Laser Treatment of Facial Vascular Lesions

doi:10.1055/s-2001-17973

Share / Bookmark

Facebook Twitter Linkedin Google+ Weibo CiteULike

Download PDF

Facial plast Surg 2001; 17(3): 193-202
DOI: 10.1055/s-2001-17973

Laser Treatment of Facial Vascular Lesions

Christie Travelute Ammirati¹ , Paul J. Carniol² , George J. Hruza³

¹Division of Dermatology, Department of Medicine, Penn State University, Milton S. Hershey Medical Center, Hershey, PA
²Department. of Surgery, University of Medicine and Dentistry, New Jersey Medical School, Summitt, NJ
³Department of Dermatology and Otolaryngology, St. Louis University School of Medicine, St. Louis, MO

Further Information

Publication History

Publication Date:
22 October 2001 (online)

Abstract
Full Text
References

Permissions and Reprints

ABSTRACT

For years, the traditional 577 to 585-nm pulsed dye laser has provided safe and effective treatment for many facial vascular lesions. Currently, interest is focused on how selective epidermal cooling, longer wavelengths, and varied pulse durations may expand the pulsed dye laser's therapeutic range to include treatment-resistant port wine stains, nonablative wrinkle reduction, scar revision, and nonsurgical flap delay. Despite these manipulations, the generation of objectionable purpura remains a concern to patients with limited lesions. To this effect, a long pulsed 532-nm laser has recently become available. This laser is effective for the treatment of facial telangiectasias and does not cause any purpura. It has had minimal complications in two series.

KEYWORD

Pulsed dye laser - 532-nm diode laser - vascular laser

REFERENCES

1 Alora M, Arndt K. Lasers for vascular lesions. Cosmetic Dermatol . 1998; 33-40
2 Raulin C, Weiss R A, Schonermark M P. Treatment of essential telangiectasias with an intense pulsed light source (PhotoDerm VL). Dermatol Surg . 1997; 23 941-946
3 Apfelberg D B, Greene R A, Maser M R, Lash H, Rivers J L, Laub D R. Results of argon laser exposure of capillary hemangiomas of infancy-preliminary report. Plast Reconstr Surg . 1981; 67 188-193
4 Noe J M, Barsky S H, Geer D E, Rosen S. Port wine stains and the response to argon laser therapy: successful treatment and the predictive role of color, age, and biopsy. Plast Reconstr Surg . 1980; 65 130-136
5 Dixon J A, Huether S, Rotering R. Hypertrophic scarring in argon laser treatment of port-wine stains. Plast Reconstr Surg . 1984; 73 771-779
6 Neumann R A, Knobler R M, Leonhartsberger H, Bohler-Sommeregger K, Gebhart W. Histochemical evaluation of the coagulation depth after argon laser impact on a port-wine stain. Lasers Surg Med . 1991; 11 606-615
7 Anderson R R, Parrish J A. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science . 1983; 220 524-527
8 Dierickx C C, Casparian J M, Venugopalan V, Farinelli W A, Anderson R R. Thermal relaxation of port-wine stain vessels probed in vivo: the need for 1-10-millisecond laser pulse treatment. J Invest Dermatol . 1995; 105 709-714
9 Gaston D A, Clark D P. Facial hypertrophic scarring from pulsed dye laser. Dermatol Surg . 1998; 24 523-525
10 Levine V J, Geronemus R G. Adverse effects associated with the 577- and 585-nanometer pulsed dye laser in the treatment of cutaneous vascular lesions: a study of 500 patients. J Am Acad Dermatol . 1995; 32 613-617
11 Tan O T, Morrison P, Kurban A K. 585 nm for the treatment of port-wine stains. Plast Reconstr Surg . 1990; 86 1112-1117
12 Tan O T, Murray S, Kurban A K. Action spectrum of vascular specific injury using pulsed irradiation. J Invest Dermatol . 1989; 92 868-871
13 Alster T S, Wilson F. Treatment of port-wine stains with the flashlamp-pumped pulsed dye laser: extended clinical experience in children and adults. Ann Plast Surg . 1994; 32 478-484
14 Barlow R J, Walker N P, Markey A C. Treatment of proliferative haemangiomas with the 585 nm pulsed dye laser. Br J Dermatol . 1996; 134 700-704
15 Landthaler M, Hohenleutner U, el-Raheem T A. Laser therapy of childhood haemangiomas. Br J Dermatol . 1995; 133 275-281
16 Geronemus R G. Treatment of spider telangiectases in children using the flashlamp-pumped pulsed dye laser. Pediatr Dermatol . 1991; 8 61-63
17 Alster T S, McMeekin T O. Improvement of facial acne scars by the 585 nm flashlamp-pumped pulsed dye laser. J Am Acad Dermatol . 1996; 35 79-81
18 Goldman M P, Fitzpatrick R E. Laser treatment of scars. Dermatol Surg . 1995; 21 685-687
19 Ammirati C T, Hruza G J. Treatment of granuloma faciale with the 585-nm pulsed dye laser. Arch Dermatol . 1999; 135 903-905
20 Lowe N J, Behr K L, Fitzpatrick R, Goldman M, Ruiz-Esparza J. Flash lamp pumped dye laser for rosacea-associated telangiectasia and erythema. J Dermatol Surg Oncol . 1991; 17 522-525
21 Schonermark M P, Raulin C. Treatment of xanthelasma palpebrum with the pulsed dye laser. Lasers Surg Med . 1996; 19 336-339
22 Schonermark M P, Schmidt C, Raulin C. Treatment of sebaceous gland hyperplasia with the pulsed dye laser. Lasers Surg Med . 1997; 21 313-316
23 Kane K S, Smoller B R, Fitzpatrick R E, Walker N P, Dover J S. Pulsed dye laser-resistant port-wine stains. Arch Dermatol . 1996; 132 839-841
24 Lanigan S W. Port-wine stains unresponsive to pulsed dye laser: explanations and solutions. Br J Dermatol . 1998; 139 173-177
25 Fiskerstrand E J, Svaasand L O, Kopstad G, Dalaker M, Norvang L T, Volden G. Laser treatment of port wine stains: therapeutic outcome in relation to morphological parameters. Br J Dermatol . 1996; 134 1039-1043
26 Geronemus R G, Quintana A T, Lou W W, Kauvar A N. High-fluence modified pulsed dye laser photocoagulation with dynamic cooling of port-wine stains in infancy. Arch Dermatol . 2000; 136 942-943
27 West T B, Alster T S. Comparison of the long-pulse dye (590-595 nm) and KTP (532 nm) lasers in the treatment of facial and leg telangiectasias. Dermatol Surg . 1998; 24 221-226
28 Hsia J, Lowery J A, Zelickson B. Treatment of leg telangiectasia using a long-pulse dye laser at 595 nm. Lasers Surg Med . 1997; 20 1-5
29 Edstrom D W, Ros A M. The treatment of port-wine stains with the pulsed dye laser at 600 nm. Br J Dermatol . 1997; 136 360-363
30 Gilchrest B A, Rosen S, Noe J M. Chilling port wine stains improves the response to argon laser therapy. Plast Reconstr Surg . 1982; 69 278-283
31 Nelson J S, Milner T E, Anvari B, Tanenbaum B S, Svaasand L O, Kimel S. Dynamic epidermal cooling in conjunction with laser-induced photothermolysis of port wine stain blood vessels. Lasers Surg Med . 1996; 19 224-229
32 Waldorf H A, Alster T S, McMillan K, Kauvar A N, Geronemus R G, Nelson J S. Effect of dynamic cooling on 585-nm pulsed dye laser treatment of port-wine stain birthmarks. Dermatol Surg . 1997; 23 657-662
33 Nelson J S, Milner T E, Anvari B. Dynamic epidermal cooling during pulsed laser treatment of port-wine stain. A new methodology with preliminary clinical evaluation. Arch Dermatol . 1995; 131 695-700
34 Chang C J, Nelson J S. Cryogen spray cooling and higher fluence pulsed dye laser treatment improve port-wine stain clearance while minimizing epidermal damage. Dermatol Surg . 1999; 25 767-772
35 Tunnell J W, Nelson J S, Torres J H, Anvari B. Epidermal protection with cryogen spray cooling during high fluence pulsed dye laser irradiation: an ex vivo study. Lasers Surg Med . 2000; 27 373-383
36 White J M, Siegfried E, Boulden M, Padda G. Possible hazards of cryogen use with pulsed dye laser. A case report and summary. Dermatol Surg . 1999; 25 250-253
37 Bernstein E F, Lee J, Lowery J. Treatment of spider veins with the 595 nm pulsed-dye laser. J Am Acad Dermatol . 1998; 39 746-750
38 Bernstein E F. Treatment of a resistant port-wine stain with the 1.5-msec pulse duration, tunable, pulsed dye laser. Dermatol Surg . 2000; 26 1007-1009
39 Broska P, Martinho E, Goodman M M. Comparison of the argon tunable dye laser with the flashlamp pulsed dye laser in treatment of facial telangiectasia. J Dermatol Surg Oncol . 1994; 20 749-753
40 Ugent S. The effect of pulse duration on facial telangiectasias in a pulsed dye laser: a comparison of the Candela V beam long pulse dye laser (1-40 msec) and the SPTL-1b. Candela Clin Update . 2000; 3 1-3
41 Cassuto D, Ancona D, Emanuelli G. Treatment of facial telangiectasias with a diode-pumped Nd:YAG laser at 532 nm. J Cutan Laser Ther . 2000; 2 141-146
42 Kauvar A N, Geronemus R G. Repetitive pulsed dye laser treatments improve persistent port-wine stains. Dermatol Surg . 1995; 21 515-521
43 Ricci R M, Finley E M, Grimwood R E. Treatment of cutaneous hemangiomas in preterm neonatal twins with the flashlamp-pumped pulsed dye laser. Lasers Surg Med . 1998; 22 10-13
44 Lanigan S W. Port wine stains on the lower limb: response to pulsed dye laser therapy. Clin Exp Dermatol . 1996; 21 88-92
45 Renfro L, Geronemus R G. Anatomical differences of port-wine stains in response to treatment with the pulsed dye laser. Arch Dermatol . 1993; 129 182-188
46 Nguyen C M, Yohn J J, Huff C, Weston W L, Morelli J G. Facial port wine stains in childhood: prediction of the rate of improvement as a function of the age of the patient, size and location of the port wine stain and the number of treatments with the pulsed dye (585 nm) laser. Br J Dermatol . 1998; 138 821-825
47 Morelli J G, Weston W L, Huff J C, Yohn J J. Initial lesion size as a predictive factor in determining the response of port-wine stains in children treated with the pulsed dye laser. Arch Pediatr Adolesc Med . 1995; 149 1142-1144
48 Onizuka K, Tsuneda K, Shibata Y, Ito M, Sekine I. Efficacy of flashlamp-pumped pulsed dye laser therapy for port wine stains: clinical assessment and histopathological characteristics. Br J Plast Surg . 1995; 48 271-279
49 Hohenleutner U, Hilbert M, Wlotzke U, Landthaler M. Epidermal damage and limited coagulation depth with the flashlamp-pumped pulsed dye laser: a histochemical study. J Invest Dermatol . 1995; 104 798-802
50 Fiskerstrand E J, Svaasand L O, Kopstad G, Ryggen K, Aase S. Photothermally induced vessel-wall necrosis after pulsed dye laser treatment: lack of response in port-wine stains with small sized or deeply located vessels. J Invest Dermatol . 1996; 107 671-675
51 van Gemert J M, Nelson J S, Milner T E. Non-invasive determination of port wine stain anatomy and physiology for optimal laser treatment strategies. Phys Med Biol . 1997; 42 937-950
52 Troilius A, Wrangsjo B, Ljunggren B. Patients with port-wine stains and their psychosocial reactions after photothermolytic treatment. Dermatol Surg . 2000; 26 190-196
53 Miller A C, Pit-Ten Cate M I, Watson H S, Geronemus R G. Stress and family satisfaction in parents of children with facial port-wine stains. Pediatr Dermatol . 1999; 16 190-197
54 Alster T S, Williams C M. Treatment of keloid sternotomy scars with 585 nm flashlamp-pumped pulsed-dye laser. Lancet . 1995; 345 1198-1200
55 Alster T S. Improvement of erythematous and hypertrophic scars by the 585-nm flashlamp-pumped pulsed dye laser. Ann Plast Surg . 1994; 32 186-190
56 Alster T S, Lewis A B, Rosenbach A. Laser scar revision: comparison of CO₂ laser vaporization with and without simultaneous pulsed dye laser treatment. Dermatol Surg . 1998; 24 1299-1302
57 Reiken S R, Wolfort S F, Berthiaume F, Compton C, Tompkins R G, Yarmush M L. Control of hypertrophic scar growth using selective photothermolysis. Lasers Surg Med . 1997; 21 7-12
58 Hruza G J, Dover J S. Laser skin resurfacing. Arch Dermatol . 1996; 132 451-455
59 Manuskiatti W, Fitzpatrick R E, Goldman M P. Treatment of facial skin using combinations of CO₂, Q-switched alexandrite, flashlamp-pumped pulsed dye, and Er:YAG lasers in the same treatment session. Dermatol Surg . 2000; 26 114-120
60 Goldberg D J. Full-face nonablative dermal remodeling with a 1320 nm Nd:YAG laser. Dermatol Surg . 2000; 26 915-918
61 McDaniel D H, Ash K, Zukowski M. Treatment of stretch marks with the 585-nm flashlamp-pumped pulsed dye laser. Dermatol Surg . 1996; 22 332-337
62 Zelickson B D, Kilmer S L, Bernstein E. Pulsed dye laser therapy for sun damaged skin. Lasers Surg Med . 1999; 25 229-236
63 Bjerring P, Clement M, Heickerdorff L, Egevist H, Kiernan M. Selective non-ablative wrinkle reduction by laser. J Cutan Laser Ther . 2000; 2 9-15
64 Aslan G, Karacal N, Gorgu M, Erdogan B. Nonsurgical delay of cutaneous flaps using the flashlamp pumped pulsed dye laser. Ann Plast Surg . 2000; 44 277-281
65 Cohen M, Kattan A, Gat A. Comparison of flash lamp pulsed-dye laser (585 nm) and conventional surgery in the delay of random dorsal rat flaps. Lasers Surg Med . 1999; 25 178-186