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Erschienen in: Lasers in Medical Science 1/2024

01.12.2024 | Original Article

Comparison of the 1064-nm picosecond laser with fractionated microlens array and 1565-nm non-ablative fractional laser for the treatment of enlarged pores: a randomized, split-face, controlled trial

verfasst von: Xing Liu, Rong Zeng, Yuzhen Liu, Lifang Guo, Mengli Zhang, Huiying Zheng, Qiuju Wu, Yiping Ge, Tong Lin

Erschienen in: Lasers in Medical Science | Ausgabe 1/2024

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Abstract

Purpose

This split-face randomized study compared the efficacy and safety between 1064-nm picosecond laser with fractionated microlens array (MLA) and 1565-nm nonablative fractional laser to treat enlarged pores.

Methods

Participants with enlarged facial pores were enrolled and underwent three consecutive sessions at 2-week intervals with either a 1064-nm picosecond laser with MLA or a 1565-nm nonablative fractional laser. Images were captured at each visit. Objective (pore number) and subjective assessments, including patient self-evaluations and quartile improvement scales, were used to evaluate the treatment efficacy. The pain levels and adverse effects were recorded at each subsequent visit.

Results

The participants were 3 men and 22 women with enlarged facial pores. At the initial and 2-month checkups after the last treatment, the pore numbers were significantly decreased bilaterally for both lasers. The respective quartile improvement scale scores for the 1064-nm picosecond and 1565-nm fractional lasers were 2.22 ± 1.06 and 2.14 ± 1.11, while those for patient self-assessment were 3.72 ± 0.74 and 3.68 ± 0.75. The pore number, quartile improvement scale score, and patients’ self-assessments did not differ significantly between the two lasers. Treatment with the 1064-nm picosecond laser better reduced pain compared with the 1565-nm nonablative fractional laser (4.11 ± 1.33 vs. 4.83 ± 1.17). The occurrence of pigmentation did not differ significantly between the lasers.

Conclusion

Both the 1064-nm picosecond laser with MLA and the 1565-nm nonablative fractional laser are viable options for treating enlarged pores, and showed comparable respective efficacies; however, the former was less likely to cause hyperpigmentation and was better tolerated.
Literatur
3.
Zurück zum Zitat Phillips TJ, Gottlieb AB, Leyden JJ, Lowe NJ, Lew-Kaya DA, Sefton J, Walker PS, Gibson JR, Tazarotene Cream Photodamage Clinical Study Group (2002) ;. Efficacy of 0.1% tazarotene cream for the treatment of photodamage: a 12-month multicenter, randomized trial. Arch Dermatol. ;138(11):1486-93. https://doi.org/10.1001/archderm.138.11.1486. PMID: 12437455 Phillips TJ, Gottlieb AB, Leyden JJ, Lowe NJ, Lew-Kaya DA, Sefton J, Walker PS, Gibson JR, Tazarotene Cream Photodamage Clinical Study Group (2002) ;. Efficacy of 0.1% tazarotene cream for the treatment of photodamage: a 12-month multicenter, randomized trial. Arch Dermatol. ;138(11):1486-93. https://​doi.​org/​10.​1001/​archderm.​138.​11.​1486. PMID: 12437455
5.
Zurück zum Zitat Sayed KS, Hegazy R, Gawdat HI, Abdel Hay RM, Ahmed MM, Mohammed FN, Allam R, Fahim A (2021) The efficacy of intradermal injections of botulinum toxin in the management of enlarged facial pores and seborrhea: a split face-controlled study. J Dermatolog Treat. ;32(7):771–777. doi: 10.1080/09546634.2019.1708241. Epub 2020 Jan 3. PMID: 31865815 Sayed KS, Hegazy R, Gawdat HI, Abdel Hay RM, Ahmed MM, Mohammed FN, Allam R, Fahim A (2021) The efficacy of intradermal injections of botulinum toxin in the management of enlarged facial pores and seborrhea: a split face-controlled study. J Dermatolog Treat. ;32(7):771–777. doi: 10.1080/09546634.2019.1708241. Epub 2020 Jan 3. PMID: 31865815
8.
Zurück zum Zitat Manuskiatti W, Punyaratabandhu P, Tantrapornpong P, Yan C, Cembrano KAG (2021) Objective and long-term evaluation of the efficacy and safety of a 1064-nm Picosecond Laser with fractionated microlens array for the treatment of Atrophic Acne Scar in asians. Lasers Surg Med 53(7):899–905. https://doi.org/10.1002/lsm.23368Epub 2020 Dec 16. PMID: 33326626CrossRefPubMed Manuskiatti W, Punyaratabandhu P, Tantrapornpong P, Yan C, Cembrano KAG (2021) Objective and long-term evaluation of the efficacy and safety of a 1064-nm Picosecond Laser with fractionated microlens array for the treatment of Atrophic Acne Scar in asians. Lasers Surg Med 53(7):899–905. https://​doi.​org/​10.​1002/​lsm.​23368Epub 2020 Dec 16. PMID: 33326626CrossRefPubMed
9.
Zurück zum Zitat Puaratanaarunkon T, Asawanonda P (2021) Efficacy of a one-session fractional picosecond 1064-nm laser for the treatment of atrophic acne scar and enlarged facial pores. J Cosmet Laser Ther 23(7–8):202–206 Epub 2022 Mar 23. PMID: 35318885CrossRefPubMed Puaratanaarunkon T, Asawanonda P (2021) Efficacy of a one-session fractional picosecond 1064-nm laser for the treatment of atrophic acne scar and enlarged facial pores. J Cosmet Laser Ther 23(7–8):202–206 Epub 2022 Mar 23. PMID: 35318885CrossRefPubMed
10.
Zurück zum Zitat Palawisuth S, Manuskiatti W, Apinuntham C, Wanitphakdeedecha R, Cembrano KAG (2022) Quantitative assessment of the long-term efficacy and safety of a 1064-nm picosecond laser with fractionated microlens array in the treatment of enlarged pores in asians: a case-control study. Lasers Surg Med 54(3):348–354 Epub 2021 Jul 7. PMID: 34233039; PMCID: PMC9291000CrossRefPubMed Palawisuth S, Manuskiatti W, Apinuntham C, Wanitphakdeedecha R, Cembrano KAG (2022) Quantitative assessment of the long-term efficacy and safety of a 1064-nm picosecond laser with fractionated microlens array in the treatment of enlarged pores in asians: a case-control study. Lasers Surg Med 54(3):348–354 Epub 2021 Jul 7. PMID: 34233039; PMCID: PMC9291000CrossRefPubMed
11.
Zurück zum Zitat Yim S, Lee YH, Choi YJ, Kim WS (2020) Split-face comparison of the picosecond 1064-nm nd:YAG laser using a microlens array and the quasi-long-pulsed 1064-nm nd:YAG laser for treatment of photoaging facial wrinkles and pores in asians. Lasers Med Sci 35(4):949–956. https://doi.org/10.1007/s10103-019-02906-1Epub 2019 Nov 16. PMID: 31734761CrossRefPubMed Yim S, Lee YH, Choi YJ, Kim WS (2020) Split-face comparison of the picosecond 1064-nm nd:YAG laser using a microlens array and the quasi-long-pulsed 1064-nm nd:YAG laser for treatment of photoaging facial wrinkles and pores in asians. Lasers Med Sci 35(4):949–956. https://​doi.​org/​10.​1007/​s10103-019-02906-1Epub 2019 Nov 16. PMID: 31734761CrossRefPubMed
18.
Zurück zum Zitat Jung JY, Cho SB, Chung HJ, Shin JU, Lee KH, Chung KY (2011) Treatment of periorbital wrinkles with 1550- and 1565-nm Er:glass fractional photothermolysis lasers: a simultaneous split-face trial. J Eur Acad Dermatol Venereol. ;25(7):811-8. doi: 10.1111/j.1468-3083.2010.03870.x. Epub 2010 Nov 4. PMID: 21054563 Jung JY, Cho SB, Chung HJ, Shin JU, Lee KH, Chung KY (2011) Treatment of periorbital wrinkles with 1550- and 1565-nm Er:glass fractional photothermolysis lasers: a simultaneous split-face trial. J Eur Acad Dermatol Venereol. ;25(7):811-8. doi: 10.1111/j.1468-3083.2010.03870.x. Epub 2010 Nov 4. PMID: 21054563
19.
Zurück zum Zitat Munavalli GA, Split-Face (2016) Assessment of the synergistic potential of sequential Q-Switched nd:YAG Laser and 1565 nm fractional nonablative laser treatment for facial rejuvenation in Fitzpatrick skin type II-V patients. J Drugs Dermatol 15(11):1335–1342 PMID: 28095544PubMed Munavalli GA, Split-Face (2016) Assessment of the synergistic potential of sequential Q-Switched nd:YAG Laser and 1565 nm fractional nonablative laser treatment for facial rejuvenation in Fitzpatrick skin type II-V patients. J Drugs Dermatol 15(11):1335–1342 PMID: 28095544PubMed
20.
Zurück zum Zitat Dou W, Yang Q, Yin Y, Fan X, Yang Z, Jian Z, Zhu Y, Wei J, Jing H, Ma X (2021) Fractional microneedle radiofrequency device and fractional erbium-doped glass 1,565-nm device treatment of human facial photoaging: a prospective, split-face, random clinical trial. J Cosmet Laser Ther 23(5–6):142–148 Epub 2022 Jan 27. PMID: 35083965CrossRefPubMed Dou W, Yang Q, Yin Y, Fan X, Yang Z, Jian Z, Zhu Y, Wei J, Jing H, Ma X (2021) Fractional microneedle radiofrequency device and fractional erbium-doped glass 1,565-nm device treatment of human facial photoaging: a prospective, split-face, random clinical trial. J Cosmet Laser Ther 23(5–6):142–148 Epub 2022 Jan 27. PMID: 35083965CrossRefPubMed
21.
Zurück zum Zitat Yu W, Zhu J, Ma G, Yang J, Qiu Y, Chen Y, Chen H, Jin Y, Yang X, Hu X, Wang T, Chang L, Lin X (2018) Randomized split-face, controlled comparison of treatment with 1565-nm nonablative fractional laser for enlarged facial pores. Br J Dermatol 178(4):e271–e272. https://doi.org/10.1111/bjd.16115Epub 2018 Feb 27. PMID: 29192959CrossRefPubMed Yu W, Zhu J, Ma G, Yang J, Qiu Y, Chen Y, Chen H, Jin Y, Yang X, Hu X, Wang T, Chang L, Lin X (2018) Randomized split-face, controlled comparison of treatment with 1565-nm nonablative fractional laser for enlarged facial pores. Br J Dermatol 178(4):e271–e272. https://​doi.​org/​10.​1111/​bjd.​16115Epub 2018 Feb 27. PMID: 29192959CrossRefPubMed
23.
Zurück zum Zitat Kwon HH, Choi SC, Lee WY, Jung JY, Park GH (2018) Clinical and Histological Evaluations of Enlarged Facial Skin Pores After Low Energy Level Treatments With Fractional Carbon Dioxide Laser in Korean Patients. Dermatol Surg. ;44(3):405–412. https://doi.org/10.1097/DSS.0000000000001313. PMID: 28902036 Kwon HH, Choi SC, Lee WY, Jung JY, Park GH (2018) Clinical and Histological Evaluations of Enlarged Facial Skin Pores After Low Energy Level Treatments With Fractional Carbon Dioxide Laser in Korean Patients. Dermatol Surg. ;44(3):405–412. https://​doi.​org/​10.​1097/​DSS.​0000000000001313​. PMID: 28902036
24.
Zurück zum Zitat Magnani LR, Schweiger ES (2014) Fractional CO2 lasers for the treatment of atrophic acne scars: a review of the literature. J Cosmet Laser Ther 16(2):48–56 Epub 2013 Dec 5. PMID: 24131097CrossRefPubMed Magnani LR, Schweiger ES (2014) Fractional CO2 lasers for the treatment of atrophic acne scars: a review of the literature. J Cosmet Laser Ther 16(2):48–56 Epub 2013 Dec 5. PMID: 24131097CrossRefPubMed
26.
Zurück zum Zitat Cerantola V, Rosa AD, Konôpková Z, Torchio R, Brambrink E, Rack A, Zastrau U, Pascarelli S (2021) New frontiers in extreme conditions science at synchrotrons and free electron lasers. J Phys Condens Matter. ;33(27). https://doi.org/10.1088/1361-648X/abfd50. PMID: 33930892 Cerantola V, Rosa AD, Konôpková Z, Torchio R, Brambrink E, Rack A, Zastrau U, Pascarelli S (2021) New frontiers in extreme conditions science at synchrotrons and free electron lasers. J Phys Condens Matter. ;33(27). https://​doi.​org/​10.​1088/​1361-648X/​abfd50. PMID: 33930892
Metadaten
Titel
Comparison of the 1064-nm picosecond laser with fractionated microlens array and 1565-nm non-ablative fractional laser for the treatment of enlarged pores: a randomized, split-face, controlled trial
verfasst von
Xing Liu
Rong Zeng
Yuzhen Liu
Lifang Guo
Mengli Zhang
Huiying Zheng
Qiuju Wu
Yiping Ge
Tong Lin
Publikationsdatum
01.12.2024
Verlag
Springer London
Erschienen in
Lasers in Medical Science / Ausgabe 1/2024
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-024-04028-9

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