Rejuvenation of photoaged skin: 5 years results with intense pulsed light of the face, neck, and chest.
BACKGROUND
Photorejuvenation involves the use of lasers or light sources to reverse signs of photoaging. Multiple devices have been shown to be effective over the short-term.


OBJECTIVE
To investigate the long-term clinical results on the face, neck and chest at 4 years using filtered flashlamp intense pulsed light (IPL) for treatment of photoaging changes of telangiectasias, dyspigmentation, and rough skin texture.


METHODS
A chart review of 80 randomly selected patients with skin types I-IV who were treated by IPL during 1996 and 1997 was performed. Photos and patient self-assessment were graded for features of textural smoothness, telangiectasia severity, and blotchy pigmentation into four categories of worse, no change, slightly better (less than 50% improvement) and much better (greater than 50% improvement).


RESULTS
At 4 years following initial treatment, skin textural improvement was noted in 83% of the subjects. Telangiectasias were improved in 82% of subjects, while pigmentation remained improved in 79%. The median number of treatments was 3. The face responded slightly better than the chest or neck. Most common side-effects included temporary mild crusting (19%), erythema (15%) and purpura (6%).


CONCLUSIONS
Signs of photoaging including telangiectasias and mottled pigmentation of the face, neck, and chest, can be improved by IPL with a long-lasting result. Minimal or no downtime with minimal adverse effects can be achieved with the settings reported. Skin textural smoothing, although not easily quantified, is an additional benefit observed long-term.
Weiss
Robert A
RA
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. rwderm@earthlink.net
Weiss
Margaret A
MA
Beasley
Karen L
KL
D005148:Facial Dermatoses / Q000473:pathology / Q000628:therapy*; D006801:Humans; D017495:Hyperpigmentation / Q000473:pathology / Q000628:therapy*; D008137:Longitudinal Studies; D008499:Medical Records; D009333:Neck; D010789:Phototherapy; D012189:Retrospective Studies; D015595:Skin Aging / Q000473:pathology / Q000528:radiation effects*; D013684:Telangiectasis / Q000473:pathology / Q000628:therapy*; D013909:Thorax; D016896:Treatment Outcome