Comparison of The Concomitant Use of the ND: YAG Q-Switch 1064 NM Laser in Picoseconds, ND: YAG Long Pulse Ultra pulse 1064 NM and IPL With and Without Shock Waves for The Treatment of Mixed Facial Melasma In a Mexican Population
1Hospital Dermatológico Dermoquirúrgica, Guadalajara, Jalisco, México
2Clínica Mtheory
3Hospital Especialidades Centro Médico Nacional La Raza Ciudad de México.
Citation: Galvan García HR, González Torres M, Ortiz Kuñasich Y (2024) Comparison of The Concomitant Use of the ND: YAG Q-Switch 1064 NM Laser in Picoseconds, ND: YAG Long Pulse Ultra pulse 1064 NM and IPL With and Without Shock Waves for The Treatment of Mixed Facial Melasma In a Mexican Population. Anna Clin Rev Cas Rep: ACRCR-130.
Abstract
Background: Melasma treatment is a challenging dermatological condition. Photodynamic therapies combined with shock waves could provide a new way to get more efficient and satisfactory therapeutic results based on the theory of cell lysis through the effect of shock waves on damaged skin.
Aim: Compare clinical improvement of mixed facial melasma after Nd: YAG Q-switched 1064 nm picoseconds laser, ultra pulsed Nd: YAG long pulse and IPL 550 nm with and without extracorporeal shock waves.
Patients and methods: Two groups of patients were randomly selected. Treatment protocol in group A included IPL plus Nd: YAG long pulse laser and Nd YAG Q Switch 1064 nm without utilizing shock waves. Group B protocol combined photodynamic therapies plus extracorporeal shock waves between each laser modality. A total of 4 sessions were carried out with 4 weeks intervals between each one with a follow-up of 3 months after sessions were completed.
Results: The average age of the studied population was 51 years (47 to 57 years). In the evaluation carried out based on the photographs from the professional camera, the only participant in whom there was an observable change from group A was subject 02, who presented a 20% reduction in pigmentation; while for subjects 03 and 04 (group B), the reduction in pigmentation was 40% and 20% respectively. However, in the results obtained from the analysis of the images taken with the dermatoscope and the specialized camera, subject 02 presented a 40% reduction in pigmentation and a 20% reduction in the vascular component; Meanwhile, for subjects 03 and 04 (group B), the reduction in pigmentation observed was 60% for subject 03 and 40% for subject 04, referring to the vascular component it was 40% and 20% respectively. No serious adverse events occurred.
Conclusions: Shock waves are useful in multi-laser therapy for melasma, and their use does not entail risks that trigger significant adverse effects. These results establish foundations to continue studying the role of shock waves as concomitant therapy with laser equipment in mixed melasma.
Shock waves are useful in multi-laser therapy for melasma, and their use does not entail risks that trigger significant adverse effects that could be grounds for prohibiting or contraindicating their use in patients with this pigment alteration.
Keywords: Melasma, Laser Picoseconds, IPL, Shock Waves.
ISSN: 2837-3642