Comparison of Intense Pulsed Light with 1, 927‐nm Fractionated Thulium Fiber Laser for the Rejuvenation of the Chest. Issue 2 (19th December 2013)

• Record Type: Journal Article
• Authors: Wu, Douglas C.; Friedmann, Daniel P.; Fabi, Sabrina G.; Goldman, Mitchel P.; Fitzpatrick, Richard E.
• Is Part Of: Dermatologic surgery. Volume 40:Issue 2(2014)
• Page Start: 129
• Page End: 133
• Publication Date: 2013-12-19
• Subjects: Skin -- Surgery -- Periodicals; Skin -- Diseases -- Surgery -- Periodicals; 617.477
• DOI: 10.1111/dsu.12398
• Languages: English
• ISSNs: 1076-0512

Abstract

<abstract abstract-type="main" id="dsu12398-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="dsu12398-sec-0001" sec-type="section"> <title>Background</title> <p>Rejuvenation of the aging chest is important to prevent noticeable disparities between the treated skin of the face and that of the untreated chest.</p> </sec> <sec id="dsu12398-sec-0002" sec-type="section"> <title>Objective</title> <p>To compare a high‐density thulium fiber laser (TFL)‐based protocol for the rejuvenation of the aging chest with intense pulsed light (IPL).</p> </sec> <sec id="dsu12398-sec-0003" sec-type="section"> <title>Methods and materials</title> <p>We conducted a retrospective chart review comparing patients treated with IPL and those treated with TFL in combination with a quality‐switched alexandrite laser and long pulsed dye laser. Blinded photographic assessment of overall improvement, rhytides, skin texture, dyspigmentation, and telangiectasia was performed. Patient satisfaction was assessed in a standardized follow‐up survey. Cost and practicality were compared.</p> </sec> <sec id="dsu12398-sec-0004" sec-type="section"> <title>Results</title> <p>At a mean follow‐up of 45.8 days for IPL and 78.3 days for TFL, the two protocols had comparable clinical efficacy in achieving rejuvenation of the chest. Differences existed in terms of cost and practicality.</p> </sec> <sec id="dsu12398-sec-0005" sec-type="section"> <title>Conclusion</title> <p>TFL can be used at high density and in simultaneous combination with other targeted laser modalities to achieve rejuvenation of the aging chest. IPL achieves similar clinical efficacy. The choice between treatment modalities depends on physician and patient preferences.</p> </sec> </abstract>