Balaraman Brundha, Ravanfar-Jordan Parisa, Friedman Paul M
Dermatology and Laser Surgery Center, Houston, Texas.
Section of Dermatology, Dartmouth-Hitchcock Medical Center, Nashua, New Hampshire.
Lasers Surg Med. 2017 Jan;49(1):84-87. doi: 10.1002/lsm.22535. Epub 2016 Jul 8.
The removal of café-au-lait macules (CALMs) in patients with darker skin phototypes poses a significant challenge due to limited available therapeutic options and increased risk of adverse effects, including permanent scarring and further dyspigmentation. Herein, we demonstrate the novel use of non-ablative fractional photothermolysis for the safe removal of CALMs in individuals with Fitzpatrick skin type (FST) IV-V.
Retrospective analysis of four patients (FST IV-V) with CALMs revealed that three of these patients had greater than 50% clearance after multiple treatment sessions with the non-ablative fractional 1,550-nm erbium-doped fiber laser.
This report demonstrates the utility and safety of non-ablative fractional resurfacing in the treatment of CALMs in darker skin phototypes. Lasers Surg. Med. 49:84-87, 2017. © 2016 Wiley Periodicals, Inc.
