Successful treatment of facial vascular skin diseases with a 577-nm pro-yellow laser

J Cosmet Dermatol. 2019 Dec;18(6):1675-1679. doi: 10.1111/jocd.12963. Epub 2019 Apr 29.

Abstract

Background: Treatment of vascular skin diseases is one of the most important indications of the laser.

Aims: To evaluate the effectiveness of 577-nm pro-yellow laser in the treatment of some vascular skin diseases.

Patients/methods: Ninety-five patients with vascular skin diseases were included in this prospective monocentric study. They were classified into: port-wine stain birthmarks (n = 37), papulopustular rosacea (n = 20), facial telangiectasia (n = 16), and facial erythema (n = 22). All participants received a monthly session of 577-nm pro-yellow laser. Follow-up was done by comparing the photographs before and at every follow-up visit.

Results: At the final visit, there was a significant improvement (>50%) occurred in 24/37 (64.82%), 12/20 (60%), 10/16 (62.5%), and 19/22 (86.3%) cases and poor response occurred in 6/37 (16.2%), 2/20 (10%), 2/16 (12.5%), and 0/22 cases after a mean number of sessions 7.76 ± 2.28, 3.1 ± 1.8, 3.63 ± 1.12, and 1.8 ± 0.85 in port-wine stain, rosacea-, facial telangiectasia-, and facial erythema-treated groups, respectively. Transient irritation and erythema during the session were the only complications reported in the study.

Conclusion: Facial port-wine stains, rosacea, telangiectasia, and erythema can be successfully treated with a single pass of 577-nm pro-yellow laser with a minimal side effect. Facial erythema showed the highest degree of success with the least number of sessions, while more sessions needed for the treatment of port-wine stain.

Keywords: facial erythema; port-wine stain; pro-yellow laser; rosacea; telangiectasia.

MeSH terms

  • Adolescent
  • Adult
  • Erythema / diagnostic imaging*
  • Erythema / etiology
  • Face
  • Female
  • Follow-Up Studies
  • Humans
  • Lasers, Solid-State / therapeutic use*
  • Low-Level Light Therapy / adverse effects
  • Low-Level Light Therapy / instrumentation
  • Low-Level Light Therapy / methods*
  • Male
  • Photography
  • Port-Wine Stain / diagnostic imaging
  • Port-Wine Stain / radiotherapy
  • Prospective Studies
  • Rosacea / diagnostic imaging
  • Rosacea / radiotherapy
  • Skin / blood supply
  • Skin / diagnostic imaging
  • Skin / radiation effects
  • Skin Diseases, Vascular / diagnostic imaging
  • Skin Diseases, Vascular / radiotherapy*
  • Telangiectasis / radiotherapy
  • Time Factors
  • Treatment Outcome
  • Young Adult