Intense pulsed light

Taub AF (2003) Treatment of rosacea with intense pulsed light. J Drugs Dermatol 2 254-259... 

Mark KA, Sparacio RM, Voigt A, et al (2003) Objective and quantitative improvement of rosacea-associated erythema after intense pulsed light treatment. Dermatol Surg 29 600-604... 

Chan HH, Kono T (2004) The use of lasers and intense pulsed light sources for the treatment of pigmentary lesions. Skin Therapy Lett 9(8) 5-7... 

Biphotonic processes depend greatly on light intensity, and on the lifetimes of the excited states M. Their importance increases markedly in conditions of very intense, pulsed light excitation, e.g. in laser beams or in flash light. 

Ho WS, Ying SY, Chan PC, Chan HH. Treatment of port wine stains with intense pulsed light. Dermatol Surg 2004 30 887-90. 

Lentigines and keratoses should be treated by another method in parallel with AHA peels. There are other, more efficient, techniques to treat these problems liquid nitrogen, dry ice, Only Touch peel, intense pulsed light (IPL), laser, etc. Dr Robert Vergereau (France) compared the use of dry ice, Erbium laser, Q-switched laser, coagulation and Only Touch peel. He concluded that If all these methods are satisfactory, in my opinion, the technique using trichloroacetic acid is the most beneficial . 

The use of intense pulsed light (IPL) for treating aging skin (Figure 11.5) is a widely used technique nowadays. However, many doctors are disappointed with the results obtained with pulsed light as a monotherapy and are look-... 

Topical treatments for melasma usually include tyrosinase inhibitors, with or without tretinoin or one of its precursors. Azelaic acid is also a viable treatment option. A corticosteroid can be combined with it to counter any potential active inflammation. Lasers, intense pulsed light (IPL), dermabrasion and microdermabrasion have also been suggested, but often cause post-inflammatory hyperpigmentation. TCA can be an excellent treatment for melasma it eliminates the melanin stored in the papillary dermis and epidermis (Figure 13.8). Mesotherapy has been recently reputed as an effective treatment of melasma. ... 

PIH, whether caused by trauma (e.g. a mosquito bite, scratch or wound), by laser or intense pulsed light (IPL) treatment, or by another peel, usually responds to four sessions of ETCA following the same guidelines as for melasma treatment. 

Rubin describes using the Candela pulsed dye laser to good effect to reduce persistent erythema. Intense pulsed light can also be used to treat post-peel erythema. 

G. Kostenich, A. Orenstein, L. Roitman, Z. Malik, B. Ehrenberg (1997). In vivo photodynamic therapy with the new near-IR absorbing water soluble photosensitizer lutetium texaphyrin and a high intensity pulsed light delivery system. J. Photochem. PhotobioL B, 39, 36-42. 

E. Niemaim, M. Klenert, A fast high-intensity-pulse light source for flash-photolysis. Appl. Opt. 7,295 (1968)... 

Melasma can either be treated with superficial or medium-depth peels. Though medium-depth peels can yield good results if done with utmost care, superficial peels are currently the preferred and most frequently performed peels. It is effective and safer to use for all skin phototypes (Fitzpatrick 1-6) but with precautionary measures and care for daiker skin [30, 125]. Intense pulsed light, laser resurfacing, and dermabrasion have essentially supplanted medium-depth and deep peels [9]. 

Intense pulsed light (IPL) has recently been shown to manifest previously subclinical melasma. Even with the use of bleaching agents and sunscreens for 6 weeks to 3 months prior to this light therapy, PIH was still reported in the study of Wang and colleagues [150]. 

Wang CC, Hui CY, Sue YM et al (2004) Intense pulsed light for the treatment of refractory melasma in Asian persons. Dermatol Surg 30 1196-1200... 

Kosaka S, Yasumoto M, Akilov OE, Hasan T, Kawana S. Comparative spht-face study of 5-aminolevulinic acid photodynamic therapy with intense pulsed light for photorejuvenation of Asian skin. J Dermatol 2010 37(12) 1005-10. 

Hasegawa T, Suga Y, Mizuno Y, Haruna K, Ogawa H, Ikeda S. Efficacy of photodynamic therapy with topical 5-aminolevulinic acid using intense pulsed light for Bowen s disease. J Dermatol 2010 37(7) 623-8. 

Other common techniques and devices include the use of intense pulsed light for resurfacing (to treat vascular lesions and acne) and light-activated drugs in photodynamic therapy (for precancerous and cancerous cells, acne, rosacea, or skin enhancement). 

Indocyanine green (ICG)-augmented diode laser therapy (ICG+DL) represents a new treatment modality for capillary malformation (GM). However, an increase in the ICG concentration or the use of an intense pulsed light (IPL) device as light source may further optimise treatment outcomes in CM. This proof-of-concept trial included 15 patients (skin type II to III) with CM to evaluate the efficacy and safety of ICG+DL (808nm) at a total dose of 4 mg/ kg b.w. Additionally, five patients with extensive CM received IPL therapy before and after ICG-administration (ICG + IPL) [37 ]. 

Fabi SG, Goldman MP. The safety and efficacy of combining Poly-l-lactic acid with intense pulsed light in facial rejuvenation a retrospective study of 90 patients. Dermatol Surg 2012 38( 1208-16. 

ALA, aminolevulinic acid EnYAG, erbium yttrium-aluminum-garnet FAMI, fat autograft muscle injection IPL, Intense pulsed light NdiYAG, neodymium yttrium-aluminum-garnet... 

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