Negishi K, Tezuka Y, Kushikata N, Wakamatsu S
Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Daini Hospital, Tokyo, Japan.
Dermatol Surg. 2001 Jul;27(7):627-31; discussion 632. doi: 10.1046/j.1524-4725.2001.01002.x.
Dermabrasion and deep chemical peeling are used in the treatment of photoaged skin. These ablative procedures are effective enough to produce a certain improvement but have often caused postinflammatory hyperpigmentation among Asian patients. To avoid such adverse effects, a new, nonablative procedure has been sought.
To determine the effectiveness of photorejuvenation for Asian skin using intense pulsed light (IPL). The specific parameters used, improvement ratios, side-effects, and downtime required are also discussed.
Ninety-seven patients were treated for photoaging using IPL. The cutoff filters of 550 nm and 570 nm were utilized for three to six treatments at intervals of 2 to 3 weeks.
Treatment results were evaluated and rated by both patients and physicians at the end of the third treatment based on improvement in pigmentation, telangiectasia, and skin texture. A combined rating of "good" or "excellent" was given to more than 90% of the patients for pigmentation, more than 83% for telangiectasia, and more than 65% for skin texture. There were some minor complications in four cases: one had erythema that continued to the next day and three had minor blisters leaving no marks.
Photorejuvenation using IPL is a completely safe and effective procedure even for Asian skin. It will be increasingly used for skin rejuvenation in the future.
皮肤磨削术和深层化学剥脱术用于治疗光老化皮肤。这些剥脱性手术有足够的疗效以产生一定改善,但在亚洲患者中常引起炎症后色素沉着。为避免此类不良反应,人们一直在寻找一种新的非剥脱性手术方法。
确定使用强脉冲光(IPL)对亚洲皮肤进行光嫩肤的有效性。还讨论了所使用的具体参数、改善率、副作用以及所需的停工期。
97例患者接受IPL治疗光老化。使用550nm和570nm的截止滤光片,每隔2至3周进行3至6次治疗。
在第三次治疗结束时,由患者和医生根据色素沉着、毛细血管扩张和皮肤质地的改善情况对治疗结果进行评估和评级。超过90%的患者色素沉着评分为“良好”或“优秀”,超过83%的患者毛细血管扩张评分为“良好”或“优秀”,超过65%的患者皮肤质地评分为“良好”或“优秀”。有4例出现一些轻微并发症:1例出现红斑并持续至次日,3例出现小水泡但未留痕迹。
即使对于亚洲皮肤,使用IPL进行光嫩肤也是一种完全安全有效的手术方法。未来它将越来越多地用于皮肤年轻化。