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  • Presentation

Lasers and Lights for Acne and Rosacea

Description

In this presentation, a laser fellowship-trained dermatologist discusses the application of laser technologies in treating acne and rosacea, emphasizing that while lasers are a promising addition, traditional treatments remain important. The talk highlights advancements in laser technology, particularly the 1064 nanometer and 1726 nanometer lasers, which have been FDA cleared for treating various forms of inflammatory acne. The 1726 nanometer laser specifically targets sebum, allowing for effective treatments with minimal damage to surrounding skin. Various studies are cited, demonstrating the lasers' efficacy in achieving significant reductions in inflammatory lesions over time. Additionally, the dermatologist touches on various devices such as the gold microparticle laser and the dual wavelength laser, noting positive outcomes from clinical trials and real-world applications. For rosacea, lasers such as pulsed dye lasers are highlighted as effective options for treating persistent erythema and telangiectasias. The presentation concludes with practical advice on using lasers in conjunction with isotretinoin treatments and suggests best practices for managing post-inflammatory erythema in acne patients. Overall, the dermatologist advocates for incorporating lasers into therapeutic strategies to enhance patients' quality of life.

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Conclusions

  • Lasers are increasingly recognized for their potential role in the treatment of acne.
  • The 1064 nm laser is FDA cleared for mild to moderate inflammatory acne and has shown a significant reduction in inflammatory lesions.
  • Gold microparticle lasers effectively target sebaceous glands and provide a sustained treatment effect beyond initial sessions.
  • The dual wavelength 589nm/1319nm laser shows promise in treating inflammatory acne by utilizing photothermal diffusion.
  • Recent advances in 1726nm lasers specifically target sebum, showing efficacy in treating mild, moderate, and severe inflammatory acne.
  • Many new devices have gained FDA clearance for acne treatment, providing more options for patients.
  • Lasers can significantly improve the quality of life for patients suffering from acne and rosacea-related symptoms.
  • It is safe to use lasers on patients currently undergoing isotretinoin therapy, contrary to previous beliefs about risks.
  • Post-inflammatory erythema is effectively treated with pulsed dye laser therapy, improving patient outcomes.
  • Resource allocation towards further studies is essential to solidify the role of lasers and lights in acne management.
  • Zaenglein, Andrea L ., et al. "Guidelines of care for the management of acne vulgaris." Journal of the American Academy of Dermatology 74.5 (2016): 945-973.
  • Reynolds, Rachel V ., et al. "Guidelines of care for the management of acne vulgaris." Journal of the American Academy of Dermatology (2024).
  • Kesty K, Goldberg DJ. 650 usec 1064nm Nd:YAG laser treatment of acne: A double-blind randomized control study. J Cosmet Dermatol. 2020 Sep; 19(9):2295-2300.
  • Lim, Joyce Teng-Ee MBBS. Efficacy and Safety of Solid-state Dual-wavelength Lasers for the Treatment of Moderate-to-severe Inflammatory Acne in Asian Populations. Plastic & Reconstructive Surgery-Global Open 12(1):p e5550, January 2024.
  • Neuhaus, Isaac M ., Lee T. Zane, and Whitney D. Tope. "Comparative efficacy of nonpurpuragenic pulsed dye laser and intense pulsed light for erythematotelangiectatic rosacea." Dermatologic surgery 35.6 (2009): 920-928.
  • Kim, Bo Young, Hye-Rim Moon, and Hwa Jung Ryu. "Comparative efficacy of short-pulsed intense pulsed light and pulsed dye laser to treat rosacea." Journal of Cosmetic and Laser Therapy 21.5 (2019): 291-296.
  • Shim TN, Abdullah A. The effect of pulsed dye laser on the dermatology life quality index in erythematotelangiectatic rosacea patients: an assessment. J Clin Aesthet Dermatol. 2013;6(4):30-32.
  • Spring L et al. JAMA Dermatol. 2017; 153(8):802-809.
  • Ibrahim SM et al. Lasers in Surg and Med. 2020.
  • Bae-Harboe, Yoon-Soo Cindy, and Emmy M. Graber. "Easy as PIE (postinflammatory erythema)." The Journal of clinical and aesthetic dermatology 6.9 (2013): 46.
  • Kashlan, L, Graber EM and Arndt, KA. "Hair dryer use to optimize pulsed dye laser treatment in rosacea patients." The Journal of clinical and aesthetic dermatology 5.6 (2012):41.
  • Micali, G et al. "Treatment of erythemato-telangiectatic rosacea with brimonidine alone or combined with vascular laser based on preliminary instrumental evaluation of the vascular component." Lasers in medical science 33.6 (2018): 1397-1400.
  • Suggs, AK ., et al. "Treatment of erythematotelangiectatic rosacea with pulsed-dye laser and oxymetazoline 1.0% cream: A retrospective study." Lasers in surgery and medicine 52.1 (2020): 38-43.
  • Alexiades, Macrene, et al. "Novel 1726 nm Laser Demonstrates Durable Therapeutic Outcomes and Tolerability for Moderate-to-Severe Acne Across Skin Types." Journal of the American Academy of Dermatology (2023).
  • Tanghetti, E ., Geronemus, R ., Bloom, B ., Anderson, R.R ., Ross, E.V ., Sakamoto, F.W. Safety and Efficacy data in a pilot study of the treatment of acne with a fiber laser. Poster accepted for presentation at: 40th ASLMS Annual Conference; 2020 April 29 - May 3; Phoenix, AZ, USA.