject(s) - electrosurgery , tuberous sclerosis , ablative case , dermatology , medicine , intense pulsed light , erythema , surgery , radiology , radiation therapy
Background and Objective Tuberous sclerosis (TS) is a well‐described genetic disorder that is classically associated with up to hundreds of facial angiofibromas. Due to the progressive nature of the skin lesions and the early clinical presentation, a safe and effective technique for treating these disfiguring skin lesions is needed. Study Design/Patients and Methods We report a combinatorial technique for treating the angiofibromas of TS. We present a case series of three TS patients treated with this technique combining pinpoint electrosurgery, pulsed‐dye laser treatment, and ablative fractional resurfacing (AFR). Results In all presented cases, improvement in the number and appearance of facial angiofibromas and erythema is noted. No scarring or adverse events were reported. Conclusion The technique of electrosurgery, pulsed‐dye laser treatment, and AFR represents a new and safe therapeutic option for treating facial angiofibromas associated with TS. Lasers Surg. Med. 42:357–360, 2010. © 2010 Wiley–Liss, Inc.