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Intense Pulsed Light for the Treatment of Rosacea and Telangiectasias.

J Cosmet Laser Ther. 2011 Aug 17;

Authors: Kassir R, Kolluru A

Abstract
Abstract Background: Rosacea is a chronic disease that affects the aesthetic appearance of skin. Topical and oral medications have been used to treat the erythema and acneiform papules associated with the disease. However, improvement is only partial, and in severe cases a significant amount of flushing remains. The use of intense pulsed light (IPL) has shown significant clearing in erythema, telangiectasia, and papules in rosacea. We seek parameters for IPL that will achieve optimal reduction in the appearance of rosacea with minimal adverse effects. Objective: To investigate the use of IPL on 102 patients at various parameters (fluence and pulse duration) in the treatment of rosacea. Reduction of redness was assessed by the investigator and photodocumentation. Reductions in flushing and acneiform breakouts were assessed by the patient. Methods: 102 patients with mild to severe rosacea were treated with intense pulsed light (IPL) treatment using the NaturaLight IPL system (Focus Medical, Bethel, CT). Patients received treatments at 1-3 week intervals, with an average of 7.2 treatments. The Reveal Imager (Canfield Scientific, Fairfield, NJ) was used for photodocumentation and analyses. Results: Treatments were given at 2.5/5 milliseconds double, triple, or quadruple pulsed with 20-30 milliseconds delay time. A 530 nm filter was used with fluences varying from 10-30 J/cm2, or 10-20 J/cm2 with a 420 nm filter for those patients with acneiform breakouts in addition to telangiectasias. 80% of patients had reduction in redness, 78% of patients reported reduced flushing and improved skin texture, and 72% noted fewer acneiform breakouts. There were no complications or adverse effects. Conclusion: The use of intense pulsed light at specified parameters provides optimal therapy for the treatment of rosacea.

PMID: 21848421 [PubMed - as supplied by publisher]

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