Advertisement

Intense Pulse Light (IPL)

  • Robert A. Weiss
  • Girish S. Munavalli
  • Sonal Choudhary
  • Angel Leiva
  • Keyvan Nouri
Chapter

Abstract

Intense Pulsed Light (IPL) is a light-emitting system that is capable of emitting filtered polychromatic broad bandwidth wavelengths between 515 and 1,200 nm.

The emission of wavelengths is controlled by both an internal filter that blocks undesired wavelengths from being emitted and a “heat-sink” effect that allows the controlled transfer of thermal energy from an object at high temperature to an object at lower temperature.

Keywords

Double Pulse Intense Pulse Light Hair Removal Thermal Relaxation Time Longe Pulse Duration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1.  1.
    Weiss RA, Goldman MP, Weiss MA. Treatment of poikiloderma of Civatte with an intense pulsed light source. Dermatol Surg. 2000;26(9):823-827; discussion 828.PubMedCrossRefGoogle Scholar
  2.  2.
    Bitter PH. Noninvasive rejuvenation of photodamaged skin using serial, full-face intense pulsed light treatments. Dermatol Surg. 2000;26(9):835-842; discussion 843.PubMedCrossRefGoogle Scholar
  3.  3.
    Goldberg DJ, Cutler KB. Nonablative treatment of rhytids with intense pulsed light. Lasers Surg Med. 2000;26(2):196-200.PubMedCrossRefGoogle Scholar
  4.  4.
    Raulin C, Schroeter CA, Weiss RA, Keiner M, Werner S. Treatment of port-wine stains with a noncoherent pulsed light source: a retrospective study. Arch Dermatol. 1999;135(6):679-683.PubMedCrossRefGoogle Scholar
  5.  5.
    Jay H, Borek C. Treatment of a venous-lake angioma with intense pulsed light. Lancet. 1998;351(9096):112.PubMedCrossRefGoogle Scholar
  6.  6.
    Weiss RA, Weiss MA, Marwaha S, Harrington AC. Hair removal with a non-coherent filtered flashlamp intense pulsed light source. Lasers Surg Med. 1999;24(2):128-132.PubMedCrossRefGoogle Scholar
  7.  7.
    Raulin C, Schroeter C, Maushagen-Schnaas E. Treatment possibilities with a high-energy pulsed light source (PhotoDerm VL). Hautarzt. 1997;48(12):886-893.PubMedCrossRefGoogle Scholar
  8.  8.
    Raulin C, Weiss RA, Schönermark MP. Treatment of essential telangiectasias with an intense pulsed light source (PhotoDerm VL). Dermatol Surg. 1997;23(10):941-945; discussion 945-946.PubMedCrossRefGoogle Scholar
  9.  9.
    Parrish JA, Anderson RR, Harrist T, Paul B, Murphy GF. Selective thermal effects with pulsed irradiation from lasers: from organ to organelle. J Invest Dermatol. 1983;80(Suppl):75s-80s.CrossRefGoogle Scholar
  10. 10.
    Adrian RM. Treatment of leg telangiectasias using a long-pulse frequency-doubled neodymium:YAG laser at 532 nm. Dermatol Surg. 1998;24(1):19-23.PubMedCrossRefGoogle Scholar
  11. 11.
    Dierickx CC, Casparian JM, Venugopalan V, Farinelli WA, Anderson RR. Thermal relaxation of port-wine stain vessels probed in vivo: the need for 1-10-millisecond laser pulse treatment. J Invest Dermatol. 1995;105(5):709-714.PubMedCrossRefGoogle Scholar
  12. 12.
    Kimel S, Svaasand LO, Hammer-Wilson M, et al. Differential vascular response to laser photothermolysis. J Invest Dermatol. 1994;103(5):693-700.PubMedCrossRefGoogle Scholar
  13. 13.
    Goldman MP, Bennett RG. Treatment of telangiectasia: a review. J Am Acad Dermatol. 1987;17:167-182.PubMedCrossRefGoogle Scholar
  14. 14.
    Sommer A, Van Mierlo PL, Neumann HA, Kessels AG. Red and blue telangiectasias. Differences in oxygenation? Dermatol Surg. 1997;23(1):55-59.PubMedCrossRefGoogle Scholar
  15. 15.
    Sadick NS. A histologic bimodal approach to lower extremity veins. Cosmet Dermatol. 2000;June:17-30.Google Scholar
  16. 16.
    Goldman MP, Eckhouse S. Photothermal sclerosis of leg veins. Dermatol Surg. 1996;22:323-330.PubMedCrossRefGoogle Scholar
  17. 17.
    Reisfeld PL. Blue in the skin. J Am Acad Dermatol. 2000;42:597-605.PubMedCrossRefGoogle Scholar
  18. 18.
    Sadick NS. A dual wavelength approach for laser/intense pulsed light source treatment of lower extremity veins. J Am Acad Dermatol. 2002;46(1):66-72.PubMedCrossRefGoogle Scholar
  19. 19.
    Lask G, Eckhouse S, Slatkine M, Waldman A, Kreindel M, Gottfried V. The role of laser and intense light sources in photo-epilation: a comparative evaluation. J Cutan Laser Ther. 1999;1(1):3-13.PubMedGoogle Scholar
  20. 20.
    Dover JS, Sadick NS, Goldman MP. The role of lasers and light sources in the treatment of leg veins. Dermatol Surg. 1999;25(4):328-335; discussion 335-336.PubMedCrossRefGoogle Scholar
  21. 21.
    Fodor L, Carmi N, Fodor A, Ramon Y, Ullmann Y. Intense pulsed light for skin rejuvenation, hair removal, and vascular lesions: a patient satisfaction study and review of the literature. Ann Plast Surg. 2009;62(4):345-349.PubMedCrossRefGoogle Scholar
  22. 22.
    Fodor L, Ramon Y, Fodor A, et al. A side-by-side prospective study of intense pulsed light and Nd:YAG laser treatment for vascular lesions. Ann Plast Surg. 2006;56:164-170.PubMedCrossRefGoogle Scholar
  23. 23.
    Lask G, Eckhouse S, Slatkine M, et al. The role of laser and intense light sources in photo-epilation: a comparative evaluation. J Cutan Laser Ther. 1999;1:3-13.PubMedGoogle Scholar
  24. 24.
    Redisch W, Pelzer RH. Localized vascular dilatations of the human skin, capillary microscopy and related studies. Am Heart J. 1949;37(1):106-113.PubMedCrossRefGoogle Scholar
  25. 25.
    Raulin C, Greeve B, eds. Laser und IOL-Technologie in der Dermatologie and Aesthetischen Medizin. 1st ed. New York: Schattauer Stuttgart; 2001.Google Scholar
  26. 26.
    Ruiz-Esparza J, Goldman MP, Fitzpatrick RE, Lowe NJ, Behr KL. Flash lamp-pumped dye laser treatment of telangiectasia. J Dermatol Surg Oncol. 1993;19(11):1000-1003.PubMedGoogle Scholar
  27. 27.
    Podmore P. Treatment of widespread generalized congenital aberrant telangiectasia with a flashlight source. J Cutan Laser Ther. 2000;2(2):79-80.PubMedGoogle Scholar
  28. 28.
    Angermeier MC. Treatment of facial vascular lesions with intense pulsed light. J Cutan Laser Ther. 1999;1:95-100.PubMedGoogle Scholar
  29. 29.
    Schroeter CA, Neumann M. An intense light source. The PhotoDerm VL-flashlamp as a new treatment possibility for vascular skin lesions. Dermatol Surg. 1998;24:743-748.PubMedCrossRefGoogle Scholar
  30. 30.
    Clementoni MT, Gilardino P, Muti GF, et al. Facial teleangectasias: our experience in treatment with IPL. Lasers Surg Med. 2005;37(1):9-13.PubMedCrossRefGoogle Scholar
  31. 31.
    Clark SM, Lanigan SW, Marks R. Laser treatment of erythema and telangiectasia associated with rosacea. Lasers Med Sci. 2002;17(1):26-33.PubMedCrossRefGoogle Scholar
  32. 32.
    Tan SR, Tope WD. Pulsed dye laser treatment of rosacea improves erythema, symptomatology, and quality of life. J Am Acad Dermatol. 2004;51(4):592-599.PubMedCrossRefGoogle Scholar
  33. 33.
    Chang CJ, Nelson JS. Cryogen spray cooling and higher fluence pulsed dye laser treatment improve port-wine stain clearance while minimizing epidermal damage. Dermatol Surg. 1999;25(10):767-772.PubMedCrossRefGoogle Scholar
  34. 34.
    Schroeter CA, Haaf-von Below S, Neumann HA. Effective treatment of rosacea using intense pulsed light systems. Dermatol Surg. 2005;31(10):1285-1289.PubMedCrossRefGoogle Scholar
  35. 35.
    Purcell E, Condon C. Intense pulsed light therapy in the management of hereditary benign telangiectasia. Br J Plast Surg. 2004;57(5):453-455.PubMedCrossRefGoogle Scholar
  36. 36.
    Poetke M, Philipp C, Berlien HP. Flashlamp-pumped pulsed dye laser for hemangiomas in infancy: treatment of superficial vs mixed hemangiomas. Arch Dermatol. 2000;136(5):628-632.PubMedCrossRefGoogle Scholar
  37. 37.
    Poetke M, Philipp C, Berlien HP. Clinical features and classification of congenital vascular disorders. In: Berlien HP, Schmittenbecher PP, eds. Laser surgery in children. Berlin: Springer; 1997:72-81.Google Scholar
  38. 38.
    Ashinoff R, Geronemus RG. Flashlamp-pumped pulsed dye laser for port-wine stains in infancy: earlier versus later treatment. J Am Acad Dermatol. 1991;24:467-472.PubMedCrossRefGoogle Scholar
  39. 39.
    Geronemus RG. Pulsed dye laser treatment of vascular lesions in children. J Dermatol Surg Oncol. 1993;19:303-310.PubMedGoogle Scholar
  40. 40.
    Goldman MP, Fitzpatrick RE, Ruiz-Esparaza J. Treatment of port-wine stains (capillary malformation) with the flashlamp-pumped pulsed dye laser. J Pediatr. 1993;122:71-77.PubMedCrossRefGoogle Scholar
  41. 41.
    Reyes BA, Geronemus RG. Treatment of port-wine stains during childhood with the flashlamp-pumped pulsed dye laser. J Am Acad Dermatol. 1990;23:1142-1148.PubMedCrossRefGoogle Scholar
  42. 42.
    Tan OT, Sherwood K, Gilchrest BA. Treatment of children with port-wine stains using the flashlamp-pulsed tunable dye laser. N Engl J Med. 1989;320:416-421.PubMedCrossRefGoogle Scholar
  43. 43.
    Jorge BF, Del Pozo J, Castiñeiras I, Mazaira M, Fernández-Torres R, Fonseca E. Treatment of ulcerated haemangiomas with a non-coherent pulsed light source: brief initial clinical report. J Cosmet Laser Ther. 2008;10(1):48-51.PubMedCrossRefGoogle Scholar
  44. 44.
    Raulin C, Greve B, eds. Laser und IPL-Technologie in der Dermatologie und Ästhetischen Medizin. 1st ed. New York: Schattauer Stuttgart; 2001.Google Scholar
  45. 45.
    Weiss RA, Goldmann MP, Weiss MA. Treatment of poikiloderma of Civatte with an intense pulsed light source. Dermatol Surg. 2000;26:283-828.Google Scholar
  46. 46.
    Alster TS, Wilson F. Treatment of port-wine stains with the flashlamp pumped dye laser: extended clinical experience in children and adults. Ann Plast Surg. 1994;32:478-484.PubMedCrossRefGoogle Scholar
  47. 47.
    Ashinoff R, Geronemus RG. Flashlamp-pumped dye laser for port-wine stains in infancy: early versus later treatments. J Am Acad Dermatol. 1990;24:467-472.CrossRefGoogle Scholar
  48. 48.
    Fitzpatrick RE, Lowe NJ, Goldman MP, Borden H, Behr KL, Ruiz-Esparza J. Flashlamp-pumped dye laser treatment of port wine stains. J Dermatol Surg Oncol. 1994;20:743-748.PubMedGoogle Scholar
  49. 49.
    Fiskerstrand EJ, Svaasand LA, Kopstad G, Ryggen K, Aase S. Photothermally induced vessel-wall necrosis after pulsed dye laser treatment: lack of response in port-wine stains with small sized or deeply located vessels. J Invest Dermatol. 1996;107:671-675.PubMedCrossRefGoogle Scholar
  50. 50.
    Bjerring P, Christiansen K, Troilius A. Intense pulsed light source for the treatment of dye laser resistant port-wine stains. J Cosmet Laser Ther. 2003;5(1):7-13.PubMedGoogle Scholar
  51. 51.
    Kawada A, Shiraishi H, Asai M, et al. Clinical improvement of solar lentigines and ephelides with an intense pulsed light source. Dermatol Surg. 2002;28(6):504-508.PubMedCrossRefGoogle Scholar
  52. 52.
    Li YH, Chen JZ, Wei HC, et al. Efficacy and safety of intense pulsed light in treatment of melasma in Chinese patients. Dermatol Surg. 2008;34(5):693-700; discussion 700-701. Epub 2008 Mar 3.PubMedCrossRefGoogle Scholar
  53. 53.
    Zelickson B, Kist D. Pulsed dye laser and photoderm treatment stimulates production of type-1 collagen and collagenase transcripts in papillary dermis fibroblasts. Lasers Surg Med Abstr Suppl. 2001;13:33.Google Scholar
  54. 54.
    Zelickson B, Kist D. Effect of pulse dye laser and intense pulsed light source on the dermal extracellular matrix remodeling [abstract]. Lasers Surg Med. 2000(Suppl 12):17.Google Scholar
  55. 55.
    Hernandez-Perez E, Ibiett EV. Gross and microscopic findings in patients undergoing microdermabrasion for facial rejuvenation. Dermatol Surg. 2001;27(7):637-640.PubMedCrossRefGoogle Scholar
  56. 56.
    Wong WR, Shyu WL, Tsai JW, Hsu KH, Pang JH. Intense pulsed light effects on the expression of extracellular matrix proteins and transforming growth factor beta-1 in skin dermal fibroblasts cultured within contracted collagen lattices. Dermatol Surg. 2009;35(5):816-825. Epub 2009 Mar 30.PubMedCrossRefGoogle Scholar
  57. 57.
    Yaping X, Wang B, Lu J, et al. Effect and mechanism of intense pulsed laser on skin aging in rats. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2009;34(5):375-381.PubMedGoogle Scholar
  58. 58.
    Negishi K, Tezuka Y, Kushikata N, Wakamatsu S. Photorejuvenation for Asian skin by intense pulsed light. Dermatol Surg. 2001;27(7):627-631; discussion 632.PubMedCrossRefGoogle Scholar
  59. 59.
    Huang YL, Liao YL, Lee SH, Hong HS. Intense pulsed light for the treatment of facial freckles in Asian skin. Dermatol Surg. 2002;28:1007.PubMedCrossRefGoogle Scholar
  60. 60.
    Weiss RA, Weiss MA, Beasley KL. Rejuvenation of photoaged skin: 5 years results with intense pulsed light of the face, neck, and chest. Dermatol Surg. 2002;28(12):1115-1119.PubMedCrossRefGoogle Scholar
  61. 61.
    Goldberg DJ, Whitworth J. Laser skin resurfacing with the Q-switched Nd:YAG laser. Dermatol Surg. 1997;23(10):903-906; discussion 906-907.PubMedCrossRefGoogle Scholar
  62. 62.
    Fatemi A, Weiss MA, Weiss RA. Short-term histologic effects of nonablative resurfacing: results with a dynamically cooled millisecond-domain 1320 nm Nd:YAG laser. Dermatol Surg. 2002;28(2):172-176.PubMedCrossRefGoogle Scholar
  63. 63.
    Tan MH, Spencer JM, Pires LM, Ajmeri J, Skover G. The evaluation of aluminum oxide crystal microdermabrasion for photodamage. Dermatol Surg. 2001;27(11):943-949.PubMedCrossRefGoogle Scholar
  64. 64.
    Fagien S, Brandt FS. Primary and adjunctive use of botulinum toxin type A (Botox) in facial aesthetic surgery: beyond the glabella. Clin Plast Surg. 2001;28(1):127-148.PubMedGoogle Scholar
  65. 65.
    Ruiz-Rodriguez R, San-Sanchez T, Cordoba S. Photodynamic photorejuvenation. Dermatol Surg. 2002;28:742-744.PubMedCrossRefGoogle Scholar
  66. 66.
    Fritsch C, Goerz G, Ruzicka T. Photodynamic therapy in dermatology. Arch Dermatol. 1998;134:207-214.PubMedCrossRefGoogle Scholar
  67. 67.
    Kalla K, Merk H, Mukhtar H. Photodynamic therapy in dermatology. J Am Acad Dermatol. 2000;42:389-413.CrossRefGoogle Scholar
  68. 68.
    Hongcharu W, Taylor CR, Chang Y, Aghassi D, Suthamjariya K, Anderson RR. Topical ALA-photodynamic therapy for the treatment of acne vulgaris. J Invest Dermatol. 2000;115(2):183-192. PMID: 10951234.PubMedCrossRefGoogle Scholar
  69. 69.
    Fowler JF, Zax RH. Aminolevulinic acid hydrochloride with photodynamic therapy: efficacy outcomes and recurrence 4 years after treatment. Cutis. 2002;69(6S):2-7.PubMedGoogle Scholar
  70. 70.
    Gold MH. The evolving role of aminolevulinic acid hydrochloride with photodynamic therapy in photoaging. Cutis. 2002;69(Suppl 6):8-13.PubMedGoogle Scholar
  71. 71.
    Bellew SG, Weiss MA, Weiss RA. Comparison of intense pulsed light to 595-nm long-pulsed pulsed dye laser for treatment of hypertrophic surgical scars: a pilot study. J Drugs Dermatol. 2005;4:448-452.PubMedGoogle Scholar
  72. 72.
    Kontoes PP, Marayiannis KV, Vlachos SP. The use of intense pulsed light in the treatment of scars. Eur J Plast Surg. 2003;25:374-377.Google Scholar
  73. 73.
    Hedelund L, Due E, Bjerring P, Wulf HC, Haedersdal M. Skin rejuvenation using intense pulsed light: a randomized controlled split-face trial with blinded response evaluation. Arch Dermatol. 2006;142:985-990.PubMedCrossRefGoogle Scholar
  74. 74.
    Erol OO, Gurlek A, Agaoglu G, Topcuoglu E, Oz H. Treatment of hypertrophic scars and keloids using intense pulsed light (IPL). Aesthet Plast Surg. 2008;32(6):902-909. Epub 2008 Jun 17.CrossRefGoogle Scholar
  75. 75.
    Requena L, Sánchez-Yus E. Striae distensae. Dermatopathol Pract Concept. 1997;3:197-202.Google Scholar
  76. 76.
    McDaniel D, Ash K, Zukowski M. Treatment of stretch marks with the 585-mm flash lamp-pumped pulsed dye laser. Dermatol Surg. 1996;22:332-337.PubMedCrossRefGoogle Scholar
  77. 77.
    Elson ML. Treatment of striae distense with topical tretinoin. J Dermatol Surg Oncol. 1990;16:267-270.PubMedGoogle Scholar
  78. 78.
    Hernández-Pérez E, Colombo-Charrier E, Valencia-Ibiett E. Intense pulsed light in the treatment of striae distensae. Dermatol Surg. 2002;28(12):1124-1130.PubMedCrossRefGoogle Scholar
  79. 79.
    Gold MH, Bell MW, Foster TD, Street S. Long-term epilation using the EpiLightTM broad band, intense pulsed light hair removal system. Dermatol Surg. 1997;23:909-913.PubMedCrossRefGoogle Scholar
  80. 80.
    Dierickx CC. Hair removal by lasers and intense pulsed light sources. Semin Cutan Med Surg. 2000;19:267-275.PubMedCrossRefGoogle Scholar
  81. 81.
    Dierickx CC. Hair removal by lasers and intense pulsed light sources. Dermatol Clin. 2002;20:135-146.PubMedGoogle Scholar
  82. 82.
    Bjerring P, Cramers M, Egevist H, Christiansen K, Troilius A. Hair reduction using a new intense pulsed light irradiator and a normal mode ruby laser. J Cutan Laser Ther. 2000;2:63-71.PubMedGoogle Scholar
  83. 83.
    Moreno-Arias GA, Vilalta-Solsona A, Serra-Renom JM, Benito-Ruiz J, Ferrando J. Intense pulsed light for hairy grafts and flaps. Dermatol Surg. 2002;28:402-404.PubMedCrossRefGoogle Scholar
  84. 84.
    McCoy S, Evans A, James C. Histological study of hair follicles treated with a 3-msec pulsed ruby laser. Lasers Surg Med. 1999;24:142-150.PubMedCrossRefGoogle Scholar
  85. 85.
    Schroeter CA, Raulin C, Thuerlimann W, Reineke T, de Potter C, Neumann M. Hair removal in 40 hirsute women with an intense laser-like light source. Eur J Dermatol. 1999;9:374-379.PubMedGoogle Scholar
  86. 86.
    Sadick NS, Shea CR, Buchette JL Jr, Prieto VG. High-intensity flashlamp photoepilation. Arch Dermatol. 1999;135:668-676.PubMedCrossRefGoogle Scholar
  87. 87.
    Sadick NS, Weiss RA, Shea CR, Nagel H, Nicholson J, Prieto VG. Long-term photoepilation using a broad-spectrum intense pulsed light source. Arch Dermatol. 2000;136:1336-1340.PubMedCrossRefGoogle Scholar
  88. 88.
    Fodor L, Menachem M, Ramon Y, et al. Hair removal using intense pulsed light (EpiLight): patient satisfaction, our experience, and literature review. Ann Plast Surg. 2005;54:8-14.PubMedCrossRefGoogle Scholar
  89. 89.
    Raulin C, Greve B, Grema H. IPL technology: a review. Lasers Surg Med. 2003;32:78-87.PubMedCrossRefGoogle Scholar
  90. 90.
    Moreno-Arias GA, Castelo-Branco C, Ferrando J. Side-effects after IPL photodepilation. Dermatol Surg. 2002;28:1131-1134.PubMedCrossRefGoogle Scholar
  91. 91.
    Radmanesh M. Temporary hair color change from black to blond after intense pulsed light hair removal therapy. Dermatol Surg. 2004;30:1521.PubMedCrossRefGoogle Scholar
  92. 92.
    MorenoArias G, CasteloBranco C, Ferrando J. Paradoxical effect after IPL photoepilation. Dermatol Surg. 2002;28:1013-1016; discussion 1016.CrossRefGoogle Scholar
  93. 93.
    Liew SH. Laser hair removal: guidelines for management. Am J Clin Dermatol. 2002;2:107-115.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Robert A. Weiss
    • 1
  • Girish S. Munavalli
    • 2
  • Sonal Choudhary
    • 3
  • Angel Leiva
    • 3
  • Keyvan Nouri
    • 4
    • 5
  1. 1.Department of DermatologyJohns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Department of DermatologyJohns Hopkins UniversityCharlotteUSA
  3. 3.Department of Dermatology and Cutaneous SurgeryUniversity of Miami, Miller School of MedicineMiamiUSA
  4. 4.Sylvester Comprehensive Cancer CenterUniversity of Miami Hospital and ClinicsMiamiUSA
  5. 5.Department of Dermatology and Cutaneous SurgeryUniversity of Miami, Leonard M. Miller School of MedicineMiamiUSA

Personalised recommendations