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Treatment of periocular and temporal reticular veins with 1064‐nm Nd:YAG Laser
Author(s) -
Lee Tee Sin,
Kwek James Wei Ming,
Ellis David A. F.
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.13504
Subject(s) - medicine , tolerability , reticular connective tissue , eyelid , patient satisfaction , nd:yag laser , surgery , retrospective cohort study , laser , adverse effect , optics , anatomy , physics
Abstract Background The periocular and temporal regions are important aspects of beauty. The presence of reticular veins in these areas is undesirable and can also interfere with injection of neurotoxins to treat squint lines. 1064‐nm Nd:YAG laser shows promise as an effective treatment modality with long‐lasting effects. Aim The aim of the study is to show that the long‐pulsed, contact‐cooled, variable spot‐sized 1064‐nm Nd:YAG laser is effective and safe, with good patient satisfaction and tolerability, and is able to achieve long‐term results. Methods A retrospective study of 35 consecutive patients seen over a 3‐year period in a private cosmetic clinic affiliated to the University of Toronto for periocular and temporal reticular veins was conducted. They were all treated with 1064‐nm Nd:YAG laser. Results A total of 35 patients with an average age of 45.8 years old received treatment. 13 had lower eyelids treated, 9 had temples treated, 12 had both lower eyelids and temples treated, and 1 had both upper and lower eyelids treated. The first case of upper eyelid vein being treated with the 1064‐nm Nd:YAG laser with great success after only 1 treatment is reported. 80% of the patients required only 1‐2 treatment sessions. The average satisfaction score was 7.9 out of 10. The average pain score was 5.0 out of 10. 91% perceived the treatment outcome as excellent or good with the longest result lasting 33 months. There were 4 complications: 1 scabbing, 1 small burn, 1 skin darkening, and 1 teary eye. Conclusion The study showed that the use of the long‐pulsed, contact‐cooled, variable spot‐sized 1064‐nm Nd:YAG laser is effective and safe, with good patient satisfaction and tolerability, and is able to achieve long‐term results.