A retrospective study of the management of Chinese melasma patients using a 1927 nm fractional thulium fiber laser.

Abstract

BACKGROUND:

A new fractional photothermolysis device is used in our retrospective study to treat melasma in Chinese patients.

OBJECTIVES:

To evaluate the efficacy and safety of the 1927 nm fractional thulium fiber laser in the treatment of melasma in Chinese patients.

METHODS:

Eleven melasma patients who received treatment between November 2009 and May 2010 were included. Photographic images at baseline and follow-up were assessed for clinical efficacy and complications by two independent and blinded physicians. Questionnaires were also completed by patients.

RESULTS:

Significant MASI improvements were seen at 1 week, 1 month and 2 months, but not at 3 months. Patients' degree of satisfaction was high. Significant improvement in skin texture and pore size was seen for up to 2 months and improvement in wrinkles for up to a month. There was no change in skin laxity. Main adverse effects seen were erythema, edema, and crusting in the early days. One patient developed PIH.

CONCLUSION:

The novel 1927 nm fractional thulium fiber laser is safe and effective in the management of melasma in Chinese patients for up to 2 months. It is also useful in photo-rejuvenation. Complications were limited to erythema and edema in the early days, and transient PIH.

• Authors: Stephanie G Y Ho, C K Yeung, Nicola P Y Chan, Samantha Y Shek, Henry H L Chan
• Journal: Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology (J Cosmet Laser Ther) Vol. 15 Issue 4 Pg. 200-6 (Aug 2013) ISSN: 1476-4180 [Electronic] England
• PMID: 23384107 (Publication Type: Journal Article)

Chemical References

• Thulium

Topics

• Adult
• Edema (etiology)
• Erythema (etiology)
• Female
• Humans
• Hyperpigmentation (etiology)
• Lasers, Solid-State (therapeutic use)
• Melanosis (surgery)
• Middle Aged
• Patient Satisfaction
• Purpura (etiology)
• Retrospective Studies
• Skin Aging
• Thulium