LONG PULSE 1064 NM ND: YAG LASER IN THE TREATMENT OF ERYTHEMATOTELANGIECTATIC ROSACEA AND OTHER ERYTHEMATOTELAN-GIECTATIC FACIAL CONDITIONS
Abstract
Background: Rosacea is a long-term inflammatory skin disorder that mainly affects middle-aged people. This study set out to assess how effective and well-tolerated a long-pulse 1064 nm neodymium-doped yttrium aluminium garnet (Nd:YAG) laser is for treating erythematotelangiectatic rosacea and similar facial redness conditions.
Materials & Methods: A prospective interventional study was carried out with 32 patients, each receiving 3–4 treatment sessions spaced two weeks apart. The laser settings used included a 5 mm spot size, fluence of 4.07 J/cm², energy of 800 mJ, and frequency of 5 Hz. Redness levels were evaluated using the Clinician’s Erythema Assessment (CEA) and Patient Self-Assessment (PSA) scales, while visible blood vessels were measured using a new Telangiectasia Area Involvement Score (TAIS).
Results: Two weeks after the final session, the average CEA scores dropped significantly from 3.00 to 0.69 (p < 0.05), and PSA scores improved from 3.47 to 1.16 (p < 0.05). There was also a moderate improvement in telangiectasia. Side effects were mild and temporary, mainly short-term redness and slight itching.
Conclusion: Overall, the results suggest that long-pulse Nd:YAG laser treatment is both safe and effective in reducing facial redness in patients with erythematotelangiectatic rosacea.
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DOI: https://doi.org/10.46903/gjms/23.4.1934
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