Barikbin Behrooz, Akbari Zahra, Vafaee Reza, Razzaghi Zahra
Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Proteomics Research Center, Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Lasers Med Sci. 2019 Fall;10(Suppl 1):S64-S67. doi: 10.15171/jlms.2019.S12. Epub 2019 Dec 1.
Intense pulsed light (IPL) is one of the effective methods used to treat the signs of facial aging. However, its efficacy in improving the appearance of periorbital wrinkles has always been evaluated in the context of whole-face rejuvenation and not studied in its own right. Therefore, in this study, we sought to examine the effectiveness and side effects of IPL in periorbital skin rejuvenation. In this uncontrolled, open-label clinical trial, 38 patients referred to the Behrooz professional skin clinic for signs of periorbital skin aging were recruited. The patients underwent three treatment sessions with IPL at one-month intervals and were evaluated for treatment side effects after each session. Six months after the final IPL session, patients were examined to assess the level of symptom improvement. The patients were photographed at each treatment session and on the 6-month follow-up visit. Before and after treatment, the patient images were evaluated by two dermatologists unaffiliated with the study to determine the extent of improvement in the appearance of wrinkles and skin texture. Six months' post-treatment, excellent improvement was observed in 3 patients (9.1%), considerable improvement in 7 patients (21.2%), moderate improvement in 9 patients (27.3%), mild improvement in 9 patients (27.3%), and finally little or no improvement in 5 patients (15.1%). A comparison of improvement scores based on the Fitzpatrick skin phenotype did not show significant differences (P=0.674). Four patients (12.1%) were dissatisfied with the treatment, whilst 17 patients (51.5%) reported moderate to considerable satisfaction with IPL rejuvenation. During facial rejuvenation, IPL can be used to improve periorbital skin aging.
强脉冲光(IPL)是用于治疗面部衰老迹象的有效方法之一。然而,其改善眶周皱纹外观的功效一直是在全脸年轻化的背景下进行评估,而未单独进行研究。因此,在本研究中,我们试图检验强脉冲光在眶周皮肤年轻化中的有效性和副作用。在这项非对照、开放标签的临床试验中,招募了38名因眶周皮肤衰老迹象而转诊至Behrooz专业皮肤诊所的患者。患者每隔一个月接受三次强脉冲光治疗,并在每次治疗后评估治疗副作用。在最后一次强脉冲光治疗六个月后,对患者进行检查以评估症状改善程度。在每次治疗时以及6个月随访时对患者进行拍照。治疗前后,由两名未参与该研究的皮肤科医生对患者图像进行评估,以确定皱纹外观和皮肤质地的改善程度。治疗后六个月,3名患者(9.1%)改善极佳,7名患者(21.2%)改善显著,9名患者(27.3%)改善中等,9名患者(27.3%)改善轻微,最后5名患者(15.1%)改善甚微或没有改善。基于Fitzpatrick皮肤分型的改善评分比较未显示出显著差异(P = 0.674)。4名患者(12.1%)对治疗不满意,而17名患者(51.5%)对强脉冲光年轻化治疗表示中度至高度满意。在面部年轻化过程中,强脉冲光可用于改善眶周皮肤衰老。