Información del artículo
Abstract
Laser technology and other energy sources are rapidly finding a place in dermatology clinics. In the field of skin rejuvenation by fractional photothermolysis, although few controlled studies have been undertaken, several devices have emerged in recent years that appear less effective than laser ablation techniques but that are safer. The aim of this short article is to provide an introduction, though not treat in depth, the different emerging technologies in dermatology. We will focus particularly on lasers and light sources in improving applications such as the treatment of vascular lesions, acne, and encapsulated ink tattoos; light-emitting diodes; developments in the treatment of cellulitis; photodynamic therapy; suction methods; scarring; and finally the recent and doubtlessly future introduction of home devices for use in a range of dermatologic applications (depilation, rejuvenation, treatment of acne, etc).
Key words:
laser
fractional
vascular
light emitting diode
tattoos
acne
review
Resumen
La tecnología láser y otros tipos de fuentes energéticas se están incorporando rápidamente a la consulta del dermatólogo. En el campo del rejuvenecimiento fraccional han aparecido en los últimos años varios equipos, aun habiéndose realizado escasos estudios controlados, inferiores en eficacia a los láseres ablativos pero con mayor grado de seguridad. Este breve artículo sólo pretende introducir, pero no desarrollar de forma exhaustiva, las diferentes tecnologías emergentes en Dermatología, especialmente láseres y fuentes de luz para el tratamiento de lesiones vasculares, acné y tatuajes con tintas encapsuladas y cicatrices; las aplicaciones de los dio-dos emisores de luz (LED), las novedades en el tratamiento de la «celulitis», terapia fotodinámica, métodos de succión, y por último la reciente y sin duda futura introducción de los dispositivos caseros para el tratamiento de diversos problemas dermatológicos (depilación, rejuvenecimiento, acné, etc.).
Palabras clave:
láser
fraccional
vascular
LED
tatuajes
acné
revisión
El Texto completo está disponible en PDF
References
[1.]
V.A. Narurkar.
Skin rejuvenation with microthermal fractional photothermolysis.
Dermatol Ther, 20 (2007), pp. S10-S13
[2.]
S.S. Collawn.
Fraxel skin resurfacing.
Ann Plast Surg, 58 (2007), pp. 237-240
[3.]
T. Hasegawa, T. Matsukura, Y. Mizuno, Y. Suga, H. Ogawa, S. Ikeda.
Clinical trial of a laser device called fractional photothermolysis system for acne scars.
J Dermatol, 33 (2006), pp. 623-627
[4.]
Z. Rahman, M. Alam, J.S. Dover.
Fractional Laser treatment for pigmentation and texture improvement.
Skin Therapy, 11 (2006), pp. 7-11
[5.]
Z.S. Tannous, S. Astner.
Utilizing fractional resurfacing in the treatment of therapy-resistant melasma.
J Cosmet Laser Ther, 7 (2005), pp. 39-43
[6.]
S.K. Naito.
Fractional photothermolysis treatment for resistant melasma in Chinese females.
J Cosmet Laser Ther, 9 (2007), pp. 161-163
[7.]
S. Kilmer, N. Semchyshyn, G. Shah, R. Fitzpatrick.
A pilot study on the use of a plasma skin regeneration device (Portrait PSR3) in full facial rejuvenation procedures.
Lasers Med Sci, 22 (2007), pp. 101-109
[8.]
M.A. Bogle, K.A. Arndt, J.S. Dover.
Evaluation of plasma skin regeneration technology in low-energy full-facial rejuvenation.
Arch Dermatol, 143 (2007), pp. 168-174
[9.]
S.S. Bhardwaj, T.E. Rohrer, K. Arndt.
Lasers and light therapy for acne vulgaris.
Semin Cutan Med Surg, 24 (2005), pp. 107-112
[10.]
E.D. Seaton, P.E. Mouser, A. Charakida, S. Alam, P.M. Seldon, A.C. Chu.
Investigation of the mechanism of action of nonablative pulsed-dye laser therapy in photorejuvenation and inflammatory acne vulgaris.
Br J Dermatol, 155 (2006), pp. 748-755
[11.]
A. Harto, I. García-Morales, P. Belmar, P. Jaen.
Pulsed dye laser treatment of acne. Study of clinical efficacy and mechanism of action.
Actas Dermosifiliogr, 98 (2007), pp. 415-419
[12.]
M.A. Bogle, J.S. Dover, K.A. Arndt, S. Mordon.
Evaluation of the 1,540-nm erbium:glass laser in the treatment of inflammatory facial acne.
Dermatol Surg, 33 (2007), pp. 810-817
[13.]
N.S. Uebelhoer, M.A. Bogle, J.S. Dover, K.A. Arndt, T.E. Rohrer.
Comparison of stacked pulses versus double-pass treatments of facial acne with a 1,450-nm laser.
Dermatol Surg, 33 (2007), pp. 552-559
[14.]
A. Pérez-Maldonado, T.M. Runger, N. Krejci-Papa.
The 1,450-nm diode laser reduces sebum production in facial skin: a possible mode of action of its effectiveness for the treatment of acne vulgaris.
Lasers Surg Med, 39 (2007), pp. 189-192
[15.]
C. Horfelt, B. Stenquist, O. Larko, J. Faergemann, A.M. Wennberg.
Photodynamic therapy for acne vulgaris: a pilot study of the dose-response and mechanism of action.
Acta Derm Venereol, 87 (2007), pp. 325-329
[16.]
L. Mavilia, G. Malara, G. Moretti, M. Lo Re, A.P. Puglisi Guerra.
Photodynamic therapy of acne using methyl aminolaevulinate diluted to 4% together with low doses of red light.
Br J Dermatol, 157 (2007), pp. 810-811
[17.]
R.W. England, P. Vogel, L. Hagan.
Immediate cutaneous hypersensitivity after treatment of tattoo with Nd:YAG laser: a case report and review of the literature.
Ann Allerg Asthma Immunol, 89 (2002), pp. 215-217
[18.]
A. Zemtsov, L. Wilson.
CO2 laser treatment causes local tattoo allergic reaction to become generalized.
Acta Derm Venereol, 77 (1997), pp. 497
[19.]
R.R. Anderson.
Controversies & Conversations in Laser and Cosmetic Surgery.
Bolton Landing, (2007),
[20.]
D.J. Goldberg.
Light Emitting diodes: supporting data. Controversies & Conversations in Laser and Cosmetic Surgery.
Bolton Landing, (2007),
[21.]
S.Y. Lee, K.H. Park, J.W. Choi, J.K. Kwon, D.R. Lee, M.S. Shin, et al.
A prospective, randomized, placebo-controlled, double-blinded, and split-face clinical study on LED phototherapy for skin rejuvenation: Clinical, profilometric, histologic, ultrastructural, and biochemical evaluations and comparison of three different treatment settings.
J Photochem Photobiol B, 88 (2007), pp. 51-67
[22.]
R.A. Weiss, D.H. McDaniel, R.G. Geronemus, M.A. Weiss, K.L. Beasley, G.M. Munavalli, et al.
Clinical experience with light-emitting diode (LED) photomodulation.
Dermatol Surg, 31 (2005), pp. 1199-1205
[23.]
F. Baez, L.R. Reilly.
The use of light-emitting diode therapy in the treatment of photoaged skin.
J Cosmet Dermatol, 6 (2007), pp. 189-194
[24.]
M.M. DeLand, R.A. Weiss, D.H. McDaniel, R.G. Geronemus.
Treatment of radiation-induced dermatitis with light-emitting diode (LED) photomodulation.
Lasers Surg Med, 39 (2007), pp. 164-168
[25.]
M.M. El-Domyati, S.K. Attia, A.M. Esmat, H.M. Ahmad, H.M. Abdel Wahab, B.M. Badr.
Effect of laser resurfacing on p53 expression in photoaged facial skin.
Dermatol Surg, 33 (2007), pp. 668-675
[26.]
K.H. Kim, R.G. Geronemus.
Laser lipolysis using a novel 1,064nm Nd:YAG Laser.
Dermatol Surg, 32 (2006), pp. 241-248
[27.]
M. Exiades-Armenakas.
Laser and light-based treatment of cellulite.
J Drugs Dermatol, 6 (2007), pp. 83-84
[28.]
D. Kist, A.J. Burns, R. Sanner, J. Counters, B. Zelickson.
Ultrastructural evaluation of multiple pass low energy versus single pass high energy radio-frequency treatment.
Lasers Surg Med, 38 (2006), pp. 150-154
[29.]
M. Adamic, A. Troilius, M. Adatto, M. Drosner, R. Dahmane.
Vascular lasers and IPLS: guidelines for care from the European Society for Laser Dermatology (ESLD).
J Cosmet Laser Ther, 9 (2007), pp. 113-124
[30.]
P. Boixeda.
Controversies & Conversations in Laser and Cosmetic Surgery.
Bolton Landing, (2007),
[31.]
E. Tanghetti, E.A. Sherr, R. Sierra, M. Mirkov.
The effects of pulse dye laser double-pass treatment intervals on depth of vessel coagulation.
Lasers Surg Med, 38 (2006), pp. 16-21
[32.]
P. Boixeda.
Treatment with millisecond domain lasers of port wine stains and facial telangiectasia. Controversies and Conversations in cutaneous laser surgery.
AMA press, (2002),
[33.]
M.B. Wimmershoff, M. Wenig, U. Hohenleutner, M. Landthaler.
Treatment of port-wine stains with the flash lamp pumped dye laser. 5 years of clinical experience.
Hautarzt, 52 (2001), pp. 1011-1015
[34.]
M. Alam, K. Pon, L.S. Van, M.S. Kaminer, K.A. Arndt, J.S. Dover.
Clinical effect of a single pulsed dye laser treatment of fresh surgical scars: randomized controlled trial.
Dermatol Surg, 32 (2006), pp. 21-25
[35.]
W. Manuskiatti, R. Wanitphakdeedecha, R.E. Fitzpatrick.
Effect of pulse width of a 595-nm flashlamp-pumped pulsed dye laser on the treatment response of keloidal and hypertrophic sternotomy scars.
Dermatol Surg, 33 (2007), pp. 152-161
[36.]
S. Karsai, S. Roos, S. Hammes, C. Raulin.
Pulsed dye laser: what's new in non-vascular lesions?.
J Eur Acad Dermatol Venereol, 21 (2007), pp. 877-890
[37.]
N. Bouzari, S.C. Davis, K. Nouri.
Laser treatment of keloids and hypertrophic scars.
Int J Dermatol, 46 (2007), pp. 80-88
[38.]
K. Kunzi-Rapp, C.C. Dierickx, B. Cambier, M. Drosner.
Minimally invasive skin rejuvenation with Erbium: YAG laser used in thermal mode.
Lasers Surg Med, 38 (2006), pp. 899-907
[39.]
G.M. Lipper, M. Pérez.
Nonablative acne scar reduction alter a series of treatments with a short-pulsed 1,064-nm neodymium: YAG laser.
Dermatol Surg, 32 (2006), pp. 998-1006
[40.]
A.C. Bhatia, J.S. Dover, K.A. Arndt, B. Stewart, M. Alam.
Patient satisfaction and reported long-term therapeutic efficacy associated with 1,320nm Nd:YAG laser treatment of acne scarring and photoaging.
Dermatol Surg, 32 (2006), pp. 346-352
[41.]
T.S. Alster, E.L. Tanzi, M. Lazarus.
The use of fractional laser photothermolysis for the treatment of atrophic scars.
Dermatol Surg, 33 (2007), pp. 295-299
[42.]
A.S. Glaich, Z. Rahman, L.H. Goldberg, P.M. Friedman.
Fractional resurfacing for the treatment of hypopigmented scars: a pilot study.
Dermatol Surg, 33 (2007), pp. 289-294
[43.]
L.R. Braathen, R.M. Szeimies, N. Basset-Seguin, R. Bissonnette, P. Foley, D. Pariser, et al.
Guidelines on the use of photodynamic therapy for nonmelanoma skin cancer: an international consensus. International Society for Photodynamic Therapy in Dermatology, 2005.
J Am Acad Dermatol, 56 (2007), pp. 125-143
[44.]
M.S. Nestor, M.H. Gold, A.N. Kauvar, A.F. Taub, R.G. Geronemus, E.C. Ritvo, et al.
The use of photodynamic therapy in dermatology: results of a consensus conference.
J Drugs Dermatol, 5 (2006), pp. 140-154
[45.]
M. Fernández-Guarino, I. García-Morales, A. Harto, C. Montull, B. Pérez-García, P. Jaén.
Photodynamic therapy: new indications.
Actas Dermosifiliogr, 98 (2007), pp. 377-395
[46.]
A.F. Taub.
Photodynamic therapy: other uses.
Dermatol Clin, 25 (2007), pp. 101-109
[47.]
G. Munavalli.
PPX and Pneumatic Skin Flattening: why all the excitement about suction? Controversies & Conversations in Laser and Cosmetic Surgery.
Landing, (2007),
[48.]
E. Bernstein.
Pneumatic Skin Flatening. Controversies & Conversations in Laser and Cosmetic Surgery.
Landing, (2007),
[49.]
P. Boixeda, A. Pérez-Rodríguez, M. Fernández-Lorente, J.M. Aráosla.
Novedades en láser cutáneo.
Actas Dermosifiliogr, 94 (2003), pp. 199-231
Copyright © 2008. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
