Low-fluence 1,064-nm laser hair reduction for pseudofolliculitis barbae in skin types IV, V, and VI.
OBJECTIVE
To evaluate the efficacy of a 1,064-nm neodymium-doped yttrium aluminium garnet (Nd:YAG) laser using lower than traditional fluences (22-40 J/cm(2)) for treatment of pseudofolliculitis barbae (PFB).


METHODS
Twenty-two patients with PFB refractory to conservative therapy received five weekly treatments over the anterior neck using a 1,064-nm Nd:YAG laser at 12 J/cm(2). Pulse duration was 20 ms with 10 mm spot size. Topical anesthesia was not used. Treatments were completed 15 minutes after patient arrival. Patients presented for 2- and 4-week follow-up. Ten evaluators used a Global Assessment Scale (GAS) to assess dyspigmentation, papule counts, and cobblestoning by comparing baseline to 4-week follow-up visit photographs. Hair and papule counts were performed on five patients and compared with the GAS. Investigators recorded adverse effects using a visual analog and side effects scale.


RESULTS
Eleven patients demonstrated 83% improvement on the GAS (p<.01). There was a mean reduction of 59.5% in dyspigmentation (p<.03), 91.2% in papule count (p<.01), and 75.6% in cobblestoning (p<.02). Patients reported 1 out of 10 on both adverse effects scales.


CONCLUSIONS
Low-fluence 1,064-nm laser treatment achieved significant temporary reduction in PFB. Subjects noted minimal pain without topical anesthesia.
Schulze
Rafael
R
Dermatology Department, Naval Medical Center San Diego, San Diego, California, USA. rafael.schulze@us.army.mil
Meehan
Ken J
KJ
Lopez
Antonia
A
Sweeney
Kasina
K
Winstanley
Doug
D
Apruzzese
William
W
Victor Ross
E
E
D000328:Adult; D005260:Female; D005499:Folliculitis / Q000532:radiotherapy*; D006204:Hair Removal / Q000379:methods*; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use; D028022:Low-Level Light Therapy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D010146:Pain / Q000209:etiology; D010865:Pilot Projects; D011446:Prospective Studies; D012880:Skin Pigmentation