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Lasers for Treatment of Melasma and Post-Inflammatory Hyperpigmentation

Identifieur interne : 000217 ( Pmc/Checkpoint ); précédent : 000216; suivant : 000218

Lasers for Treatment of Melasma and Post-Inflammatory Hyperpigmentation

Auteurs : Pooja Arora ; Rashmi Sarkar ; Vijay K. Garg ; Latika Arya

Source :

RBID : PMC:3461803

Abstract

Hyperpigmentary disorders, especially melasma and post-inflammatory hyperpigmentation (PIH), cause significant social and emotional stress to the patients. Although many treatment modalities have been developed for melasma and PIH, its management still remains a challenge due to its recurrent and refractory nature. With the advent of laser technology, the treatment options have increased especially for dermal or mixed melasma. To review the literature on the use of cutaneous lasers for melasma and PIH. We carried out a PubMed search using following terms “lasers, IPL, melasma, PIH”. We cited the use of various lasers to treat melasma and PIH, including Q-switched Nd:YAG, Q-switched alexandrite, pulsed dye laser, and various fractional lasers. We describe the efficacy and safety of these lasers for the treatment of hyperpigmentation. Choosing the appropriate laser and the correct settings is vital in the treatment of melasma. The use of latter should be restricted to cases unresponsive to topical therapy or chemical peels. Appropriate maintenance therapy should be selected to avoid relapse of melasma.


Url:
DOI: 10.4103/0974-2077.99436
PubMed: 23060704
PubMed Central: 3461803


Affiliations:


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PMC:3461803

Le document en format XML

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<p>Hyperpigmentary disorders, especially melasma and post-inflammatory hyperpigmentation (PIH), cause significant social and emotional stress to the patients. Although many treatment modalities have been developed for melasma and PIH, its management still remains a challenge due to its recurrent and refractory nature. With the advent of laser technology, the treatment options have increased especially for dermal or mixed melasma. To review the literature on the use of cutaneous lasers for melasma and PIH. We carried out a PubMed search using following terms “lasers, IPL, melasma, PIH”. We cited the use of various lasers to treat melasma and PIH, including Q-switched Nd:YAG, Q-switched alexandrite, pulsed dye laser, and various fractional lasers. We describe the efficacy and safety of these lasers for the treatment of hyperpigmentation. Choosing the appropriate laser and the correct settings is vital in the treatment of melasma. The use of latter should be restricted to cases unresponsive to topical therapy or chemical peels. Appropriate maintenance therapy should be selected to avoid relapse of melasma.</p>
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<pmc article-type="review-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Cutan Aesthet Surg</journal-id>
<journal-id journal-id-type="iso-abbrev">J Cutan Aesthet Surg</journal-id>
<journal-id journal-id-type="publisher-id">JCAS</journal-id>
<journal-title-group>
<journal-title>Journal of Cutaneous and Aesthetic Surgery</journal-title>
</journal-title-group>
<issn pub-type="ppub">0974-2077</issn>
<issn pub-type="epub">0974-5157</issn>
<publisher>
<publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23060704</article-id>
<article-id pub-id-type="pmc">3461803</article-id>
<article-id pub-id-type="publisher-id">JCAS-5-93</article-id>
<article-id pub-id-type="doi">10.4103/0974-2077.99436</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Lasers for Treatment of Melasma and Post-Inflammatory Hyperpigmentation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Arora</surname>
<given-names>Pooja</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sarkar</surname>
<given-names>Rashmi</given-names>
</name>
<xref ref-type="aff" rid="aff2">1</xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Garg</surname>
<given-names>Vijay K</given-names>
</name>
<xref ref-type="aff" rid="aff2">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Arya</surname>
<given-names>Latika</given-names>
</name>
<xref ref-type="aff" rid="aff3">2</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<italic>Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India</italic>
</aff>
<aff id="aff2">
<label>1</label>
<italic>Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India</italic>
</aff>
<aff id="aff3">
<label>2</label>
<italic>Delhi Dermatology Group Clinic, Delhi, India</italic>
</aff>
<author-notes>
<corresp id="cor1">
<bold>Address for correspondence:</bold>
<italic>Dr. Rashmi Sarkar, Department of Dermatology, Maulana Azad Medical College, New Delhi-110002, India. E-mail:
<email xlink:href="rashmisarkar@gmail.com">rashmisarkar@gmail.com</email>
</italic>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<season>Apr-Jun</season>
<year>2012</year>
</pub-date>
<volume>5</volume>
<issue>2</issue>
<fpage>93</fpage>
<lpage>103</lpage>
<permissions>
<copyright-statement>Copyright: © Journal of Cutaneous and Aesthetic Surgery</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Hyperpigmentary disorders, especially melasma and post-inflammatory hyperpigmentation (PIH), cause significant social and emotional stress to the patients. Although many treatment modalities have been developed for melasma and PIH, its management still remains a challenge due to its recurrent and refractory nature. With the advent of laser technology, the treatment options have increased especially for dermal or mixed melasma. To review the literature on the use of cutaneous lasers for melasma and PIH. We carried out a PubMed search using following terms “lasers, IPL, melasma, PIH”. We cited the use of various lasers to treat melasma and PIH, including Q-switched Nd:YAG, Q-switched alexandrite, pulsed dye laser, and various fractional lasers. We describe the efficacy and safety of these lasers for the treatment of hyperpigmentation. Choosing the appropriate laser and the correct settings is vital in the treatment of melasma. The use of latter should be restricted to cases unresponsive to topical therapy or chemical peels. Appropriate maintenance therapy should be selected to avoid relapse of melasma.</p>
</abstract>
<kwd-group>
<title>KEYWORDS</title>
<kwd>Fractional</kwd>
<kwd>hyperpigmentation</kwd>
<kwd>lasers</kwd>
<kwd>melasma</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list></list>
<tree>
<noCountry>
<name sortKey="Arora, Pooja" sort="Arora, Pooja" uniqKey="Arora P" first="Pooja" last="Arora">Pooja Arora</name>
<name sortKey="Arya, Latika" sort="Arya, Latika" uniqKey="Arya L" first="Latika" last="Arya">Latika Arya</name>
<name sortKey="Garg, Vijay K" sort="Garg, Vijay K" uniqKey="Garg V" first="Vijay K" last="Garg">Vijay K. Garg</name>
<name sortKey="Sarkar, Rashmi" sort="Sarkar, Rashmi" uniqKey="Sarkar R" first="Rashmi" last="Sarkar">Rashmi Sarkar</name>
</noCountry>
</tree>
</affiliations>
</record>

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