RT Book, Section
A1 Kono, Taro
A1 Chan, Henry Hin-Lee
A2 Alam, Murad
A2 Bhatia, Ashish C.
A2 Kundu, Roopal V.
A2 Yoo, Simon S.
A2 Chan, Henry Hin-Lee
SR Print(0)
ID 1175118497
T1 Dermal Color Improvement in Ethnic Skin: Vascular Lasers and Lights
T2 Cosmetic Dermatology for Skin of Color
YR 2009
FD 2009
PB McGraw Hill Medical
PP New York, NY
SN 9780071487764
LK dermatology.mhmedical.com/content.aspx?aid=1175118497
RD 2024/04/18
AB Laser  treatment  of  vascular  lesions  was  first  developed  in  1960s,  and  the  risks  of  scarring  and  texture  changes  were  very  common  in  the  early  days.  In  1983,  the  concept  of  selective  photothermolysis  revolutionized  the  use  of  laser  for  the  treatment  of  vascular  lesions.  Since  then,  pulsed  dye  laser  (PDL)  has  become  the  gold  standard  in  the  treatment  of  port  wine  stains  (PWSs).  However,  for  technical  reasons  in  the  past,  no  PDL  had  been  developed  with  a  pulse  duration  longer  than  1  millisecond  (ms)  until  the  late  1990s.  However,  complications,  especially  dyspigmentation  such  as  hypopigmentation  and  hyperpigmentation,  were  common,  especially  in  dark-skinned  patients.  To  minimize  complications  caused  by  higher  fluence  in  dark-skinned  patients,  epidermal  protection  by  skin  cooling  was  developed.  Newer-generation  PDLs  provide  extended  pulse  durations,  adequate  skin  cooling,  and  higher  power,  leading  to  enhanced  clinical  efficacy  and  lower  risk  of  complication,  especially  in  dark-skinned  patients.