Successful treatment of facial vascular skin diseases with a 577-nm pro-yellow laser.

Abstract

Treatment of vascular skin diseases is one of the most important indications of the laser. To evaluate the effectiveness of 577-nm pro-yellow laser in the treatment of some vascular skin diseases. Ninety-five patients with vascular skin diseases were included in this prospective monocentric study. They were classified into: port-wine stain birthmarks (n=37), papulopustular rosacea (n=20), facial telangiectasia (n=16), and facial erythema (n=22). All participants received a monthly session of 577-nm pro-yellow laser. Follow-up was done by comparing the photographs before and at every follow-up visit. At the final visit, there was a significant improvement (>50%) occurred in 24/37 (64.82%), 12/20 (60%), 10/16 (62.5%), and 19/22 (86.3%) cases and poor response occurred in 6/37 (16.2%), 2/20 (10%), 2/16 (12.5%), and 0/22 cases after a mean number of sessions 7.76±2.28, 3.1±1.8, 3.63±1.12, and 1.8±0.85 in port-wine stain, rosacea-, facial telangiectasia-, and facial erythema-treated groups, respectively. Transient irritation and erythema during the session were the only complications reported in the study. Facial port-wine stains, rosacea, telangiectasia, and erythema can be successfully treated with a single pass of 577-nm pro-yellow laser with a minimal side effect. Facial erythema showed the highest degree of success with the least number of sessions, while more sessions needed for the treatment of port-wine stain.