{"id":100794,"date":"2024-05-16T18:02:56","date_gmt":"2024-05-16T18:02:56","guid":{"rendered":"https:\/\/www.varshabi.com\/Aerolase\/?post_type=article&#038;p=100794"},"modified":"2024-06-07T15:32:38","modified_gmt":"2024-06-07T15:32:38","slug":"improvement-of-rosacea-associated-facial-erythema-and-telangiectasias-in-skin-of-color-with-a-650-microsecond-1064nm-ndyag-laser","status":"publish","type":"article","link":"https:\/\/www.varshabi.com\/Aerolase\/article\/improvement-of-rosacea-associated-facial-erythema-and-telangiectasias-in-skin-of-color-with-a-650-microsecond-1064nm-ndyag-laser\/","title":{"rendered":"Improvement of Rosacea-associated Facial Erythema and Telangiectasias in Skin of Color with a 650-microsecond 1064nm Nd:YAG Laser"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"100794\" class=\"elementor elementor-100794\" data-elementor-post-type=\"article\">\n\t\t\t\t<div class=\"has_eae_slider elementor-element elementor-element-2a8d5ab e-flex e-con-boxed e-con e-parent\" data-id=\"2a8d5ab\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4d35466 elementor-widget elementor-widget-text-editor\" data-id=\"4d35466\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.22.0 - 17-06-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h6><em>Cheri Frey, MD FAAD, Assistant Professor<\/em><\/h6><p><em>Howard University, Department of Dermatology, Washington, DC<\/em><\/p><p>\u00a0<\/p><h5 style=\"color: #3069ad;\">Background<\/h5><p>Rosacea is a chronic inflammatory skin condition primarily affecting the face in adults. It is characterized by facial flushing, background erythema, telangiectasia, papules, pustules, and phymatous skin changes. Rosacea can affect skin of all tones but is often underdiagnosed in darker skin types due to the varying presentation of facial erythema. Studies have shown that rosacea, particularly erythema, has significant adverse effects on patients\u2019 quality of life (Huynh 2013). While prescription medications and avoidance of certain triggers such as sun, stress, spicy food, alcohol and caffeine, can improve papules and pustules, facial erythema is often more recalcitrant (Goldgar, 2009).\u00a0Although laser and light therapy has been shown to significantly improve facial erythema in lighter skin tones, these devices are not always suitable or safe for patients with higher Fitzpatrick skin types. Additionally, lasers targeting erythema may lead to post-treatment purpura, which often leads to post-inflammatory hyperpigmentation in patients with skin of color.<\/p><div class=\"wp-block-spacer\" style=\"height: 46px;\" aria-hidden=\"true\">\u00a0<\/div><h5 style=\"color: #3069ad;\">Objective<\/h5><p>To investigate the treatment of rosacea-associated facial erythema and telangiectasias with the 650-microsecond 1064nm Nd:YAG laser (Neo Elite by Aerolase, USA) in skin of color.<\/p><p>\u00a0<\/p><h5 style=\"color: #3069ad;\">Methods<\/h5><p>Four patients, Fitzpatrick IV through VI, with a history of rosacea-associated facial erythema, consented to laser treatment. The treated areas were cleansed with alcohol and treated with three sessions of 650-microsecond pulsed laser. A 6mm lens, with a fluence of 14 J\/cm2, was used to perform four passes in a crosshatch pattern. Sunscreen was applied immediately following the treatment. One patient, Fitzpatrick skin type VI, with rosacea-associated telangiectasias of the nasal ala consented to laser treatment. The treated areas were cleansed with alcohol and treated with three sessions of 650-microsecond pulsed laser. A two-step treatment was performed. The area was preheated with three passes using a 6mm lens with a fluence of 21 J\/cm2 followed directly by one pass using a 5mm lens at a fluence of 20 J\/cm2.\u00a0 Sunscreen was applied immediately following the treatment.<\/p><p>\u00a0<\/p><h5 style=\"color: #3069ad;\">Results<\/h5><p>All patients tolerated the procedures well and reported no pain.\u00a0 Transient mild erythema was noted immediately post-procedure. No adverse effects were noted, such as hypopigmentation, hyperpigmentation, or bruising. All patients reported significant improvement and high satisfaction following the treatments.<\/p><p>\u00a0<\/p><h5 style=\"color: #3069ad;\">Conclusion<\/h5><p>The 650-microsecond 1064nm Nd:YAG laser is a safe and effective treatment for rosacea-associated erythema and telangiectasias in skin of color. Further studies with additional cases and long-term follow-up are necessary to validate these findings.<\/p><h6>\u00a0<\/h6><h6>References<\/h6><p>1. Huynh T. T. (2013). Burden of Disease: The Psychosocial Impact of Rosacea on a Patient\u2019s Quality of Life. American health &amp; drug benefits, 6(6), 348\u2013354.<\/p><p>2. Goldgar, C., Keahey, D. J., &amp; Houchins, J. (2009). Treatment options for acne rosacea. American family physician, 80(5), 461\u2013468.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_eae_slider elementor-element elementor-element-d7a3735 e-flex e-con-boxed e-con e-parent\" data-id=\"d7a3735\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-53c406c elementor-widget elementor-widget-template\" data-id=\"53c406c\" data-element_type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"container\" data-elementor-id=\"101301\" class=\"elementor elementor-101301\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t<div class=\"has_eae_slider elementor-element elementor-element-02b3a80 e-flex e-con-boxed e-con e-parent\" data-id=\"02b3a80\" data-element_type=\"container\" 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href=\"https:\/\/www.varshabi.com\/Aerolase\/before-and-after-gallery\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Before & After Gallery ><\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"has_eae_slider elementor-element elementor-element-e4f1f22 e-flex e-con-boxed e-con e-parent\" data-id=\"e4f1f22\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"author":5,"featured_media":100796,"parent":0,"menu_order":0,"template":"","format":"standard","article_category":[39],"class_list":["post-100794","article","type-article","status-publish","format-standard","has-post-thumbnail","hentry","article_category-pigmentation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.7 (Yoast SEO v22.8) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Improvement of Rosacea-associated Facial Erythema and Telangiectasias in Skin of Color with a 650-microsecond 1064nm Nd:YAG Laser &#8226; Aerolase<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Improvement of Rosacea-associated Facial Erythema and Telangiectasias in Skin of Color with a 650-microsecond 1064nm Nd:YAG Laser\" \/>\n<meta property=\"og:description\" content=\"Cheri Frey, MD FAAD, Assistant Professor Howard University, Department of Dermatology, Washington, DC \u00a0 Background Rosacea is a chronic inflammatory skin condition primarily affecting the face in adults. 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