Vol 2, No T1 (2017): Themed Issue - Lasers in Dermatology: Current status

  • Open Access

    Foreword

    Article ID: 153

    Current trends of laser technology in dermatology – A foreword from the JSD Editorial Office

    by  

    Journal of Surgical Dermatology, Vol.2, No.t1, 2017; 1520 Views

    DOI: https://doi.org/10.18282/jsd.v2.it1.153

    It is a great pleasure to present Journal of Surgical Dermatology’s first ever themed issue, “Lasers in dermatology: Current status”. The themed issue contains scientific content that focus on highly relevant and important topics in the area of laser and light-based treatment in dermatology. Our Guest Editor, Dr. Nasrin Saki from the Department of Dermatology, Shiraz University of Medical Sciences, Iran, has been a pillar of support and it has been an honor to be able to work with such a talented laser expert.

  • Open Access

    Themed Issue: Original Research Articles

    Article ID: 115

    Efficacy and safety of intense pulsed light in the treatment of mild-to-moderate acne vulgaris

    by Waheed Zaman Khan, Ghazala Butt, Faria Altaf

    Journal of Surgical Dermatology, Vol.2, No.t1, 2017; 3028 Views

    DOI: https://doi.org/10.18282/jsd.v2.it1.115

    Acne vulgaris is a very common chronic inflammatory disease of pilosebaceous units. It can be associated with considerable loss of self-esteem and psychological morbidity when left untreated. With the emergence of lasers and intense pulsed light, long-term reduction of acne lesions is now possible. The success of these optical devices depends on the selected parameters and biologic variables of patient. The objective of this study is to determine the efficacy and safety of intense pulsed light (IPL) in the treatment of mild-to-moderate acne vulgaris. This interventional study was conducted for a period of one year after approval of synopsis. A total of 75 patients of mild-to-moderate acne vulgaris were included through non-probability, convenience sampling. Patients were subjected to intense pulsed light (IPL) therapy once a week for four weeks. Digital photography was done at the baseline and at the sixth week. Follow-up was done after two weeks of completion of four sessions. Repeated measurement ANOVA was used for significance of IPL at six weeks of follow-up. The p value < 0.05 was taken as significant. IPL was effective in 52% of the patients. Out of all cases, 6 (8%) showed excellent results. 33 (44%) showed >50% reduction with therapy. Percentage reduction was observed as 49 ± 20% at final follow-up. Papules count was reduced from 11.95 ± 2.89 to 6.69 ± 2.96, pustules count was reduced from 2.55 ± 1.54 to 0.79 ± 1.02 from baseline to final follow-up visit. 16 subjects showed mild erythema that resolved within 24 h. None of the patients showed any severe side effects at final follow-up visit. We conclude from the results of this study that IPL is safe and efficacious in more than half of the patients in the treatment of mild and moderate acne vulgaris. A long-term follow-up is required to determine long-term safety on skin following such procedures.

  • Open Access

    Themed Issue: Reviews

    Article ID: 109

    Management of vascular lesions using advanced laser technology

    by Christofer Tzermias, Areti Eleftheriadi, Ioulia Gkiouzepaki

    Journal of Surgical Dermatology, Vol.2, No.t1, 2017; 3026 Views

    DOI: https://doi.org/10.18282/jsd.v2.it1.109

    One of the most widely used cutaneous applications of Light Amplification by Stimulated Emission of Radiation (laser) concerns the treatment of vascular lesions. During the past two decades, very significant advances in the application of laser technology in dermatology have occurred, with selective photothermolysis being the most important. This review focuses on the application of modern laser devices (Pulsed Dye Laser, or PDL; potassium titanyl phosphate laser, or KTP; diode laser; and neodymium-doped yttrium-aluminium-garnet laser, or Nd:YAG), as well as the combination of laser and photodynamic therapy (PDT) for the treatment of vascular lesions. In particular, both congenital (haemangiomas and port-wine stains) and acquired vascular lesions (facial and leg telangiectasias, rosacea, Poikiloderma of Civatte, spider angioma, pyogenic granuloma, and venous lakes) are discussed. The review of many recent research studies demonstrates that modern applications of lasers in dermatology constitute the finest method for the treatment of vascular lesions, combining the advantages of invasive therapy with the security offered by non-invasive therapy, while in certain cases they are the single and only choice for the treatment of these lesions.

  • Open Access

    Themed Issue: Reviews

    Article ID: 148

    Energy-based devices for treatment of melasma

    by Juliana Merheb Jordão, Priscila Regina Orso Rebellato

    Journal of Surgical Dermatology, Vol.2, No.t1, 2017; 2961 Views

    DOI: https://doi.org/10.18282/jsd.v2.it1.148

    Melasma, as a pigmentation disorder, induces significant stress to the patients and its recurrent nature remains a challenge in clinical practice. Treatment is based on a variety of mechanisms to prevent and/or stop the pigment production process by destroying the deposited pigment for removal or release, by peeling cells to improve their turnover, and by reducing inflammation. The use of appropriate devices and correct settings are crucial in the treatment of melasma. Cases unresponsive to topical bleaches or chemical peels should be referred for laser therapy. It is important that a maintenance therapy to avoid the recurrence of melasma be indicated. In this paper, we review energy-based devices for melasma treatment.