Combined treatment of melasma involving low-fluence Q-switched Nd:YAG laser and fractional microneedling radiofrequency
Background: While low fluence Q-switched Nd:YAG laser (QSNY) demonstrates moderate efficacy in the melasma treatment for darker skin types, this single regimen still remains challenges. Fractional microneedling radiofrequency (FMR) is known to enhance dermal microenvironment, possibly offsetting pat...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2019-05-01
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| Series: | Journal of Dermatological Treatment |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/09546634.2018.1516858 |
| _version_ | 1797683713143734272 |
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| author | Hyuck Hoon Kwon Sun Chul Choi Jae Yoon Jung Gyeong-Hun Park |
| author_facet | Hyuck Hoon Kwon Sun Chul Choi Jae Yoon Jung Gyeong-Hun Park |
| author_sort | Hyuck Hoon Kwon |
| collection | DOAJ |
| description | Background: While low fluence Q-switched Nd:YAG laser (QSNY) demonstrates moderate efficacy in the melasma treatment for darker skin types, this single regimen still remains challenges. Fractional microneedling radiofrequency (FMR) is known to enhance dermal microenvironment, possibly offsetting pathogenic factors of melasma aggravation. Objectives: To compare the effectiveness and safety of combination therapy using low-fluence QSNY and FRM with QSNY monotherapy in Asian melasma patients Methods: A retrospective study was undertaken for melasma patients to compare clinical data between 56 patients receiving combination regimen and 58 patients with QSNY only. For the 10 sessions at 1-week intervals, combination group was consecutively treated with QSNY and FRM, while QS toning group with QSNY alone. Two blinded dermatologists evaluated the efficacy based on modified Melasma Area and Severity Index (mMASI) and the physician’s global assessment (PGA) at baseline and 3 months after the final treatment. Treatment-related side effects and disease course was recorded in detail. Results: Combination group demonstrated better efficacy compared with QS toning only group. Both median degrees of mMASI decrease (2.9 vs. 1.8) and proportions of PGA achieving better than ‘good’ grades (68% vs. 54%) showed superior efficacies of combination group. No significant difference was observed for treatment-related side effects between two groups, while the prevalence of mottle hypopigmentation and rebound hyperpigmentation was higher in QSNY only group. Conclusion: A novel dual mode of low-fluence QSNY and FRM represents a safe and effective treatment for melasma in Asian melasma patients. |
| first_indexed | 2024-03-12T00:19:41Z |
| format | Article |
| id | doaj.art-e37806cc2fd54a7c925635ce83e23c50 |
| institution | Directory Open Access Journal |
| issn | 0954-6634 1471-1753 |
| language | English |
| last_indexed | 2024-03-12T00:19:41Z |
| publishDate | 2019-05-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Dermatological Treatment |
| spelling | doaj.art-e37806cc2fd54a7c925635ce83e23c502023-09-15T14:08:33ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532019-05-0130435235610.1080/09546634.2018.15168581516858Combined treatment of melasma involving low-fluence Q-switched Nd:YAG laser and fractional microneedling radiofrequencyHyuck Hoon Kwon0Sun Chul Choi1Jae Yoon Jung2Gyeong-Hun Park3Oaro Dermatology ClinicOaro Dermatology ClinicOaro Dermatology ClinicDongtan Sacred Heart Hospital, Hallym University College of MedicineBackground: While low fluence Q-switched Nd:YAG laser (QSNY) demonstrates moderate efficacy in the melasma treatment for darker skin types, this single regimen still remains challenges. Fractional microneedling radiofrequency (FMR) is known to enhance dermal microenvironment, possibly offsetting pathogenic factors of melasma aggravation. Objectives: To compare the effectiveness and safety of combination therapy using low-fluence QSNY and FRM with QSNY monotherapy in Asian melasma patients Methods: A retrospective study was undertaken for melasma patients to compare clinical data between 56 patients receiving combination regimen and 58 patients with QSNY only. For the 10 sessions at 1-week intervals, combination group was consecutively treated with QSNY and FRM, while QS toning group with QSNY alone. Two blinded dermatologists evaluated the efficacy based on modified Melasma Area and Severity Index (mMASI) and the physician’s global assessment (PGA) at baseline and 3 months after the final treatment. Treatment-related side effects and disease course was recorded in detail. Results: Combination group demonstrated better efficacy compared with QS toning only group. Both median degrees of mMASI decrease (2.9 vs. 1.8) and proportions of PGA achieving better than ‘good’ grades (68% vs. 54%) showed superior efficacies of combination group. No significant difference was observed for treatment-related side effects between two groups, while the prevalence of mottle hypopigmentation and rebound hyperpigmentation was higher in QSNY only group. Conclusion: A novel dual mode of low-fluence QSNY and FRM represents a safe and effective treatment for melasma in Asian melasma patients.http://dx.doi.org/10.1080/09546634.2018.1516858melasmaethnic skin diseasetoningfractional needle radiofrequency |
| spellingShingle | Hyuck Hoon Kwon Sun Chul Choi Jae Yoon Jung Gyeong-Hun Park Combined treatment of melasma involving low-fluence Q-switched Nd:YAG laser and fractional microneedling radiofrequency Journal of Dermatological Treatment melasma ethnic skin disease toning fractional needle radiofrequency |
| title | Combined treatment of melasma involving low-fluence Q-switched Nd:YAG laser and fractional microneedling radiofrequency |
| title_full | Combined treatment of melasma involving low-fluence Q-switched Nd:YAG laser and fractional microneedling radiofrequency |
| title_fullStr | Combined treatment of melasma involving low-fluence Q-switched Nd:YAG laser and fractional microneedling radiofrequency |
| title_full_unstemmed | Combined treatment of melasma involving low-fluence Q-switched Nd:YAG laser and fractional microneedling radiofrequency |
| title_short | Combined treatment of melasma involving low-fluence Q-switched Nd:YAG laser and fractional microneedling radiofrequency |
| title_sort | combined treatment of melasma involving low fluence q switched nd yag laser and fractional microneedling radiofrequency |
| topic | melasma ethnic skin disease toning fractional needle radiofrequency |
| url | http://dx.doi.org/10.1080/09546634.2018.1516858 |
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