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The evaluation of long‐pulsed Nd:YAG laser efficacy and side effects in the treatment of cutaneous vessels on the face and legs
Author(s) -
Asiran Serdar Zehra,
Fisek Izci Neslihan
Publication year - 2020
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/jocd.13208
Subject(s) - medicine , nd:yag laser , surgery , laser treatment , laser , laser therapy , intense pulsed light , dermatology , physics , optics
Background Long‐pulsed Nd:YAG lasers have been used for the treatment of cutaneous vascular lesions on face and leg veins. Objective To report our experience with long‐pulsed Nd:YAG lasers for the treatment cutaneous vessels on the face and legs. Materials and Methods A total of 145 patients with cutaneous vessels on the face and the legs were included in this study. All patients received two treatment sessions, first at the beginning and second after four weeks. Patients were evaluated three times: first at the beginning of the therapy, and second and third after the four weekly follow‐ups. The laser settings of each treatment session were recorded. The physician's assessment of treatment efficiency was taken by comparing gross photograph and clinical evaluation. The grade of improvement, as the percent of reduction in the severity of veins after laser treatment, was determined as follows: <25% improvement (mild); 25%–50% improvement (moderate); 51%–75% improvement (good); and >75% improvement (excellent). The side effects were also recorded. Results Of the 145 patients who completed the study, 63.6% of patients had vessels on the face, and 36.4% had them on the legs. After the first session, 82.8% of patients have good improvement (51%–75%). After the second session, 78.6% of patients have excellent improvement (>75%). The clinical improvement after the second treatment session was significantly higher than the first treatment session ( P ˂ .05). There were no statistical differences between the treatment areas ( P ˃ .05). The most common side effect was erythema in 12.4% ( P ˃ .05). Conclusion The Nd:YAG laser is an effective and safe treatment option for the treatment of cutaneous vessels on the face and the legs.