The use of ablative lasers in the treatment of facial melasma
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Anais brasileiros de dermatologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000200238 |
Resumo: | Melasma represents a pigmentary disorder that is difficult to treat. This study aims to broadly review the use of ablative lasers (Er:YAG and CO2) in the treatment of melasma, presenting the level of evidence of studies published to date. A total of 75 patients were enrolled in four case series studies (n=39), one controlled clinical trial (n=6) and one randomized controlled clinical trial (n=30). Studies on the Er:YAG laser showed better results with the use of short square-shaped pulses, which determined low rates of post-inflammatory hyperpigmentation and long-lasting maintenance of results. Likewise, studies on the CO2 laser proved the benefits of short pulse duration along with low-density energy. Post-treatment maintenance with the use of antipigmenting creams was necessary and effective to sustain long-term results. Ablative lasers may represent another useful and effective tool against melasma. Postinflammatory hyperpigmentation and difficulty in sustaining long-term results still represent the main limitations to a broader use of ablative lasers. Based on actual evidence, the use of this technology should be restricted to patients with recalcitrant disease. Further studies will help establish optimal laser parameters and treatment regimens. |
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The use of ablative lasers in the treatment of facial melasmaCarbon dioxideErbiumLaser therapyLasers, gasMelanosisMelasma represents a pigmentary disorder that is difficult to treat. This study aims to broadly review the use of ablative lasers (Er:YAG and CO2) in the treatment of melasma, presenting the level of evidence of studies published to date. A total of 75 patients were enrolled in four case series studies (n=39), one controlled clinical trial (n=6) and one randomized controlled clinical trial (n=30). Studies on the Er:YAG laser showed better results with the use of short square-shaped pulses, which determined low rates of post-inflammatory hyperpigmentation and long-lasting maintenance of results. Likewise, studies on the CO2 laser proved the benefits of short pulse duration along with low-density energy. Post-treatment maintenance with the use of antipigmenting creams was necessary and effective to sustain long-term results. Ablative lasers may represent another useful and effective tool against melasma. Postinflammatory hyperpigmentation and difficulty in sustaining long-term results still represent the main limitations to a broader use of ablative lasers. Based on actual evidence, the use of this technology should be restricted to patients with recalcitrant disease. Further studies will help establish optimal laser parameters and treatment regimens.Sociedade Brasileira de Dermatologia2013-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000200238Anais Brasileiros de Dermatologia v.88 n.2 2013reponame:Anais brasileiros de dermatologia (Online)instname:Sociedade Brasileira de Dermatologia (SBD)instacron:SBD10.1590/S0365-05962013000200009info:eu-repo/semantics/openAccessMorais,Orlando Oliveira deLemos,Érica Freitas LimaSousa,Márcia Carolline dos SantosGomes,Ciro MartinsCosta,Izelda Maria CarvalhoPaula,Carmen Déa Ribeiro deeng2013-06-04T00:00:00Zoai:scielo:S0365-05962013000200238Revistahttp://www.anaisdedermatologia.org.br/https://old.scielo.br/oai/scielo-oai.phpabd@sbd.org.br||revista@sbd.org.br1806-48410365-0596opendoar:2013-06-04T00:00Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD)false |
dc.title.none.fl_str_mv |
The use of ablative lasers in the treatment of facial melasma |
title |
The use of ablative lasers in the treatment of facial melasma |
spellingShingle |
The use of ablative lasers in the treatment of facial melasma Morais,Orlando Oliveira de Carbon dioxide Erbium Laser therapy Lasers, gas Melanosis |
title_short |
The use of ablative lasers in the treatment of facial melasma |
title_full |
The use of ablative lasers in the treatment of facial melasma |
title_fullStr |
The use of ablative lasers in the treatment of facial melasma |
title_full_unstemmed |
The use of ablative lasers in the treatment of facial melasma |
title_sort |
The use of ablative lasers in the treatment of facial melasma |
author |
Morais,Orlando Oliveira de |
author_facet |
Morais,Orlando Oliveira de Lemos,Érica Freitas Lima Sousa,Márcia Carolline dos Santos Gomes,Ciro Martins Costa,Izelda Maria Carvalho Paula,Carmen Déa Ribeiro de |
author_role |
author |
author2 |
Lemos,Érica Freitas Lima Sousa,Márcia Carolline dos Santos Gomes,Ciro Martins Costa,Izelda Maria Carvalho Paula,Carmen Déa Ribeiro de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Morais,Orlando Oliveira de Lemos,Érica Freitas Lima Sousa,Márcia Carolline dos Santos Gomes,Ciro Martins Costa,Izelda Maria Carvalho Paula,Carmen Déa Ribeiro de |
dc.subject.por.fl_str_mv |
Carbon dioxide Erbium Laser therapy Lasers, gas Melanosis |
topic |
Carbon dioxide Erbium Laser therapy Lasers, gas Melanosis |
description |
Melasma represents a pigmentary disorder that is difficult to treat. This study aims to broadly review the use of ablative lasers (Er:YAG and CO2) in the treatment of melasma, presenting the level of evidence of studies published to date. A total of 75 patients were enrolled in four case series studies (n=39), one controlled clinical trial (n=6) and one randomized controlled clinical trial (n=30). Studies on the Er:YAG laser showed better results with the use of short square-shaped pulses, which determined low rates of post-inflammatory hyperpigmentation and long-lasting maintenance of results. Likewise, studies on the CO2 laser proved the benefits of short pulse duration along with low-density energy. Post-treatment maintenance with the use of antipigmenting creams was necessary and effective to sustain long-term results. Ablative lasers may represent another useful and effective tool against melasma. Postinflammatory hyperpigmentation and difficulty in sustaining long-term results still represent the main limitations to a broader use of ablative lasers. Based on actual evidence, the use of this technology should be restricted to patients with recalcitrant disease. Further studies will help establish optimal laser parameters and treatment regimens. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000200238 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962013000200238 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0365-05962013000200009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Dermatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Dermatologia |
dc.source.none.fl_str_mv |
Anais Brasileiros de Dermatologia v.88 n.2 2013 reponame:Anais brasileiros de dermatologia (Online) instname:Sociedade Brasileira de Dermatologia (SBD) instacron:SBD |
instname_str |
Sociedade Brasileira de Dermatologia (SBD) |
instacron_str |
SBD |
institution |
SBD |
reponame_str |
Anais brasileiros de dermatologia (Online) |
collection |
Anais brasileiros de dermatologia (Online) |
repository.name.fl_str_mv |
Anais brasileiros de dermatologia (Online) - Sociedade Brasileira de Dermatologia (SBD) |
repository.mail.fl_str_mv |
abd@sbd.org.br||revista@sbd.org.br |
_version_ |
1752126418631786496 |