Cosmetic Laser Dermatology: A West Dermatology Company, San Diego, California.
Department of Dermatology, Tufts Medical Center, Boston, Massachusetts.
Dermatol Surg. 2021 Jan 1;47(1):76-78. doi: 10.1097/DSS.0000000000002406.
Facial reticular veins can be treated with laser therapy, sclerotherapy, or surgical removal. The use of a 1,064 nm neodymium-doped yttrium aluminum garnet (Nd:YAG) laser has been reported to be successful in the treatment of facial reticular veins.
To report a large retrospective study examining the efficacy, side effects, and satisfaction of a dynamically cooled, variable spot-sized 1,064 nm Nd:YAG laser for the treatment of facial reticular veins in the periorbital and temporal area.
Contact was made with 100 patients from 2006 to 2019 who underwent treatment with a 1,064 nm Nd:YAG laser for facial reticular veins through office follow-up or telephone interviews. Percent resolution of veins, satisfaction, and adverse effects were evaluated.
Eighty-nine of the 100 patients ranked their satisfaction with the treatment as 3 or very satisfied. Most patients reported 75% to 100% improvement. The most commonly reported adverse event seen after treatment was mild edema. Sixty-eight percent of patients reported no adverse effects at all.
The dynamically cooled, variable spot-sized 1,064 nm Nd:YAG laser is a safe and effective treatment for facial reticular veins with minimal side effects. The results are usually immediate and, based on the long-term follow-up, tend to be long lasting.
网状面部静脉可通过激光治疗、硬化治疗或手术切除进行治疗。使用 1064nm 掺钕钇铝石榴石（Nd：YAG）激光治疗网状面部静脉已被证明是有效的。
报告一项大型回顾性研究，研究动态冷却、可变光斑大小的 1064nmNd：YAG 激光治疗眶周和颞部网状面部静脉的疗效、副作用和满意度。
联系了 2006 年至 2019 年期间通过门诊随访或电话访谈接受 1064nmNd：YAG 激光治疗网状面部静脉的 100 名患者。评估了静脉消退百分比、满意度和不良反应。
89 名患者将治疗满意度评为 3 分或非常满意。大多数患者报告改善了 75%至 100%。治疗后最常见的不良反应是轻度水肿。68%的患者报告没有任何不良反应。
动态冷却、可变光斑大小的 1064nmNd：YAG 激光是一种治疗网状面部静脉的安全有效的方法，副作用极小。结果通常是即时的，基于长期随访，效果往往持久。
