The Efficacy of a Q-Switched 694-nm Ruby Fractional Laser for Treating Acquired Bilateral Nevus of Ota-Like Macules
10.14730/aaps.2018.24.1.20
- Author:
Sun Jae LEE
1
;
Seung Min NAM
;
Han Gyu CHA
;
Eun Soo PARK
;
Yong Bae KIM
Author Information
1. Department of Plastic and Reconstructive Surgery, Soonchunhyang Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. zodiac1003@naver.com
- Publication Type:Original Article
- Keywords:
ABNOM;
Laser therapy;
Nevus of Ota;
Q-Switched laser;
Ruby laser
- MeSH:
Asian Continental Ancestry Group;
Diagnosis;
Female;
Follow-Up Studies;
Humans;
Hyperpigmentation;
Laser Therapy;
Lasers, Solid-State;
Male;
Nevus of Ota;
Nevus;
Pigmentation;
Retrospective Studies;
Skin;
Skin Pigmentation
- From:Archives of Aesthetic Plastic Surgery
2018;24(1):20-25
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Acquired bilateral nevus of Ota-like macules (ABNOM) are a common form of hyperpigmentation in Asian populations, characterized by brownish-blue or slate-gray pigmentation in the bilateral malar regions. The purpose of this study was to evaluate the efficacy and complications of a Q-switched (QS) fractional ruby laser in the treatment of ABNOM. METHODS: Forty-four patients with ABNOM treated with a QS fractional ruby laser from January 2014 to February 2016 were enrolled in this study. Patients received up to 10 treatment sessions, at intervals ranging from 3 to 4 weeks. An automatic skin diagnosis system was used before and after laser treatment to evaluate the efficacy of the laser treatment. To evaluate the complications of the laser treatment, a retrospective chart review was conducted. RESULTS: Forty-one patients were female, and 3 were male. The mean age of the patients was 47.2 years, and the mean follow-up period was 14 months. The median skin pigmentation score was 5 (interquartile range [IQR], 5–6) before laser treatment and 3 (IQR, 3–4) after laser treatment. A statistically significant difference (P < 0.01) was found in the skin pigmentation score before and after laser treatment. CONCLUSIONS: This study suggests that, although multiple sessions are required, QS ruby fractional lasers can be considered an effective and less invasive form of treatment of ABNOM.