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037 
Experience of Use of Long Pulse Alexandrite Laser for Fresh Facial Traumatic Tattoo
Author(s) -
Naohiro Ishii,
Masashi Fukatsu,
Yuji Nakanishi
Publication year - 2004
Publication title -
wound repair and regeneration
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.847
H-Index - 109
eISSN - 1524-475X
pISSN - 1067-1927
DOI - 10.1111/j.1067-1927.2004.abstractaz.x
Subject(s) - medicine , laser , cheek , pulse (music) , surgery , lesion , optics , physics , detector
Objectives: We devised a method of irradiating a fresh traumatic tattoo with long pulse alexandrite laser in conjunction with the use of a dynamic cooling device (DCD) to minimize the injury of the epidermal layer before the occurrence of pigmentation in the deep layer of the skin, when the wound is not completely epithelialized. Methods: A 4‐year‐old girl suffered a burn injury and deposition of fuel residues in a diameter of 5 cm on the left cheek by backfire of a motorcycle muffler. The patient was treated with an ointment at a hospital for about 10 days, and then referred to our hospital. On initial visit, removal of foreign bodies was attempted by brushing but with little success. Accordingly, long pulse alexandrite laser treatment was performed four times in total at intervals of about one week. On the initial irradiation DCD was not used, but was used on all subsequent treatments thereafter for the protection of the epidermal layer. Results: Since remarkable pigment reduction was observed after the laser irradiation, the treatment was stopped. Follow‐up was performed while the lesion was shielded from light. Conclusion: Since the long pulse alexandrite laser with the DCD conveniently enables continuous irradiation of pigments in a short time while minimizing damage to the epidermis, its therapeutic effect can be expected. However, great care is needed during the treatment to prevent scarring.

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