Intense Pulsed Light Treatment of 1,000 Consecutive Patients with Facial Vascular Marks |
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Authors: | Matteo Tretti Clementoni MD Patrizia Gilardino MD Gabriele F Muti MD Massimo Signorini MD Antonio Pistorale MD Paolo G Morselli MD Carlo Cavina MD |
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Institution: | (1) Matteo Tretti Clementoni, Patrizia Gilardino, Gabriele F. Muti, Massimo Signorini, Milano, Italy;(2) Antonio Pistorale, Paolo G. Morselli, Carlo Cavina, Bologna, Italy;(3) Matteo Tretti Clementoni, Viale Puglie 15, 20137 Milano, Italy |
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Abstract: | Background: Facial teleangectasias or vascular marks often represent a very cosmetically detracting problem for the affected patient,
who tries to cover the lesions by camouflage strategies. This study describes the response of these vascular lesions after
an intense pulsed light source was used on 1,000 consecutive patients.
Methods: Between October 1998 and April 2005, 1,000 consecutive patients with various skin types (Fitzpatrick I to IV) were treated
with Photoderm VL. The average age of the patients was 47.1 years. These patients were subjected to a mean of 2.16 treatments
(range, 1–9), then followed up 48 h, 72 h, 1 week, 3 weeks, and 1 month after each treatment. All the patients were followed
up 2 months after the last treatment, and the percentage of clearance was assessed by comparison of pre- and posttreatment
photographs. The patients also answered a questionnaire in which they expressed personal satisfaction. The final physicians-nurse
evaluation also was recorded on the same form.
Results: Most of the patients (89.70%) experienced a clearance of 75% to 100%. The results appear to be correlated with operator experience,
but not with lesion size, age, or skin type. Minimal adverse side effects occurred for 14.6% of the patients, but only for
6.76% of the treatments.
Conclusion: The intense pulsed light source Photoderm VL can be considered a fast, safe, and effective treatment for facial teleangectasias
or vascular marks. |
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Keywords: | Capillaries Intense Pulsed Light Lasers Teleangectasias Vascular marks |
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