Safety and efficacy of 2,790-nm laser resurfacing for chest photoaging

Chest photodamage is a common cosmetic complaint. Laser treatment of the chest may be higher risk than other areas. The objective of this study was to assess the safety and efficacy of 2,790-nm chest resurfacing for photodamage. Twelve patients with Fitzpatrick skin types I–III were enrolled in this...

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Bibliographic Details
Published in:Lasers in medical science 2015-01, Vol.30 (1), p.355-361
Main Authors: Grunebaum, Lisa D., Murdock, Jennifer, Cofnas, Paul, Kaufman, Joely
Format: Article
Language:English
Subjects:
Adult
Aged
Aging
Chest
Dentistry
Effectiveness
Female
Humans
Lasers
Lasers, Solid-State - adverse effects
Lasers, Solid-State - therapeutic use
Medicine
Medicine & Public Health
Middle Aged
Optical Devices
Optics
Original Article
Patient Satisfaction
Patients
Photonics
Pilot Projects
Quantum Optics
Resurfacing
Safety
Skin
Skin - pathology
Skin - radiation effects
Skin Aging
Spots
Surfacing
Thorax - pathology
Treatment Outcome
Ultraviolet radiation
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Summary:Chest photodamage is a common cosmetic complaint. Laser treatment of the chest may be higher risk than other areas. The objective of this study was to assess the safety and efficacy of 2,790-nm chest resurfacing for photodamage. Twelve patients with Fitzpatrick skin types I–III were enrolled in this university IRB-approved study. Photo documentation was obtained at baseline and each visit. A test spot with the 2,790-nm resurfacing laser was performed on the chest. Patients who did not have adverse effects from the test spot went on to have a full chest resurfacing procedure. Patients were instructed on standardized aftercare, including sunscreen. A 5-point healing and photodamage improvement scale was used to rate improvement by both investigators and the patients and was obtained at 2 weeks, 1 month, 2 months, and 3 months. One pass chest treatment with the 2,790-nm resurfacing laser at fluences greater than or equal to 3.0 mJ with 10 % overlap leads to unacceptable rates of hyperpigmentation. Double pass chest treatment at fluences less than or equal to 2.5 mJ with 10 % overlap leads to mild improvement in chest photodamage parameters without significant or persistent adverse effects. Laser treatment of aging/photodamaged chest skin remains a challenge due to the delicacy of chest skin. Mild improvement may be obtained with double pass resurfacing with the 2,790-nm wavelength.
ISSN:0268-8921
1435-604X
DOI:10.1007/s10103-014-1663-8