Gutiérrez GC, Ávila RA, Vallarta RRA, Andrade DL, Rangel DGM, Cárcamo ML, Lara CVR, Ramos GLI

Language: Spanish
References: 14
Page: 161-166
PDF size: 164.60 Kb.

ABSTRACT

Lasser technology has greatly improved the ability to treat melanocytic lesions and tattoos with the rapidly pulsed Q-switched neodymium: yttrium-aluminium-garnet (Nd:YAG) lasser. The lasser treatment of pigmented lesions and tattoos are based on principle of selected photothermolysis. The QS lasser system can successfully lighten or eradicate a variety of benign epidermal and dermal pigmented lesions and tattoos with minimal risk of untoward effects, such as; senile lentigines, pigmented nevi, ephelides, café –au-lait– macules, nevi of Ota/Ito, seborrheic keratoses, blue nevi, nevus spilus, drug induced hyperpigmentation, Becker´s nevi, amateur and professional and traumatic tattoos. The objective of this paper was to review the pathology treated with this lasser at the “Clinica de Imagen Corporal Medica Sur Hospital”. We attended 186 patients in two years from February 2004 until February 2006. Sixty five (34.9%) male and 121 (65.1) female patients. The range age was from 1 to 86 years old. Fifty seven percent of the patients were in an age range from 21 and 40 years old. The diagnosis were: Tattoos in 39.7%, lentigines 34.9%, Ota nevi 5.9%. The patients received from 1 to 10 sessions of treatment with satisfactory results in 95% of the patients that completed it. The complications presented were hemorrhagic points with inflammatory reaction in 3 patients (1.6%) treated conservatory without sequela. The collateral effects were pain and redness. In 41 cases (22 %) abandoned the treatment. We present some clinical cases that represent the different lesions.

REFERENCES

1. Agris J:In, Grabb WC, Smith JW (eds). Plastic Surgery Boston. Little Brown 1979: 559-565.

2. Koerber WA Jr, Price NW. Salabrasion of tattoos, a correlation of the clinical and histological results. Arch Dermatol 1978; 114: 884-888.

3. Scott RWB: The chemical removal of tattoos. Br J Plast Surg 1972; 25:189-194 .

4. Reid R, Muller S. Tattoo removal by CO2 laser dermabrasion. Plast Reconstr Surg 1980; 65: 717-728.

5. Wheeland RG, Norwood OT, Roundtree JM. Tattoo removal using serial tangential excision and polyurethane membrane dressing. J Dermatol Surg Oncol 1983; 9: 822-826.

6. Armstrong ML, Stuppy DJ, Gariel DC et al. Motivation for tattoo removal. Arch Dermatol 1996; 132: 412-16.

7. Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science 1983; 220: 524-527.

8. Manuskiatti W, Sivayathorn A, Leelaudomlipi P, Fitzpatrick RE. Treatment of acquired bilateral nevus of Ota-like macules (Hori¨s nevus) using a combination of scanned carbon dioxide laser followed by Q-switched ruby laser. J Am Acad Dermatol 2003; 48: 4.

9. Shimbashi T, Kamide F, Hashimoto T. Long-term follow up in treatment of solar lentigo and café-au-lait macules with Q-switched ruby laser. Aesthetic Plast Surg 1997; 21: 445-448.

10. Kuperman-Beade M, Levine VJ, Ashinoff R. Laser removal of tattoos. Am J Clin Dermatol 2001; 2: 21-25.

11. Tanzi E, Lupton J, Alster T. Lasers in dermatology: Four decades of progress. J Am Acad Dermatol 2003; 49: 1-31.

12. Mafong EA. Removal of cosmetic lip-liner tattoo with the pulsed carbon dioxide laser. J Am Acad Dermatol 2003; 48: 271-2.

13. Dave R. Combined early treatment of congenital melanocytic nevus with carbon dioxide and Nd YAG lasers. Br J Plast Surg 2004; 57: 720-4.

14. Burd A. Laser treatment of congenital melanocytic nevi. Plast Reconstr Surg 2004; 113: 2232-5.