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  • Presentation

New Innovations in Dermatology: What Devices You Will Be Using in the Next 1-5 Years

Description

The presentation discusses recent innovations in dermatology, specifically focusing on two newly FDA-approved laser devices designed for acne treatment utilizing a wavelength of 1726 nanometers. This wavelength selectively targets fat in sebaceous glands, crucial for effective acne management. The talk emphasizes the importance of two key factors in laser effectiveness: the color of the laser and the pulse duration. The devices differ in their cooling mechanisms, energy outputs, and operating modalities, which influence treatment outcomes. One device features an air-chilled cooling system and employs a fiber laser, while the other utilizes contact cooling akin to traditional hair removal lasers. Both devices achieve significant acne clearance, boasting rates of 90% and 80% at 12 weeks, surpassing traditional medical treatments that typically show 50-60% efficacy. Clinical results reveal sustained remission for up to three years, with both devices demonstrating no adverse effects on varying skin tones due to their targeting wavelength. The speaker concludes by acknowledging the need for future comparative studies as these technologies become more integrated into clinical practice.

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Conclusions

  • Two FDA-approved laser devices for acne treatment are based on the 1726 nanometer wavelength, targeting sebaceous glands effectively.
  • Overall, results indicate approximately 90% acne clearance from one device and about 80% clearance from the other over 12 weeks.
  • Clearly defined differences in laser technology and techniques exist, including cooling methods and energy levels, which may affect clinical outcomes.
  • Both devices yield longer-term remission, with one showing 80% remission over 35 months and the other 50% over 24 months.
  • Selectivity and pulse duration are critical factors in the efficacy of laser treatments for acne.
  • The lasers show significant histological damage to sebaceous glands, which are larger and contribute to acne, thus demonstrating effective treatment capability.
  • Results show that both lasers can be safely used across various skin types without targeting melanin, minimizing side effects.
  • The findings suggest that laser treatments for acne may offer superior clearance rates compared to conventional medical treatments.
  • Sakamoto, F.H., et al., Selective photothermolysis to target sebaceous glands: theoretical estimation of parameters and preliminary results using a free electron laser. Lasers Surg Med, 2012. 44(2): p. 175-83.
  • Goldberg D, Kothare A, Doucette M, Kaur A, Ronan S, Fromowitz J, Hamidi-Sakr A. Selective photothermolysis with a novel 1726 nm laser beam: A safe and effective solution for acne vulgaris.
  • Alexiades M, Kothare A, Goldberg D, Dover JS. Novel 1726 nm laser demonstrates durable therapeutic outcomes and tolerability for moderate-to-severe acne across skin types.