Semin Plast Surg 2009; 23(3): 173-177
DOI: 10.1055/s-0029-1224796
© Thieme Medical Publishers

Laser Therapy in Ethnic Populations

Patrick D. Cole1 , Daniel A. Hatef1 , Yoav Kaufman1 , Jason N. Pozner2
  • 1Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
  • 2Sanctuary Plastic Surgery, Sanctuary Medical Aesthetic Center, Boca Raton, Florida
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Publikationsverlauf

Publikationsdatum:
13. Juli 2009 (online)

ABSTRACT

Today, laser therapy is standard treatment for a wide variety of dermatologic complaints. From skin rejuvenation to the management of complex vascular malformations, laser treatment has proved to be an effective, innovative solution to once-challenging dilemmas. However, laser application in those with darker complexions remains a topic of great concern. Although contemporary devices may use longer-wavelength lasers and cooling devices to isolate target tissues within patients with high levels of epidermal melanin, significant risk remains. Today's laser surgeon must have a thorough understanding of patient concerns, lesion character and response to treatment, as well as the unique needs of those with darker skin. In this article, we discuss critical issues in patient assessment, proper evaluation of common skin complaints, and laser therapy use for a variety of lesions in the ethnic population.

REFERENCES

  • 1 U.S. Census Bureau. Projections of the resident population by race, Hispanic origin, and nativity: middle series, 2006 to 2010. Washington, DC; Populations Projections Program, Population Division, U.S. Census Bureau 2000
  • 2 Quevedo W C, Fitzpatrick T B, Pathak M A, Jimbow K. Role of light in human skin color viariation.  Am J Phys Anthropol. 1975;  43 393-408
  • 3 Kappelman J, Alçiçek M C, Kazanci N, Schultz M, Ozkul M, Sen S. First Homo erectus from Turkey and implications for migrations into temperate Eurasia.  Am J Phys Anthropol. 2008;  135 110-116
  • 4 Alaluf S, Atkins D, Barrett K, Blount M, Carter N, Heath A. Ethnic variation in melanin content and composition in photoexposed and photoprotected human skin.  Pigment Cell Res. 2002;  15 112-118
  • 5 Tadokoro T, Yamaguchi Y, Batzer J et al.. Mechanisms of skin tanning in different racial/ethnic groups in response to ultraviolet radiation.  J Invest Dermatol. 2005;  124 1326-1332
  • 6 Fitzpatrick T B. The validity and practicality of sun-reactive skin types I through VI.  Arch Dermatol. 1988;  124 869-871
  • 7 Herd R M, Dover J S, Arndt K A. Basic laser principles.  Dermatol Clin. 1997;  15 355-372
  • 8 Bhatt N, Alster T S. Laser surgery in dark skin.  Dermatol Surg. 2008;  34 184-194, discussion 194–195
  • 9 Munavalli G. Discussion.  Dermatol Surg. 2008;  34 194
  • 10 Roenigk Jr H H. Dermabrasion: state of the art.  J Dermatol Surg Oncol. 1985;  11 306-314
  • 11 Halder R M, Grimes P E, McLaurin C I, Kress M A, Kenney Jr J A. Incidence of common dermatoses in a predominantly black dermatologic practice.  Cutis. 1983;  32 388-390, 390
  • 12 Sanchez N P, Pathak M A, Sato S, Fitzpatrick T B, Sanchez J L, Mihm Jr M C. Melasma: a clinical, light microscopic, ultrastructural, and immunofluorescence study.  J Am Acad Dermatol. 1981;  4 698-710
  • 13 Kelly A P. Aesthetic considerations in patients of color.  Dermatol Clin. 1997;  15 687-693
  • 14 Cayce K A, McMichael A J, Feldman S R. Hyperpigmentation: an overview of the common afflictions.  Dermatol Nurs. 2004;  16 401-406, 413–416, quiz 417
  • 15 Manaloto R M, Alster T. Erbium:YAG laser resurfacing for refractory melasma.  Dermatol Surg. 1999;  25 121-123
  • 16 Taylor S C, Cook-Bolden F, Rahman Z, Strachan D. Acne vulgaris in skin of color.  J Am Acad Dermatol. 2002;  46(2, Suppl) S98-S106
  • 17 Taylor S C. Cosmetic problems in skin of color.  Skin Pharmacol Appl Skin Physiol. 1999;  12 139-143
  • 18 Child F J, Fuller L C, Higgins E M, Du Vivier A W. A study of the spectrum of skin disease occurring in a black population in south-east London.  Br J Dermatol. 1999;  141 512-517
  • 19 Goldberg D J. Non-ablative subsurface remodeling: clinical and histologic evaluation of a 1320-nm Nd:YAG laser.  J Cutan Laser Ther. 1999;  1 153-157
  • 20 Fournier N, Dahan S, Barneon G et al.. Nonablative remodeling: clinical, histologic, ultrasound imaging, and profilometric evaluation of a 1540 nm Er:glass laser.  Dermatol Surg. 2001;  27 799-806
  • 21 Wang J I, Roenigk Jr H H. Treatment of multiple facial syringomas with the carbon dioxide (CO2) laser.  Dermatol Surg. 1999;  25 136-139
  • 22 Frazier C C, Camacho A P, Cockerell C J. The treatment of eruptive syringomas in an African American patient with a combination of trichloroacetic acid and CO2 laser destruction.  Dermatol Surg. 2001;  27 489-492
  • 23 Grimes P E, Arora S, Minus H R, Kenney Jr J A. Dermatosis papulosa nigra.  Cutis. 1983;  32 385-386, 392
  • 24 Spoor T C. Treatment of dermatosis papulosa nigra with the 532 nm diode laser.  J Cosmet Dermatol. 2001;  14 21-23
  • 25 Sperling L C, Homoky C, Pratt L, Sau P. Acne keloidalis is a form of primary scarring alopecia.  Arch Dermatol. 2000;  136 479-484
  • 26 Kelly A P. Pseudofolliculitis barbae. In: Arndt KA, LeBiot PR, Robinson JK, Wintroub BU Cutaneous Medicine and Surgery: An Integrated Program in Dermatology. Philadelphia, PA; WB Saunders 1996: 499-502
  • 27 Bennett R G, Davis L, Kelly A P. Acne keloidalis.  J Dermatol Surg Oncol. 1990;  16 293-294
  • 28 Stratigos A J, Alora M B, Uroste S, Dover J S. Cutaneous laser surgery.  Curr Probl Dermatol. 1998;  10 127-174
  • 29 Anderson R R, Parish J A. Optical properties of human skin. In: Regan JD, Parrish JA The Science of Photomedicine. New York, NY; Plenum Press 1982: 147-194
  • 30 Matory W E. Skin care. In: Matory WE Ethnic Considerations in Facial Aesthetic Surgery. Philadelphia, PA; Lippincott-Raven 1998: 100
  • 31 Matory W E. Aging in people of color. In: Matory WE Ethnic Considerations in Facial Aesthetic Surgery. Philadelphia, PA; Lippincott-Raven 1998: 151-170
  • 32 Goh C L, Khoo L. Laser skin resurfacing treatment outcome of facial scars and wrinkles in Asians with skin type III/IV with the Unipulse CO2 laser system.  Singapore Med J. 2002;  43 28-32
  • 33 Polnikorn N, Goldberg D J, Suwanchinda A, Ng S W. Erbium:YAG laser resurfacing in Asians.  Dermatol Surg. 1998;  24 1303-1307
  • 34 Ruiz-Esparza J, Barba Gomez J M, Gomez de la Torre O L, Huerta Franco B, Parga Vazquez E G. UltraPulse laser skin resurfacing in Hispanic patients. A prospective study of 36 individuals.  Dermatol Surg. 1998;  24 59-62
  • 35 Kim J W, Lee J O. Skin resurfacing with laser in Asians.  Aesthetic Plast Surg. 1997;  21 115-117
  • 36 Anderson R R, Parrish J A. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation.  Science. 1983;  220 524-527
  • 37 Jackson B A, Junkins-Hopkins J M. Effect of pulsewidth variation on laser hair removal in African-American skin. Presentation. Annual meeting of the American Society of Dermatologic Surgeons Miami, FL; 2009
  • 38 Jackson B A. Lasers in skin of color.  J Cosmet Dermatol. 2003;  16(Suppl) 57-60
  • 39 Jackson B A, Junkins-Hopkins J. Laser resurfacing in ethnic skin.  Facial Plast Surg Clin North Am. 2002;  10 397-404
  • 40 Connell P G, Harland C C. Treatment of keloid scars with pulsed dye laser and intralesional steroid.  J Cutan Laser Ther. 2000;  2 147-150
  • 41 Fuchs M. Thermokinetic selectivity—a new highly effective method for permanent hair removal: experience with the LPIR Alexandrite laser.  Derm Prakt Dermatologie. 1997;  5 1
  • 42 Manuskiatti W, Wanitphakdeedecha R, Fitzpatrick R E. Effect of pulse width of a 595-nm flashlamp-pumped pulsed dye laser on the treatment response of keloidal and hypertrophic sternotomy scars.  Dermatol Surg. 2007;  33 152-161

Daniel A HatefM.D. 

Division of Plastic Surgery, Baylor College of Medicine

6701 Fannin, MC-CC610.00, Houston, TX 77030

eMail: danhatef@gmail.com