Lee Tee Sin, Kwek James Wei Ming, Ellis David A F
Department of Otolaryngology Head and Neck Surgery, Changi General Hospital, Singapore City, Singapore.
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, ON, Canada.
J Cosmet Dermatol. 2020 Sep;19(9):2306-2312. doi: 10.1111/jocd.13504. Epub 2020 Jun 12.
The periocular and temporal regions are important aspects of beauty. The presence of reticular veins in these areas is undesirable and can also interfere with injection of neurotoxins to treat squint lines. 1064-nm Nd:YAG laser shows promise as an effective treatment modality with long-lasting effects.
The aim of the study is to show that the long-pulsed, contact-cooled, variable spot-sized 1064-nm Nd:YAG laser is effective and safe, with good patient satisfaction and tolerability, and is able to achieve long-term results.
A retrospective study of 35 consecutive patients seen over a 3-year period in a private cosmetic clinic affiliated to the University of Toronto for periocular and temporal reticular veins was conducted. They were all treated with 1064-nm Nd:YAG laser.
A total of 35 patients with an average age of 45.8 years old received treatment. 13 had lower eyelids treated, 9 had temples treated, 12 had both lower eyelids and temples treated, and 1 had both upper and lower eyelids treated. The first case of upper eyelid vein being treated with the 1064-nm Nd:YAG laser with great success after only 1 treatment is reported. 80% of the patients required only 1-2 treatment sessions. The average satisfaction score was 7.9 out of 10. The average pain score was 5.0 out of 10. 91% perceived the treatment outcome as excellent or good with the longest result lasting 33 months. There were 4 complications: 1 scabbing, 1 small burn, 1 skin darkening, and 1 teary eye.
The study showed that the use of the long-pulsed, contact-cooled, variable spot-sized 1064-nm Nd:YAG laser is effective and safe, with good patient satisfaction and tolerability, and is able to achieve long-term results.
眼周和颞部区域是美观的重要方面。这些区域出现网状静脉是不理想的，并且还会干扰注射神经毒素来治疗皱纹。1064纳米掺钕钇铝石榴石激光显示出作为一种具有持久效果的有效治疗方式的前景。
本研究的目的是表明长脉冲、接触冷却、光斑大小可变的1064纳米掺钕钇铝石榴石激光是有效且安全的，患者满意度和耐受性良好，并且能够取得长期效果。
对多伦多大学附属一家私立美容诊所3年内连续接诊的35例眼周和颞部网状静脉患者进行了回顾性研究。他们均接受了1064纳米掺钕钇铝石榴石激光治疗。
共有35例平均年龄为45.8岁的患者接受了治疗。13例患者治疗下眼睑，9例患者治疗颞部，12例患者同时治疗下眼睑和颞部，1例患者同时治疗上眼睑和下眼睑。报告了首例仅经过1次治疗，使用1064纳米掺钕钇铝石榴石激光成功治疗上眼睑静脉的病例。80%的患者仅需1 - 2次治疗。平均满意度评分为7.9分（满分10分）。平均疼痛评分为5.0分（满分10分）。91%的患者认为治疗效果极佳或良好，最长效果持续33个月。有4例并发症：1例结痂、1例小面积烧伤、1例皮肤变黑和1例泪眼。
该研究表明，使用长脉冲、接触冷却、光斑大小可变的1064纳米掺钕钇铝石榴石激光是有效且安全的，患者满意度和耐受性良好，并且能够取得长期效果。
