Q-switched Neodymium Yag laser 532nm vs. Intense pulsed light 530 nm in the treatment of benign facial epidermal lesions
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Keywords

Láser Nd YAG Q-switched; lentigo solar; lesiones epidérmicas benignas; luz pulsada intensa

How to Cite

Petrini, C., & Ollarves , V. (2025). Q-switched Neodymium Yag laser 532nm vs. Intense pulsed light 530 nm in the treatment of benign facial epidermal lesions . Revista Iberoaméricana De Láser Médico, 5(1), 5–9. Retrieved from https://rilmed.ailmed.org/index.php/rilmed/article/view/61

Abstract

Benign facial epidermal lesions represent one of the main reasons for consultation in the aesthetic area. As treatment options, we currently have within the area of photonic medicine some light platforms that provide excellent results, for this reason this quasi-experimental study was carried out with 33 patients with benign facial epidermal lesions (solar lentigines - ephelides), with the purpose of comparing the effect of the 532 nm Q-switched Neodymium YAG laser (Nd YAG QS) vs. an intense pulsed light (IPL) equipment to handle them. The results were analyzed clinically by lightening the lesions, and by means of a gray histogram for a more objective evaluation. Both platforms being effective in the treatment of these injuries; However, the Nd YAG QS laser was shown to be more effective than IPL in the color changes of hyperpigmented lesions. In the objective evaluation of the gray histograms, the Nd YAG QS laser showed an excellent response to the treatment, showing a clinically and statistically significant improvement, but the majority of patients reported that the IPL turned out to be more comfortable during the sessions and in the period recovery. There were no side effects with the use of IPL and a very low percentage for the Nd YAG group that responded to post-inflammatory hyperpigmentation and hypopigmentation.

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References

1. Peyri Rey J. Alteraciones de la pigmentación cutánea. En: Rafael Falabella F., Jairo Chaparro, Ma Isabel Barona C. Fundamentos de medicina. Dermatología. Edición 8ª. Colombia: CIB Fondo editorial;2017.103-110.Disponible en: https://www.enfermeriaaps.com/portal/download/DERMATOLOGIA/pigmentacion.pdf

2. Praetorius C., Sturm R., Steingrimsson E. Sun-induced freckling: ephelides and solar lentigines. Pigment Cell Melanoma Res. 2014; 27(3):339-350. doi: 10.1111/pcmr.12232. Disponible en: https://pubmed.ncbi.nlm.nih.gov/24517859/

3. Choi W., Yin L, Snuda C., Batzer J., Hearing V. y Kolbe L. Molecular and histological characterization of age spots. Exp Dermatol. 2017; 26(3): 242-248. doi:10.1111/exd.13203. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27621222/

4. Araghi F, Ohadi L, Moravvej H, Amani M, Allamed F., y Dadkhahfar S. Laser treatment of bening melanocytic lesión: a review. Lasers Med Sci. 2022; 37(9):3353-3362. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36097230/

5. Cione M, Expósito N. y Sacchi A. Tratamientos de lentigos solares con una aplicación de láser Nd YAG Q switched 532nm: una serie de tres casos. Med Cutan Iber Lat Am 2019; 47(2): 136-138. Disponible en: https://www.medigraphic.com/pdfs/cutanea/mc-2019/mc192j.pdf

6. Chia-Chen W, Yuh-Mou S, Chin-Hsiung Y. y Chih-Kang C. A comparison of Q switched alexandrite laser and intense pulsed light for the treatment of freckles and lentigines in Asian persons: a randomized, physician-blinded, split face comparative trial. J Am Acad Dermatol 2006; 54: 804-810. doi:10.1016/j.jaad.2006.01.012. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16635661/

7. Pérez Rivera F. Tratamiento de lesiones pigmentarias melanocíticas y no melanocíticas con láser Q swiched de picosegundo. En: Ileana Arreola, Gabriel Huerta. “Láser y luces en dermatología”. México. Editorial Permanyer; 2020. Cap 9. Disponible en: https://dermatologiarevistamexicana.org.mx/article/

8. Boxeida P, Perez-Rodriguez A, Fernandez-Lorente M y Arrazola JM. Novedades en láser cutáneo. Actas Dermosifiliorg 2003: 94(4): 199-231. Disponible en: https://www.actasdermo.org/es-novedades-laser-cutaneo-articulo-13047081

9. Gonzalez-Rodriguez A.J y Lorente-Gual R. Indicaciones actuales y nuevas aplicaciones de los sistemas de luz pulsada. Actas Dermatosifiliorg 2014; 105(7): 350-364. Disponible en: https://www.actasdermo.org/index.php?p=revista&tipo=pdfsimple&pii=S0001731014004578

10. Medina Murillo G.R. Luz pulsada intensa en dermatología cosmética. Rev Hosp Jua Mex 2012; 79(2): 110-113. Disponible en: https://www.medigraphic.com/pdfs/juarez/ju-2012/ju122h.pdf

11. Hugain Z y Alster T.S. The role of lasers ans pulsed light technology in dermatology. Clin Cosmet Investig Dermatol 2016; 9:29-40. doi: 10.2147/CCID.S69106 Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4745852/

12. Min Park J, Tsao H. y Tsao S. Combined used of intense pulsed light and Q-switched ruby laser for complex dyspigmentation among asian patients. Laser Surg Med 2008; 40:128-133. Disponible en: https://pubmed.ncbi.nlm.nih.gov/18306166/

13. González N, Robles J.C y Ocampo J. Artículo de revisión: Hiperpigmentaciones adquiridas. DermatologiaCMQ 2017; 16(1):50-62. Disponible en: https://www.medigraphic.com/pdfs/cosmetica/dcm-2018/dcm181i.pdf

14. Nisticò S.P et al. Nanosecond Q-Switched 1064/532 nm Laser to Treat Hyperpigmentations: A Double Center Retrospective Study. Clin Pract 2021; 11: 708-714. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8544362/

15. Tanaka Y., Tsunemi Y., y Kawashima M. Objective Assessment of Intensive Targeted Treatment for Solar Lentigines Using Intense Pulsed Light With Wavelengths Between 500 and 635nm. Lasers in Surgery and Medicine 2016; 48:30–35. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396364/

16. Kono T. et al. Q-Switched Ruby Versus Long-Pulsed Dye Laser Delivered With Compression for Treatment of Facial Lentigines in Asians. Lasers in Surgery and Medicine 2006; 38:94–97. doi: 10.5978/islsm.16-OR-13. Disponible en: https://pubmed.ncbi.nlm.nih.gov/16265659/

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