Treatment of melasma with the 1,927-nm fractional thulium fiber laser: a retrospective analysis of 20 cases with long-term follow-up.

Abstract

BACKGROUND:

Melasma is a common acquired symmetrical hyperpigmentation that is often recurrent and refractory.

OBJECTIVES:

To investigate the efficacy and safety of a single administration of high-density fractional thulium fiber laser (1,927 nm) for the treatment of refractory melasma in 20 patients.

MATERIALS AND METHODS:

A retrospective chart and photographs review of 20 women (Fitzpatrick skin type II-IV) with clinical diagnosis of melasma treated with the 1,927-nm fractionated thulium laser at 10 or 20 mJ/cm(2) , with 60-70% surface area coverage. Four investigators independently evaluated Melasma Area Severity Index (MASI) scores before, 4 weeks, 3-6 months, and 6-12 months after treatment.

RESULTS:

Mean MASI scores decreased dramatically from 13.2 ± 5.4 before treatment to 8.5 ± 3.5 at 4 weeks after laser treatment (P = 0.004). Patient assessment revealed that 12 of the 20 subjects had more than 50% clearance of their melasma. Recurrence was reported by 7 out of 15 patients who were successfully followed-up (mean 10.2 months). Two patients developed postinflammatory hyperpigmentation that subsided with topical bleaching after 3 months.

CONCLUSION:

High-density coverage fractional 1,927-nm thulium laser proved to be safe and effective for melasma with long-term remission.

• Authors: Ane Beatriz M Niwa Massaki, Sasima Eimpunth, Sabrina G Fabi, Isabella Guiha, William Groff, Richard Fitzpatrick
• Journal: Lasers in surgery and medicine (Lasers Surg Med) Vol. 45 Issue 2 Pg. 95-101 (Feb 2013) ISSN: 1096-9101 [Electronic] United States
• PMID: 23255085 (Publication Type: Evaluation Study, Journal Article)
• Copyright: Copyright © 2012 Wiley Periodicals, Inc.

Topics

• Adult
• Female
• Follow-Up Studies
• Humans
• Lasers, Solid-State (therapeutic use)
• Melanosis (surgery)
• Middle Aged
• Patient Satisfaction
• Retrospective Studies
• Severity of Illness Index
• Treatment Outcome