Hügül Hüray, Özkoca Defne, Kirişci Murat, Kutlubay Zekayi
Free Dermatologist, Antalya, Turkey.
Department of Dermatology and Venerology, Medical Faculty, İstanbul University-Cerrahpaşa, Cerrahpaşa, Turkey.
Dermatol Pract Concept. 2023 Oct 1;13(4):e2023219. doi: 10.5826/dpc.1304a219.
Carbon solution-assisted Nd:YAG lasers were previously used in enlarged pores; hair removal; acne and acne scars; and facial rejuvenation.
The aim of this study is to determine the patient satisfaction for different treatment indications of carbon solution-assisted 1064 nm Nd:YAG lasers.
This is a retrospective study that included the patients who were treated with carbon solution-assisted 1064 nm Nd:YAG laser with any indication in a private dermatology practice. A pre-prepared carbon solution was applied 30 minutes before the laser treatment with the following parameters: a spot size of 8mm, fluence of 1.3 J/cm2 and a frequency of 8Hz. Patient satisfaction was assessed with GAIS.
A total of 272 patients were included; of these 70 patients had acne lesions, 135 patients had melasma, 27 patients had post-inflammatory hyperpigmentation, 17 patients had ephelides and 23 patients had solar lentigines. The mean patient satisfaction for solar lentigo patients (4.35/5) was greater than for that of acne patients (4.26/5) which was greater than that of ephelide patients (3.94/5) which was greater than that of melasma patients (3.67/5) which was greater than that of post inflammatory hyperpigmentation patients (2.30/5) CONCLUSIONS: This study revealed that carbon solution-assisted 1064 nm Nd:YAG laser therapy is effective in the treatment of solar lentigo, acne vulgaris, ephelides and melasma. However, it fails to provide therapeutic efficacy in post inflammatory hyperpigmentation.
碳溶液辅助的Nd:YAG激光曾用于毛孔粗大、脱毛、痤疮及痤疮瘢痕以及面部年轻化治疗。
本研究旨在确定患者对碳溶液辅助1064nm Nd:YAG激光不同治疗适应证的满意度。
这是一项回顾性研究，纳入了在一家私立皮肤科诊所接受碳溶液辅助1064nm Nd:YAG激光治疗的任何适应证患者。在激光治疗前30分钟涂抹预先制备的碳溶液，参数如下：光斑大小8mm，能量密度1.3J/cm²，频率8Hz。采用GAIS评估患者满意度。
共纳入272例患者；其中70例有痤疮皮损，135例有黄褐斑，27例有炎症后色素沉着，17例有雀斑，23例有日光性黑子。日光性黑子患者的平均满意度（4.35/5）高于痤疮患者（4.26/5），痤疮患者高于雀斑患者（3.94/5），雀斑患者高于黄褐斑患者（3.67/5），黄褐斑患者高于炎症后色素沉着患者（2.30/5）。结论：本研究表明，碳溶液辅助1064nm Nd:YAG激光治疗对日光性黑子、寻常痤疮、雀斑和黄褐斑有效。然而，它对炎症后色素沉着没有治疗效果。
