TY - JOUR
T1 - Effects of intense pulsed light and the 1,064 nm Nd:YAG laser on sun-damaged human skin
T2 - Histologic and immunohistochemical analysis
AU - Prieto, Victor G.
AU - Diwan, A. Hafeez
AU - Shea, Christopher R.
AU - Zhang, Peter
AU - Sadick, Neil S.
N1 - Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2005
Y1 - 2005
N2 - BACKGROUND. Nonablative methods may produce collagen synthesis in sun-damaged skin. OBJECTIVE. To study the effects of intense pulsed light (IPL) and 1,064 nm neodymium:yttrium-aluminum-garnet (Nd:YAG) laser: a histologic and immunohistochemical analysis of sun-damaged skin. MATERIALS AND METHODS. Nine subjects participated. Five subjects received five-monthly treatments with IPL (560 nm cutoff filter, 8 × 35 mm spot size, pulse duration 2.4/4.2 milliseconds, pulse delay 15 milliseconds, fluence 28-35 J/cm2). Four subjects received treatment with a 1,064 nm Nd:YAG laser (130 J/cm2, triple pulse, 7.0/7.0/7.0-millisecond pulse duration, 75-millisecond delay). Routine histology and immunohistochemistry on 2 mm punch biopsies were taken before treatment and then at 3 and 6 months. We quantified collagen in the upper dermis and expression of heat shock protein 70 and procollagen 1. RESULTS. Pretreatment specimens contained solar damage. After treatment with the 1,064 nm Nd:YAG laser, the amount of collagen in the papillary dermis was slightly thicker than in those subjects treated with the IPL device (nonsignificant differences). Scattered dendritic cells in the papillary and upper reticular dermis expressed heat shock protein 70 and procollagen 1 after treatment with either light device. CONCLUSION. Both the IPL and 1,064 nm Nd:YAG laser-induced heat activation of superficial dermal dendritic cells resulted in deposition of collagen in the papillary dermis without evident morphologic damage to the epidermis or dermis.
AB - BACKGROUND. Nonablative methods may produce collagen synthesis in sun-damaged skin. OBJECTIVE. To study the effects of intense pulsed light (IPL) and 1,064 nm neodymium:yttrium-aluminum-garnet (Nd:YAG) laser: a histologic and immunohistochemical analysis of sun-damaged skin. MATERIALS AND METHODS. Nine subjects participated. Five subjects received five-monthly treatments with IPL (560 nm cutoff filter, 8 × 35 mm spot size, pulse duration 2.4/4.2 milliseconds, pulse delay 15 milliseconds, fluence 28-35 J/cm2). Four subjects received treatment with a 1,064 nm Nd:YAG laser (130 J/cm2, triple pulse, 7.0/7.0/7.0-millisecond pulse duration, 75-millisecond delay). Routine histology and immunohistochemistry on 2 mm punch biopsies were taken before treatment and then at 3 and 6 months. We quantified collagen in the upper dermis and expression of heat shock protein 70 and procollagen 1. RESULTS. Pretreatment specimens contained solar damage. After treatment with the 1,064 nm Nd:YAG laser, the amount of collagen in the papillary dermis was slightly thicker than in those subjects treated with the IPL device (nonsignificant differences). Scattered dendritic cells in the papillary and upper reticular dermis expressed heat shock protein 70 and procollagen 1 after treatment with either light device. CONCLUSION. Both the IPL and 1,064 nm Nd:YAG laser-induced heat activation of superficial dermal dendritic cells resulted in deposition of collagen in the papillary dermis without evident morphologic damage to the epidermis or dermis.
UR - http://www.scopus.com/inward/record.url?scp=20844448357&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=20844448357&partnerID=8YFLogxK
U2 - 10.1111/j.1524-4725.2005.31154
DO - 10.1111/j.1524-4725.2005.31154
M3 - Article
C2 - 15962734
AN - SCOPUS:20844448357
SN - 1076-0512
VL - 31
SP - 522
EP - 525
JO - Dermatologic Surgery
JF - Dermatologic Surgery
IS - 5
ER -