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研究一种高功率三波长二极管激光(810、940、1060nm)对面部细小浅色毛发的有效性和安全性。

Study on the efficacy and safety of a high-power triple wavelength diode laser (810, 940, 1060 nm) for removing fine and less pigmented facial hair on Asian skin.

机构信息

Escallent Institute of Lasers and Aesthetic Medicine (EILAM), Gurugram, India.

Sinclair - High Technology Products SLU, Barcelona, Spain.

出版信息

J Cosmet Dermatol. 2024 Apr;23(4):1282-1290. doi: 10.1111/jocd.16129. Epub 2024 Feb 13.

Abstract

INTRODUCTION

Performing laser hair removal treatments on dark skin is limited by the quantity of melanin within the skin. To minimize side effects, lower values of fluence are selected when using standard 755 or 810 nm diode lasers. However, this approach may limit the effectiveness of the procedure, particularly when treating areas with thin and less pigmented hair, which is often the case in facial regions. To improve results, high-power triple wavelength diode lasers can be used. This study aims to assess the efficacy, safety, and comfort of treatments that remove facial hair with a high-power triple wavelength diode laser (810, 940, and 1060 nm) in static mode on Asian patients with thin and less pigmented hair.

MATERIALS AND METHODS

A single-center retrospective cohort study was carried out using a high-power triple wavelength diode laser (810, 940, and 1060 nm), with a 2.7 cm spot size, on faces with thin and less pigmented hair. The study comprised 23 subjects with Fitzpatrick skin types IV and V. Effectiveness was measured by counting the hairs that appeared in high-resolution photos taken prior to and following the procedure, in addition to the Global Aesthetic Improvement Scale (GAIS). Furthermore, mathematical 3D simulations were created on the COMSOL Multiphysics® software to allow for comparisons to be made with regard to thermal damage sustained by the hair follicles and epidermal heating. Assessments were also made in relation to side effects.

RESULTS

An average of 66% hair reduction was observed. Patient satisfaction was between 4 and 5 points on the GAIS scale, indicating that the treatment was very well received and tolerated. Adverse side effects were not observed.

CONCLUSION

It can be concluded that the use of a high-power triple wavelength diode laser (810, 940, and 1060 nm) is safe and effective for the treatment of very fine and less pigmented facial hair on Asian skin. Furthermore, a triple wavelength (810, 940, and 1060 nm) laser is absorbed less by the melanin in the skin, enabling the use of higher fluences in stamping mode, with greater efficacy and safety for darker skin.

摘要

简介

在深色皮肤上进行激光脱毛治疗受到皮肤内黑色素含量的限制。为了最小化副作用,使用标准的 755 或 810nm 二极管激光器时,会选择较低的能量密度值。然而,这种方法可能会限制手术的效果,尤其是在治疗毛发稀疏且颜色较浅的区域时,这种情况在面部区域经常发生。为了提高效果,可以使用高功率三波长二极管激光器。本研究旨在评估高功率三波长二极管激光(810nm、940nm 和 1060nm)在静态模式下对面部稀疏、颜色较浅的亚洲患者进行脱毛治疗的疗效、安全性和舒适度。

材料和方法

对 23 例皮肤类型为 IV 型和 V 型的患者使用高功率三波长二极管激光(810nm、940nm 和 1060nm)进行了单中心回顾性队列研究,光斑尺寸为 2.7cm。通过在术前和术后拍摄高分辨率照片来计数出现的毛发,并结合整体美学改善量表(GAIS)来评估疗效。此外,还在 COMSOL Multiphysics®软件上创建了数学 3D 模拟,以便比较毛囊和表皮的热损伤。还评估了不良反应。

结果

观察到平均 66%的毛发减少。患者对 GAIS 量表的满意度在 4 到 5 分之间,表明治疗非常受欢迎且耐受良好。未观察到不良反应。

结论

可以得出结论,使用高功率三波长二极管激光(810nm、940nm 和 1060nm)对面部稀疏、颜色较浅的亚洲皮肤进行脱毛治疗是安全有效的。此外,三波长(810nm、940nm 和 1060nm)激光被皮肤中的黑色素吸收较少,从而可以在冲压模式下使用更高的能量密度,对深色皮肤具有更大的疗效和安全性。

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