Bae, Yoon-Soo Cindy et al.: 2023 Procedural Dermatology: Postresidency and Fellowship Compendium, Volume 2 DOI: 10.1055/b-0043-196739

1 Nonablative Rejuvenation

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Book

Editors: Bae, Yoon-Soo Cindy; Ciocon, David H.

Authors: Bae, Gee Young; Bernstein, Leonard J.; Boker, Andreas; Borash, Jordan; Bosley, Rawn; Brauer, Jeremy A.; Brown, Wilfred; Callaghan, Daniel; Chesnut, Cameron; Christman, Mitalee P.; Criscito, Maressa C.; Ebersole, Trina G.; Emer, Jason; Fabi, Sabrina Guillen; Fazzalari, Amanda; Friedman, Adam; Friedmann, Daniel P.; Geronemus, Roy G.; Goldberg, David J.; Gordon, Samantha; Graber, Emmy M.; Hazan, Ezra; Kent, Rhett A.; Khorasani, Hooman; Lederhandler, Margo H.; Lee, Austin; Li, Monica K.; Lin, Richard L.; Lipp, Michael B.; MacGregor, Jennifer L.; Mann, Margaret; Mehrabi, Joseph N.; Mishra, Vineet; Moak, Teri N.; Morton, Laurel M.; Murgia, Robert D.; Murphy, Emily C.; Paul, Benjamin Curman; Robinson, Deanne Mraz; Rokhsar, Cameron; Saedi, Nazanin; Scott, Jeffrey F.; Shridharani, Sachin M.; Soon, Seaver L.; Steele, Robert Blake; Steuer, Alexa B.; Tamashunas, Nina Lucia; Tan, Andrea; Tisch, Grace M.; Wang, Jordan V.; Weiss, Robert; Yeh, Lindsey; Zumwalt, Michael

Title: Procedural Dermatology: Postresidency and Fellowship Compendium, Volume 2

Print ISBN: 9783132424074; Online ISBN: 9783132437142; Book DOI: 10.1055/b000000254

Subjects: Dermatology;Allergology

Thieme Clinical Collections (English Language)



 
Daniel Callaghan and Laurel M. Morton

Summary

Nonablative rejuvenation can be achieved with a number of devices and is successfully used to treat many components of the aging process including texture irregularities, pigment irregularities, and tissue laxity. As the name implies, it does so without ablating the epidermis, which provides a lower potential for side effects and a shorter downtime than ablative lasers. The devices used for nonablative rejuvenation are diverse and include intense pulsed light, lasers in the visible light and mid-infrared spectrums, microneedling, radiofrequency, and photodynamic therapy. This chapter explores these interventions in detail and provides clinicians with a roadmap to be able to select the most appropriate treatment for each unique patient.

 
  • 1 Wat H, Wu DC, Rao J, Goldman MP. Application of intense pulsed light in the treatment of dermatologic disease: a systematic review.. Dermatol Surg 2014; 40 (4) 359-377 PubMed (PMID: 24495252)
  • 2 Wang CC, Sue YM, Yang CH, Chen CK. A comparison of Q-switched alexandrite laser and intense pulsed light for the treatment of freckles and lentigines in Asian persons: a randomized, physician-blinded, split-face comparative trial.. J Am Acad Dermatol 2006; 54 (5) 804-810 PubMed (PMID: 16635661)
  • 3 Wang CC, Hui CY, Sue YM, Wong WR, Hong HS. Intense pulsed light for the treatment of refractory melasma in Asian persons.. Dermatol Surg 2004; 30 (9) 1196-1200 PubMed (PMID: 15355358)
  • 4 Tanghetti EA. Split-face randomized treatment of facial telangiectasia comparing pulsed dye laser and an intense pulsed light handpiece.. Lasers Surg Med 2012; 44 (2) 97-102 PubMed (PMID: 22180317)
  • 5 Goldberg DJ, Cutler KB. Nonablative treatment of rhytids with intense pulsed light.. Lasers Surg Med 2000; 26 (2) 196-200 PubMed (PMID: 10685092)
  • 6 Bitter PH. Noninvasive rejuvenation of photodamaged skin using serial, full-face intense pulsed light treatments.. Dermatol Surg 2000; 26 (9) 835-842, discussion 843 PubMed (PMID: 10971556)
  • 7 Adamic M, Troilius A, Adatto M, Drosner M, Dahmane R. Vascular lasers and IPLS: guidelines for care from the European Society for Laser Dermatology (ESLD).. J Cosmet Laser Ther 2007; 9 (2) 113-124 PubMed (PMID: 17558762)
  • 8 Iyer S, Fitzpatrick RE. Long-pulsed dye laser treatment for facial telangiectasias and erythema: evaluation of a single purpuric pass versus multiple subpurpuric passes.. Dermatol Surg 2005; 31 (8, Pt 1) 898-903 PubMed (PMID: 16042933)
  • 9 Woo SH, Ahn HH, Kim SN, Kye YC. Treatment of vascular skin lesions with the variable-pulse 595 nm pulsed dye laser.. Dermatol Surg 2006; 32 (1) 41-48 PubMed (PMID: 16393597)
  • 10 Jørgensen GF, Hedelund L, Haedersdal M. Long-pulsed dye laser versus intense pulsed light for photodamaged skin: a randomized split-face trial with blinded response evaluation.. Lasers Surg Med 2008; 40 (5) 293-299 PubMed (PMID: 18563775)
  • 11 Negishi K, Tanaka S, Tobita S. Prospective, randomized, evaluator-blinded study of the long pulse 532-nm KTP laser alone or in combination with the long pulse 1064-nm Nd: YAG laser on facial rejuvenation in Asian skin.. Lasers Surg Med 2016; 48 (9) 844-851 PubMed (PMID: 27605491)
  • 12 Becher GL, Cameron H, Moseley H. Treatment of superficial vascular lesions with the KTP 532-nm laser: experience with 647 patients.. Lasers Med Sci 2014; 29 (1) 267-271 PubMed (PMID: 24401943)
  • 13 Uebelhoer NS, Bogle MA, Stewart B, Arndt KA, Dover JS. A split-face comparison study of pulsed 532-nm KTP laser and 595-nm pulsed dye laser in the treatment of facial telangiectasias and diffuse telangiectatic facial erythema.. Dermatol Surg 2007; 33 (4) 441-448 PubMed (PMID: 17430378)
  • 14 Sadighha A, Saatee S, Muhaghegh-Zahed G. Efficacy and adverse effects of Q-switched ruby laser on solar lentigines: a prospective study of 91 patients with Fitzpatrick skin type II, III, and IV.. Dermatol Surg 2008; 34 (11) 1465-1468 PubMed (PMID: 18798756)
  • 15 Xu TH, Li YH, Chen JZ, Gao XH, Chen HD. Treatment of infraorbital dark circles using 694-nm fractional Q-switched ruby laser.. Lasers Med Sci 2016; 31 (9) 1783-1787 PubMed (PMID: 27522505)
  • 16 Jang WS, Lee CK, Kim BJ, Kim MN. Efficacy of 694-nm Q-switched ruby fractional laser treatment of melasma in female Korean patients.. Dermatol Surg 2011; 37 (8) 1133-1140 PubMed (PMID: 21585597)
  • 17 Khetarpal S, Desai S, Kruter L et al. Picosecond laser with specialized optic for facial rejuvenation using a compressed treatment interval.. Lasers Surg Med 2016; 48 (8) 723-726 PubMed (PMID: 27546378)
  • 18 Jang KA, Chung EC, Choi JH, Sung KJ, Moon KC, Koh JK. Successful removal of freckles in Asian skin with a Q-switched alexandrite laser.. Dermatol Surg 2000; 26 (3) 231-234 PubMed (PMID: 10759799)
  • 19 Rosenbach A, Williams CM, Alster TS. Comparison of the Q-switched alexandrite (755 nm) and Q-switched Nd:YAG (1064 nm) lasers in the treatment of benign melanocytic nevi.. Dermatol Surg 1997; 23 (4) 239-244, discussion 244–245 PubMed (PMID: 9149789)
  • 20 Serra M, Bohnert K, Sadick N. A randomized, single-blind, study evaluating a 755-nm picosecond pulsed Alexandrite laser vs. a non-ablative 1927-nm fractionated thulium laser for the treatment of facial photopigmentation and aging.. J Cosmet Laser Ther 2018; 20 (6) 335-340 PubMed (PMID: 30019970)
  • 21 Lee MC, Lin YF, Hu S et al. A split-face study: comparison of picosecond alexandrite laser and Q-switched Nd:YAG laser in the treatment of melasma in Asians.. Lasers Med Sci 2018; 33 (8) 1733-1738 PubMed (PMID: 29732522)
  • 22 Tanghetti EA. The histology of skin treated with a picosecond alexandrite laser and a fractional lens array.. Lasers Surg Med 2016; 48 (7) 646-652 PubMed (PMID: 27252086)
  • 23 Weiss RA, McDaniel DH, Weiss MA, Mahoney AM, Beasley KL, Halvorson CR. Safety and efficacy of a novel diffractive lens array using a picosecond 755 nm alexandrite laser for treatment of wrinkles.. Lasers Surg Med 2017; 49 (1) 40-44 PubMed (PMID: 27681221)
  • 24 Brauer JA, Kazlouskaya V, Alabdulrazzaq H et al. Use of a picosecond pulse duration laser with specialized optic for treatment of facial acne scarring.. JAMA Dermatol 2015; 151 (3) 278-284 PubMed (PMID: 25409158)
  • 25 Goldberg DJ, Whitworth J. Laser skin resurfacing with the Q-switched Nd:YAG laser.. Dermatol Surg 1997; 23 (10) 903-906, discussion 906–907 PubMed (PMID: 9357499)
  • 26 Goldberg DJ, Silapunt S, . Histologic evaluation of a Q-switched Nd:YAG laser in the nonablative treatment of wrinkles.. Dermatol Surg 2001; 27 (8) 744-746 PubMed (PMID: 11493299)
  • 27 Goldberg DJ, Samady JA. Intense pulsed light and Nd:YAG laser non-ablative treatment of facial rhytids.. Lasers Surg Med 2001; 28 (2) 141-144 PubMed (PMID: 11241520)
  • 28 Huo MH, Wang YQ, Yang X. Split-face comparison of intense pulsed light and nonablative 1,064-nm Q-switched laser in skin rejuvenation.. Dermatol Surg 2011; 37 (1) 52-57 PubMed (PMID: 21044228)
  • 29 Lee MC, Hu S, Chen MC, Shih YC, Huang YL, Lee SH, . Skin rejuvenation with 1,064-nm Q-switched Nd:YAG laser in Asian patients.. Dermatol Surg 2009; 35 (6) 929-932 PubMed (PMID: 19397646)
  • 30 Eremia S, Li CY. Treatment of face veins with a cryogen spray variable pulse width 1064 nm Nd:YAG Laser: a prospective study of 17 patients.. Dermatol Surg 2002; 28 (3) 244-247 PubMed (PMID: 11896777)
  • 31 Luebberding S, Alexiades-Armenakas MR. Fractional, nonablative Q-switched 1,064-nm neodymium YAG laser to rejuvenate photoaged skin: a pilot case series.. J Drugs Dermatol 2012; 11 (11) 1300-1304 PubMed (PMID: 23135078)
  • 32 Manstein D, Herron GS, Sink RK, Tanner H, Anderson RR. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury.. Lasers Surg Med 2004; 34 (5) 426-438 PubMed (PMID: 15216537)
  • 33 Wanner M, Tanzi EL, Alster TS. Fractional photothermolysis: treatment of facial and nonfacial cutaneous photodamage with a 1,550-nm erbium-doped fiber laser.. Dermatol Surg 2007; 33 (1) 23-28 PubMed (PMID: 17214675)
  • 34 Kauvar AN. Fractional nonablative laser resurfacing: is there a skin tightening effect?. Dermatol Surg 2014; 40 (Suppl. Suppl 12) S157-S163 PubMed (PMID: 25417568)
  • 35 Lupton JR, Williams CM, Alster TS. Nonablative laser skin resurfacing using a 1540 nm erbium glass laser: a clinical and histologic analysis.. Dermatol Surg 2002; 28 (9) 833-835 PubMed (PMID: 12269878)
  • 36 Friedmann DP, Tzu JE, Kauvar AN, Goldman MP. Treatment of facial photodamage and rhytides using a novel 1,565 nm non-ablative fractional erbium-doped fiber laser.. Lasers Surg Med 2016; 48 (2) 174-180 PubMed (PMID: 26711809)
  • 37 Kaushik SB, Alexis AF. Nonablative fractional laser resurfacing in skin of color: evidence-based review.. J Clin Aesthet Dermatol 2017; 10 (6) 51-67 PubMed (PMID: 28979657)
  • 38 Brauer JA, McDaniel DH, Bloom BS, Reddy KK, Bernstein LJ, Geronemus RG. Nonablative 1927 nm fractional resurfacing for the treatment of facial photopigmentation.. J Drugs Dermatol 2014; 13 (11) 1317-1322 PubMed (PMID: 25607696)
  • 39 Polder KD, Bruce S. Treatment of melasma using a novel 1,927-nm fractional thulium fiber laser: a pilot study.. Dermatol Surg 2012; 38 (2) 199-206 PubMed (PMID: 22093448)
  • 40 Polder KD, Harrison A, Eubanks LE, Bruce S. 1,927-nm fractional thulium fiber laser for the treatment of nonfacial photodamage: a pilot study.. Dermatol Surg 2011; 37 (3) 342-348 PubMed (PMID: 21342312)
  • 41 Ruiz-Rodriguez R, Sanz-Sánchez T, Córdoba S. Photodynamic photorejuvenation.. Dermatol Surg 2002; 28 (8) 742-744, discussion 744 PubMed (PMID: 12174070)
  • 42 Le Pillouer-Prost A, Cartier H. Photodynamic photorejuvenation: a review.. Dermatol Surg 2016; 42 (1) 21-30 PubMed (PMID: 26713598)
  • 44 Bogle MA, Ubelhoer N, Weiss RA, Mayoral F, Kaminer MS. Evaluation of the multiple pass, low fluence algorithm for radiofrequency tightening of the lower face.. Lasers Surg Med 2007; 39 (3) 210-217 PubMed (PMID: 17304562)
  • 45 Hongcharu W, Gold M. Expanding the clinical application of fractional radiofrequency treatment: findings on rhytides, hyperpigmentation, rosacea, and acne redness.. J Drugs Dermatol 2015; 14 (11) 1298-1304 PubMed (PMID: 26580880)
  • 46 Ray M, Gold M. A retrospective study of patient satisfaction following a trial of nano-fractional RF treatment.. J Drugs Dermatol 2015; 14 (11) 1268-1271 PubMed (PMID: 26580876)
  • 47 Zhang M, Fang J, Wu Q, Lin T. A prospective study of the safety and efficacy of a microneedle fractional radiofrequency system for global facial photoaging in Chinese patients.. Dermatol Surg 2018; 44 (7) 964-970 PubMed (PMID: 29953418)
  • 48 Battle F, Battle S. Clinical evaluation of safety and efficacy of fractional radiofrequency facial treatment of skin type VI patients.. J Drugs Dermatol 2018; 17 (11) 1169-1172 PubMed (PMID: 30481955)
  • 50 Fabbrocini G, De Vita V, Pastore F et al. Collagen induction therapy for the treatment of upper lip wrinkles.. J Dermatolog Treat 2012; 23 (2) 144-152 PubMed (PMID: 21810012)
  • 51 Alster TS, Graham PM. Microneedling: a review and practical guide.. Dermatol Surg 2018; 44 (3) 397-404 PubMed (PMID: 28796657)
  • 52 Kauvar AN. Successful treatment of melasma using a combination of microdermabrasion and Q-switched Nd:YAG lasers.. Lasers Surg Med 2012; 44 (2) 117-124 PubMed (PMID: 22334295)
  • 53 Hofbauer Parra CA, Careta MF, Valente NY, de Sanches Osório NE, Torezan LA. Clinical and histopathologic assessment of facial melasma after low-fluence q-switched neodymium-doped yttrium aluminium garnet laser.. Dermatol Surg 2016; 42 (4) 507-512 PubMed (PMID: 26963146)
  • 54 Chalermchai T, Rummaneethorn P. Effects of a fractional picosecond 1,064 nm laser for the treatment of dermal and mixed type melasma.. J Cosmet Laser Ther 2018; 20 (3) 134-139 PubMed (PMID: 29020467)
  • 55 Jeong SY, Shin JB, Yeo UC, Kim WS, Kim IH. Low-fluence Q-switched neodymium-doped yttrium aluminum garnet laser for melasma with pre- or post-treatment triple combination cream.. Dermatol Surg 2010; 36 (6) 909-918 PubMed (PMID: 20384749)
  • 56 Geronemus RG. Fractional photothermolysis: current and future applications.. Lasers Surg Med 2006; 38 (3) 169-176 PubMed (PMID: 16532440)
  • 57 Alster TS, Tanzi EL, Lazarus M. The use of fractional laser photothermolysis for the treatment of atrophic scars.. Dermatol Surg 2007; 33 (3) 295-299 PubMed (PMID: 17338686)
  • 58 Hedelund L, Moreau KE, Beyer DM, Nymann P, Haedersdal M. Fractional nonablative 1,540-nm laser resurfacing of atrophic acne scars. A randomized controlled trial with blinded response evaluation.. Lasers Med Sci 2010; 25 (5) 749-754 PubMed (PMID: 20556471)
  • 59 Bernstein EF, Schomacker KT, Basilavecchio LD, Plugis JM, Bhawalkar JD. Treatment of acne scarring with a novel fractionated, dual-wavelength, picosecond-domain laser incorporating a novel holographic beam-splitter.. Lasers Surg Med 2017; 49 (9) 796-802 PubMed (PMID: 28960395)
  • 60 Thaysen-Petersen D, Lin JY, Nash J et al. The role of natural and UV-induced skin pigmentation on low-fluence IPL-induced side effects: a randomized controlled trial.. Lasers Surg Med 2014; 46 (2) 104-111 PubMed (PMID: 24037900)
  • 61 Negishi K, Tezuka Y, Kushikata N, Wakamatsu S. Photorejuvenation for Asian skin by intense pulsed light.. Dermatol Surg 2001; 27 (7) 627-631, discussion 632 PubMed (PMID: 11442612)
  • 62 Graber EM, Tanzi EL, Alster TS. Side effects and complications of fractional laser photothermolysis: experience with 961 treatments.. Dermatol Surg 2008; 34 (3) 301-305, discussion 305–307 PubMed (PMID: 18190541)
  • 63 Mahmoud BH, Srivastava D, Janiga JJ, Yang JJ, Lim HW, Ozog DM. Safety and efficacy of erbium-doped yttrium aluminum garnet fractionated laser for treatment of acne scars in type IV to VI skin.. Dermatol Surg 2010; 36 (5) 602-609 PubMed (PMID: 20384757)
  • 64 Mysore V, Mahadevappa OH, Barua S et al. Standard guidelines of care: performing procedures in patients on or recently administered with isotretinoin.. J Cutan Aesthet Surg 2017; 10 (4) 186-194 PubMed (PMID: 29491653)
  • 65 Xia J, Hu G, Hu D, Geng S, Zeng W. Concomitant use of 1,550-nm nonablative fractional laser with low-dose isotretinoin for the treatment of acne vulgaris in Asian patients: a randomized split-face controlled study.. Dermatol Surg 2018; 44 (9) 1201-1208 PubMed (PMID: 29781900)
  • 66 Saluja SS, Walker ML, Summers EM, Tristani-Firouzi P, Smart DR. Safety of non-ablative fractional laser for acne scars within 1 month after treatment with oral isotretinoin: a randomized split-face controlled trial.. Lasers Surg Med 2017; 49 (10) 886-890 PubMed (PMID: 28853175)
  • 67 Hamilton HK, Dover JS. Using checklists to minimize complications from laser/light procedures.. Dermatol Surg 2014; 40 (11) 1173-1174 PubMed (PMID: 25322164)
  • 68 Vanaman Wilson MJ, Jones IT, Bolton J, Larsen L, Fabi SG. The safety and efficacy of treatment with a 1,927-nm diode laser with and without topical hydroquinone for facial hyperpigmentation and melasma in darker skin types.. Dermatol Surg 2018; 44 (10) 1304-1310 PubMed (PMID: 29659405)
  • 69 Wanner M, Sakamoto FH, Avram MM et al. Immediate skin responses to laser and light treatments: therapeutic endpoints—how to obtain efficacy.. J Am Acad Dermatol 2016; 74 (5) 821-833, quiz 834, 833 PubMed (PMID: 27085228)
  • 70 Lee SM, Kim MS, Kim YJ et al. Adverse events of non-ablative fractional laser photothermolysis: a retrospective study of 856 treatments in 362 patients.. J Dermatolog Treat 2014; 25 (4) 304-307 PubMed (PMID: 23639051)
  • 71 Al-Niaimi F. Laser and energy-based devices’ complications in dermatology.. J Cosmet Laser Ther 2016; 18 (1) 25-30 PubMed (PMID: 26052809)
  • 72 Wat H, Yee-Nam Shek S, Yeung CK, Chan HH. Efficacy and safety of picosecond 755-nm alexandrite laser with diffractive lens array for non-ablative rejuvenation in Chinese skin.. Lasers Surg Med 2019; 51 (1) 8-13 PubMed (PMID: 30152538)
  • 73 Haimovic A, Brauer JA, Cindy Bae YS, Geronemus RG. Safety of a picosecond laser with diffractive lens array (DLA) in the treatment of Fitzpatrick skin types IV to VI: a retrospective review.. J Am Acad Dermatol 2016; 74 (5) 931-936 PubMed (PMID: 26947448)
  • 74 Chan NP, Ho SG, Shek SY, Yeung CK, Chan HH. A case series of facial depigmentation associated with low fluence Q-switched 1,064 nm Nd:YAG laser for skin rejuvenation and melasma.. Lasers Surg Med 2010; 42 (8) 712-719 PubMed (PMID: 20848553)
  • 75 Tian B. The Asian problem of frequent laser toning for melasma.. J Clin Aesthet Dermatol 2017; 10 (7) 40-42 PubMed (PMID: 29104723)
  • 76 Xu LY, Kilmer SL, Ross EV, Avram MM. Bacterial infections following non-ablative fractional laser treatment: a case series and discussion.. Lasers Surg Med 2015; 47 (2) 128-132 PubMed (PMID: 25586939)
  • 77 Kono T, Chan HH, Groff WF et al. Prospective direct comparison study of fractional resurfacing using different fluences and densities for skin rejuvenation in Asians.. Lasers Surg Med 2007; 39 (4) 311-314 PubMed (PMID: 17457835)