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2005, Number 2

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Dermatología Cosmética, Médica y Quirúrgica 2005; 3 (2)

Treatment of leg telangiectasias with laser and high-intensity pulsed light

Arellano A, Ríos L

Language: Spanish
References: 18
Page: 83-86
PDF size: 207.61 Kb.


ABSTRACT

Background: For dermatologists, the most common reason patients seek treatment for leg veins, is cosmetic. Some recent advances have permitted lasers and intense pulsed light (IPL) devices to become methods for treating telangiectatic vessels of the leg with a minimum of adverse effects.
Objective: To evaluate retrospectively the results obtained in the treatment of leg veins in olive skin patients, with ND:Yag 1 064 laser and intense pulsed light (IPL).
Material and Methods: 25 female patients with telangiectatic vessels of the leg, ages between 26 and 45 years old, and phototype III, IV and V, were treated with intense pulsed light (IPL) (Photoderm V/L Lumenis). Vessels were from 0.4 to 1 mm, utilizing fluencies ranging from 36 to 57 j/cm2, and wave range of 550 and 570 and sequential2 to 3 pulses. 138 patients —134 female and 4 male— with telangiectatic vessels of the leg of more than 1 mm and larger, with ages between 20 and 70 years old, were treated with the Nd:YAG (1 064) laser (Vasculigth system. Lumenis). Vessels up to 6 mm were treated with one pulse at a fluency of 110 j/cm2 and vessels larger than 6 mm were treated with two pulses at a fluency of 120-130 j/cm2.
Results: In the group of 25 patients treated with IPL, the best results were obtained utilizing the 570 wave range at 45 j/cm2.. In the group of 138 patients treated with the Nd:YAG (1 064) laser, two patients after the first session abandoned the treatment due to pain. Of the 136 patients that completed the treatment, all of them presented an 80-85% improvement.
Conclusion: Intense pulsed light and Nd:YAG (1 064) laser are other alternatives of treatment for patients with telangiectatic leg veins.


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