New application of the long-pulsed Nd-YAG laser as an ablative resurfacing tool for skin rejuvenation: a 7-year study.
BACKGROUND
Carbon dioxide (CO2 ) and erbium-yttrium aluminum garnet (Er-YAG) lasers are the gold standards in ablative skin resurfacing. Neodymium-doped yttrium aluminum garnet (Nd-YAG) laser is considered a nonablative skin resurfacing laser whose usage is limited due to its high cost.


AIM
To assess the efficacy and safety of Nd-YAG as an ablative resurfacing laser and to compare the results with those previously published for CO2 and Erbium-YAG lasers.


PATIENTS/METHODS
A total of 296 patients (251 female and 45 male) with Fitzpatrick skin types III-IV and dermatological conditions amenable to ablative skin resurfacing participated in this study. Nd-YAG laser parameters assessed were wavelength (1064 nm), pulse duration (5 ms), fluence (10 J/cm(2) ), and spot size (8-10 mm). Efficacy of Nd-YAG laser was assessed by comparing pre- and posttreatment photographs.


RESULTS
An improvement of 30-80% was observed in treated patients. The degree of improvement correlated positively with the number of laser sessions. The most common side effect was hyperpigmentation. Other side effects were less common and mild in intensity compared with published results for gold standard ablative lasers.


CONCLUSION
Not only was the Nd-YAG laser found to be as effective as Er-YAG and CO2 lasers, but treated patients also had shorter recovery and treatment times, and at lower cost.
['Alshami|Mohammad Ali|MA|']
D000152:Acne Vulgaris D000293:Adolescent D000328:Adult D000368:Aged D001284:Atrophy D002648:Child D002921:Cicatrix D062109:Dermatologic Surgical Procedures D005260:Female D006801:Humans D054020:Lasers, Gas D053844:Lasers, Solid-State D008297:Male D008875:Middle Aged D010859:Pigmentation Disorders D012060:Rejuvenation D012867:Skin D013997:Time Factors D055815:Young Adult
Nd-YAG laser ablative resurfacing laser Erbium-YAG laser CO2 laser