Advertisement

Lasers in Pigmented Skin

  • Luis Torezan
Chapter

Abstract

Dark-skinned populations, characterized by increased epidermal melanin and reactive fibroblast responses, pose special challenges for the use of laser- and light-based therapies. Although laser technology has improved in the past years, not all procedures are safe for treating patients with dark skin complexion. The development of new lasers that use longer wavelengths with increased pulse durations, expanded range of treatment fluencies, and more efficient cooling devices decreases the likelihood of adverse events while effectively treating darker skin types. Therefore, although difficult, effective laser therapy in patients with darker skin phototypes can be achieved.

References

  1. 1.
    Van Buren N, Alster T. Laser treatment of dark skin: a review and update. J Drugs Dermatol. 2009;8:821–7.PubMedGoogle Scholar
  2. 2.
    Battle EF Jr. Cosmetic laser treatment for skin of color: a focus on safety and efficacy. J Drugs Dermatol. 2011;10:35–8.PubMedGoogle Scholar
  3. 3.
    Tanzi EL, Lupton JR, Alster TS. Lasers in dermatology: four decades of progress. J Am Acad Dermatol. 2003;49:1–31.CrossRefPubMedGoogle Scholar
  4. 4.
    Alexis AF. Lasers and light-based therapies in ethnic skin: treatment options and recommendations for Fitzpatrick skin types V and VI. Br J Dermatol. 2013;169:91–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Stewart N, Lim AC, Lowe PM, et al. Lasers and laser-like devices: part one. Australas J Dermatol. 2013;54:173–83.CrossRefPubMedGoogle Scholar
  6. 6.
    Sebaratnam DF, Lim AC, Lowe PM, et al. Lasers and laser-like devices: part two. Australas J Dermatol. 2014;55:1–14.CrossRefPubMedGoogle Scholar
  7. 7.
    Battle EF Jr, Soden CE. The use of lasers in darker skin types. Semin Cutan Med Surg. 2009;28:130–40.CrossRefPubMedGoogle Scholar
  8. 8.
    Woolery-Lloyd H, Viera MH, Valins W. Laser therapy in black skin. Facial Plast Surg Clin North Am. 2011;19:405–16.CrossRefPubMedGoogle Scholar
  9. 9.
    Alam M, Warycha M. Complications of lasers and light treatments. Dermatol Ther. 2011;24:571–80.CrossRefPubMedGoogle Scholar
  10. 10.
    Ibrahimi OA, Sakamoto FH, Anderson RR. Picosecond laser pulses for tattoo removal: a good, old idea. JAMA Dermatol. 2013;149:241.CrossRefPubMedGoogle Scholar
  11. 11.
    Hofbauer-Parra CA, Careta MF, Valente NY, et al. Clinical and histopathologic assessment of facial melasma after low-fluence Q-switched neodymium-doped yttrium aluminium garnet laser. Dermatol Surg. 2016;42:507–12.CrossRefPubMedGoogle Scholar
  12. 12.
    Manstein D, Laubach HJ. Fractional photothermolysis. In: Nouri K, editor. Lasers in dermatology and medicine. London: Springer; 2011. p. 123–47.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Laser and Nonmelanoma Skin Cancer DivisionsHospital das Clínicas, University of Sao Paulo Medical SchoolSão PauloBrazil

Personalised recommendations