Cerrahpaşa Medical Faculty, Department of Dermatology and Venerology, İstanbul University-Cerrahpaşa, İstanbul, Turkey.
J Cosmet Dermatol. 2021 Sep;20(9):2800-2804. doi: 10.1111/jocd.13984. Epub 2021 Feb 14.
Dynamic and static wrinkling are observed on the facial skin as a result of aging. Previously, it was showed that fractional Er:YAG laser was effective in the treatment of facial wrinkles.
The aims of this study are to determine the effects of age, Glogau stage, and smoking status on the treatment efficacy of fractional Er:YAG laser; and to compare the success of laser treatment on periorbital wrinkles with perioral wrinkles.
MATERIAL/METHOD: Periorbital and perioral wrinkles of the same patient were treated with fractional Er:YAG laser (2940 nm) for 4 sessions with monthly intervals. Treatment parameters were affluence of 1.5J, a spot size of 7 mm, and a frequency of 5 Hz. Treatment efficacy was evaluated by a blinded physician evaluation scale and patient satisfaction scale 2 months after the final treatment session.
Fifteen patients completed the study. The mean age of the patients was 42.8 years. The blinded physician evaluation of the improvement in the periorbital wrinkles decreased (P =.034) and the patient satisfaction in perioral wrinkles decreased (P =.049) with increasing age. The relationship between smoking and patient satisfaction in the treatment of periorbital wrinkles was also statistically significant (P =.014). No difference in terms of treatment efficacy was found between periorbital and perioral regions.
Fractional Er:YAG laser (2940 nm) is equally successful in the treatment of periorbital and perioral wrinkles. The treatment success decreases with smoking and increasing age.
由于衰老，面部皮肤会出现动态和静态皱纹。先前的研究表明，点阵铒：YAG 激光治疗面部皱纹是有效的。
本研究旨在确定年龄、Glogau 分期和吸烟状况对点阵铒：YAG 激光治疗效果的影响，并比较眶周皱纹和口周皱纹激光治疗的成功率。
材料/方法：对同一患者的眶周和口周皱纹采用 2940nm 点阵铒：YAG 激光（能量密度 1.5J，光斑大小 7mm，频率 5Hz）进行 4 次治疗，间隔 1 个月。治疗 2 个月后，采用盲法医生评估量表和患者满意度量表评估治疗效果。
15 例患者完成了研究。患者的平均年龄为 42.8 岁。眶周皱纹的盲法医生评估改善程度（P =.034）和口周皱纹的患者满意度（P =.049）随年龄增长而降低。吸烟与眶周皱纹患者满意度之间的关系也具有统计学意义（P =.014）。眶周和口周区域的治疗效果无差异。
2940nm 点阵铒：YAG 激光对面部眶周和口周皱纹的治疗同样有效。随着吸烟和年龄的增长，治疗效果下降。
