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Complications of Removal Lasers

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Management of Complications of Cosmetic Procedures
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Abstract

Laser hair removal, when performed appropriately, has a low incidence of complications.

An erratum to this chapter is available at http://dx.doi.org/978-3-642-28415-1_14

An erratum to this chapter can be found at http://dx.doi.org/10.1007/978-3-642-28415-1_14

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References

  1. Lepselter J, Elman M (2004) Biological and clinical aspects in laser hair removal. J Dermatolog Treat 15:72–83

    Article  PubMed  CAS  Google Scholar 

  2. Survey American Society for Aesthetic Plastic Surgery 2009

    Google Scholar 

  3. Anderson RR, Parrish JA (1983) Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science 220:524–527

    Article  PubMed  CAS  Google Scholar 

  4. Nouri K, Vejjabhinanta V, Patel SS et al (2008) Photoepilation: a growing trend in laser-assisted cosmetic dermatology. J Cosmet Dermatol 7(1):61–67

    Article  PubMed  Google Scholar 

  5. Wanner M (2005) Laser hair removal. Dermatol Ther 18(3):209–216

    Article  PubMed  Google Scholar 

  6. Galadari I (2003) Comparative evaluation of different hair removal lasers in skin types IV, V, and VI. Int J Dermatol 42:68–70

    Article  PubMed  Google Scholar 

  7. Uebelhoer NS, Dover JS (2005) Photodynamic therapy for cosmetic applications. Dermatol Ther 18(3):242–252

    Article  PubMed  Google Scholar 

  8. Sadick NS, Makino Y (2004) Selective electro-thermolysis in aesthetic medicine: a review. Lasers Surg Med 34(2):91–97

    Article  PubMed  Google Scholar 

  9. Buddhadev RM (2008) IADVL Dermatosurgery Task Force. Standard guidelines of care: laser and IPL hair reduction. Indian J Dermatol Venereol Leprol 74(Suppl):s68–s74

    PubMed  Google Scholar 

  10. Dierickx CC, Grossman MC (2005) Laser hair removal. In: Goldberg DJ (ed) Lasers and lights, vol 2. Saunders Elsevier, Amsterdam

    Google Scholar 

  11. Savant SS (2005) Laser hair removal: text book of dermatosurgery and cosmetology, vol 55. ASCAD, Mumbai, p 457

    Google Scholar 

  12. Drosner M, Adatto M (2005) Photoepilation: guidelines for care from the European society for laser dermatology. J Cosmet Laser Ther 7:33–38

    PubMed  Google Scholar 

  13. Casey AS, Goldberg D (2008) Guidelines for laser hair removal. J Cosmet Laser Ther 10:24–33

    Article  PubMed  Google Scholar 

  14. Goldberg D (2006) Laser complications: hair removal. J Cosmet Laser Ther 8(4):197–202

    Article  PubMed  Google Scholar 

  15. Liew SH (2002) Laser hair removal: guidelines for management. Am J Clin Dermatol 3:107–115

    Article  PubMed  Google Scholar 

  16. Lanigan SW (2003) Incidence of side effects after laser hair removal. J Am Acad Dermatol 49:882–886

    Article  PubMed  Google Scholar 

  17. Nanni CA, Alster TS (1999) Laser-assisted hair removal: side effects of Q-switched Nd:YAG, long-pulsed ruby and alexandrite lasers. J Am Acad Dermatol 41:165–171

    Article  PubMed  CAS  Google Scholar 

  18. Lim SP, Lanigan SW (2006) A review of the adverse effects of laser hair removal. Lasers Med Sci 21(3):121–125

    Article  PubMed  CAS  Google Scholar 

  19. Campos VB, Dierickx CC, Farinelli WA et al (2000) Hair removal with an 800-nm pulsed diode laser. J Am Acad Dermatol 43:442–447

    Article  PubMed  CAS  Google Scholar 

  20. Weisberg NK, Greenbaum SS (2003) Pigmentary changes after alexandrite laser hair removal. Dermatol Surg 29(4):415–419

    Article  PubMed  Google Scholar 

  21. Moreno-Arias GA, Camps-Fresneda A (2003) Long-lasting hypopigmentation induced by long-pulsed alexandrite laser photo-epilation. Dermatol Surg 29(4):420–422

    Article  PubMed  Google Scholar 

  22. Liew SH, Cerio R, Sarathchandra P et al (1999) Ruby laser-assisted hair removal: an ultrastructural evaluation of cutaneous damage. Br J Plast Surg 52(8):636–643

    Article  PubMed  CAS  Google Scholar 

  23. Desai S, Mahmoud BH, Bhatia AC et al (2010) Paradoxical hypertrichosis after laser therapy: a review. Dermatol Surg 36(3):291–298

    Article  PubMed  CAS  Google Scholar 

  24. Hirsch RJ, Farinelli WA, Laughlin SA et al (2003) Hair removal induced by laser hair removal. Lasers Surg Med 32(Suppl 15):63

    Google Scholar 

  25. Radmanesh M, Mostaghimi M, Yousefi I et al (2002) Leukotrichia developed following application of intense pulsed light for hair removal. Dermatol Surg 28(7):572–574

    Article  PubMed  Google Scholar 

  26. Lapidoth M, Shafirstein G, Ben Amitai D et al (2004) Reticulate erythema following diode laser-assisted hair removal: a new side effect of a common procedure. J Am Acad Dermatol 51(5):774–777

    Article  PubMed  Google Scholar 

  27. Goldberg DJ (2004) Complications in laser treatment of unwanted hair. In: Goldberg DJ (ed) Compli­cations in cutaneous laser surgery. Taylor & Francis, London

    Google Scholar 

  28. Wessely D, Lieb W (2002) Ocular complications of diode laser epilation in the area of the face. Loss of papillary symmetry and pigment layer defect as well as coagulation of the ciliary body with intraocular inflammation caused by laser treatment. Ophthal­mologe 99:60–61

    Article  PubMed  CAS  Google Scholar 

  29. Herbold TM, Busse H, Uhlig CE (2005) Bilateral cataract and corectopia after laser eyelid epilation. Ophthalmology 112:1634–1635

    Article  PubMed  Google Scholar 

  30. Carter JJ, Lanigan SW (2006) Incidence of acneform reactions after laser hair removal. Lasers Med Sci 21(2):82–85

    Article  PubMed  CAS  Google Scholar 

  31. Akinturk S, Eroglu A (2007) Effect of piroxicam gel for pain control and inflammation in Nd:YAG 1064-nm laser hair removal. J Eur Acad Dermatol Venereol 21(3):380–383

    Article  PubMed  CAS  Google Scholar 

  32. Eremia S, Li CY, Umar SH et al (2001) Laser hair removal: long-term results with a 755 nm alexandrite laser. Dermatol Surg 27(11):920–924

    Article  PubMed  CAS  Google Scholar 

  33. Nahm WK, Tsoukas MM, Falanga V et al (2002) Preliminary study of fine changes in the duration of dynamic cooling during 755 nm laser hair removal on pain and epidermal damage in patients with skin types III-V. Lasers Surg Med 31:247–251

    Article  PubMed  Google Scholar 

  34. Friedman P, Fogelman J, Nouri K et al (1999) Comparative study of the efficacy of four topical anesthetics. Dermatol Surg 25:950–954

    Article  PubMed  CAS  Google Scholar 

  35. Guardiano RA, Norwood CW (2005) Direct comparison of EMLA versus lidocaine for pain control in Nd:YAG 1,064 nm laser hair removal. Dermatol Surg 31:396–398

    Article  PubMed  CAS  Google Scholar 

  36. Friedman P, Mafong E, Friedman E et al (2001) Topical anesthetics update: EMLA and beyond. Dermatol Surg 27:1019–1026

    Article  PubMed  CAS  Google Scholar 

  37. Hahn IH, Hoffman RS, Nelson LS (2004) EMLA – induced methemoglobinemia and systemic topical anesthetic toxicity. J Emerg Med 26:85–88

    Article  PubMed  Google Scholar 

  38. Akinturk S, Ahmet E (2009) A clinical comparison of topical piroxicam and EMLA cream for pain relief and inflammation in laser hair removal. Lasers Med Sci 24:535–538

    Article  PubMed  Google Scholar 

  39. Bernstein EF (2008) Pneumatic skin flattening reduces pain during laser hair reduction. Lasers Surg Med 40:183–187

    Article  PubMed  Google Scholar 

  40. Krejcl-Manwaring J, Markus JL, Goldberg LH et al (2004) Surgical pearl: tumescent anesthesia reduces pain of axillary laser hair removal. J Am Acad Dermatol 51:290–291

    Article  Google Scholar 

  41. Hasan AT, Eaglstein W, Pardo RJ (1999) Solar-induced postinflammatory hyperpigmentation after laser hair removal. Dermatol Surg 25(2):113–115

    Article  PubMed  CAS  Google Scholar 

  42. Bullengo-Ransby SM, Griffiths CE, Kimbrough-Green CK et al (1993) Topical tretinoin (retinoic acid) therapy for hyperpigmented lesions caused by inflammation of the skin in black patients. N Engl J Med 328:1438–1443

    Article  Google Scholar 

  43. Grimes PE, Callender V (2006) Tazarotene cream for postinflammatory hyperpigmentation and acne vulgaris in darker skin; a double-blind, randomized, vehicle-controlled study. Cutis 77:45–50

    PubMed  Google Scholar 

  44. Balina LM, Graupe K (1991) The treatment of melasma. 20% azelaic acid versus 4% hydroquinone cream. Int J Dermatol 30:893–895

    Article  PubMed  CAS  Google Scholar 

  45. Lim J (1999) Treatment of melasma using kojic acid in a gel containing hydroquinone and glycolic acid. Dermatol Surg 25:282–284

    Article  PubMed  CAS  Google Scholar 

  46. Amer M, Metwalli M (2000) Topical liquiritin improves melasma. Int J Dermatol 39:299–301

    Article  PubMed  CAS  Google Scholar 

  47. Wallo W, Nebus J, Leyden JJ (2007) Efficacy of a soy moisturizer in photoaging: a double-blind, vehicle-controlled, 12-week study. J Drugs Dermatol 6:917–922

    PubMed  Google Scholar 

  48. Hakozaki T, Minwalla L, Zhuang J et al (2002) The effect of niacinamide on reducing cutaneous pigmentation and suppression of melanosome transfer. Br J Dermatol 147:20–31

    Article  PubMed  CAS  Google Scholar 

  49. Burns RL, Provost-Blank PC, Lawry MA et al (1997) Glycolic acid peels for post-inflammatory hyperpigmentation in black patients: a comparative study. Dermatol Surg 23:171–174

    PubMed  CAS  Google Scholar 

  50. Grimes PE (1999) The safety and efficacy of salicylic acid chemical peels in darker racial ethnic groups. Dermatol Surg 25:18–22

    Article  PubMed  CAS  Google Scholar 

  51. Kim S, Cho KH (2010) Treatment of facial postinflammatory hyperpigmentation with facial acne in Asian patients using a Q-switched neodymium-doped yttrium aluminum garnet laser. Dermatol Surg 36(9):1374–1380

    Article  PubMed  CAS  Google Scholar 

  52. Ruiz-Maldonado R, Orozco-Covarrubias ML (1997) Postinflammatory hypopigmentation and hyperpigmentation. Semin Cutan Med Surg 16(1):36–43

    Article  PubMed  CAS  Google Scholar 

  53. Falabella R (1988) Treatment of localized vitiligo by autologous minigrafting. Arch Dermatol 124:1649–1655

    Article  PubMed  CAS  Google Scholar 

  54. Goldberg DJ (2007) Laser- and light-based hair removal: an update. Expert Rev Med Devices 4:253–260

    Article  PubMed  Google Scholar 

  55. Kontoes P, Vlachos S, Konstantinos M et al (2006) Hair induction after laser-assisted hair removal, its treatment. J Am Acad Dermatol 54(1):64–67

    Article  PubMed  Google Scholar 

  56. Alajlan A, Shapiro J, Rivers JK et al (2005) Paradoxical hypertrichosis after laser epilation. J Am Acad Dermatol 53:85–88

    Article  PubMed  Google Scholar 

  57. Tierney EP, Goldberg DJ (2008) Laser hair removal pearls. J Cosmet Laser Ther 10(1):17–23

    Article  PubMed  Google Scholar 

  58. Radmanesh M, Azar-Beig M, Abtahian A (2008) Burning, paradoxical hypertrichosis, leukotrichia, and folliculitis are four major complications of intense pulsed light hair removal therapy. J Dermatolog Treat 19(6):360–363

    Article  PubMed  Google Scholar 

  59. Goldberg DJ, Marmur ES, Hussain M (2005) Treat­ment of terminal and vellus non-pigmented hairs with an optical bipolar radiofrequency energy source – with and without pre-treatment using topical aminolevulinic acid. J Cosmet Laser Ther 7:25–28

    Article  PubMed  Google Scholar 

  60. Hoffman RM (1998) Topical liposome targeting of dyes, melanins, genes and proteins selectively to hair follicles. J Drug Target 5:67–74

    Article  PubMed  CAS  Google Scholar 

  61. De Leeuw J, Van der Beek N, Neugebauer D. Permanent hair removal of white, gray and light blond hair after laser treatment with melanin encapsulated liposomes. URL: www.lipoxome.nl

  62. Sand M, Bechara FG, Sand D et al (2007) A randomized, controlled, double-blind study evaluating melanin-encapsulated liposomes as a chromophore for laser hair removal of blond, white, and gray hair. Ann Plast Surg 58(5):551–554

    Article  PubMed  CAS  Google Scholar 

  63. Wharton J, Roffwarg D, Miller J et al (2010) Cutaneous marginal zone lymphoma arising in the setting of erythema ab igne. J Am Acad Dermatol 62(6):1080–1081

    Article  PubMed  Google Scholar 

  64. Kluger N, Hakimi S, Del Giudice P (2009) Keloid occurring in a tattoo after laser hair removal. Acta Derm Venereol 89(3):334–335

    Article  PubMed  Google Scholar 

  65. Cil Y (2009) Second-degree skin burn after intense pulsed light therapy with EMLA cream for hair removal. Int J Dermatol 48(2):206–207

    Article  PubMed  Google Scholar 

  66. Shulman S, Bichler I (2009) Ocular complications of laser-assisted eyebrow epilation. Eye (Lond) 23(4):982–983

    Article  CAS  Google Scholar 

  67. Cohen JL, Bhatia AC (2009) The role of topical vitamin K oxide gel in the resolution of postprocedural purpura. J Drugs Dermatol 8(11):1020–1024

    PubMed  Google Scholar 

  68. Lou WW, Quintana AT, Geronemus RG et al (1999) Effects of topical vitamin K and retinol on laser-induced purpura on non-lesional skin. Dermatol Surg 25(12):942–944

    Article  PubMed  CAS  Google Scholar 

  69. Seeley BM, Denton AB, Ahn MS et al (2006) Effect of homeopathic Arnica montana on bruising in face-lifts: results of a randomized, double-blind, placebo controlled clinical trial. Arch Facial Plast Surg 8:54–59

    Article  PubMed  Google Scholar 

  70. Leu S, Havey J, White LE et al (2010) Accelerated resolution of laser-induced bruising with topical 20% arnica: a rater-blinded randomized controlled trial. Br J Dermatol 163(3):557–563

    Article  PubMed  CAS  Google Scholar 

  71. Stamenova PK, Marchetti T, Simeonov I (2001) Efficacy and safety of topical hirudin (Hirudex): a double-blind, placebo controlled study. Eur Rev Med Pharmacol Sci 5:37–42

    PubMed  CAS  Google Scholar 

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Remington (2012). Complications of Removal Lasers. In: Tosti, A., Beer, K., De Padova, M. (eds) Management of Complications of Cosmetic Procedures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28415-1_5

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  • DOI: https://doi.org/10.1007/978-3-642-28415-1_5

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