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The potential effect of multiple pulse mode Q-switched neodymium-doped yttrium aluminum garnet laser combined with tranexamic acid on dermal remodeling in melasma treatment: a case report

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Oral tranexamic acid (TXA) is a proven first-line approach for the treatment of recalcitrant melasma. A novel multi-pulse width 1,064 nm Q-switched Nd:YAG (Q-NDY) laser coupled with the micropulse mode (L-NDY, Genesis technique) has shown promise in pigment removal. In this study five female patients were randomly assigned to receive the combination treatment of Q-NDY + L-NDY + TXA (8 sessions, 3 subjects, Group A) or Q-NDY + L-NDY only (10 sessions, 2 subjects, Group B). At the final assessment, both groups showed extremely significant clearance of pigment as observed through the melasma area and severity index scores, although Group A was better than Group B. The combination of TXA, Q-NDY, and L-NDY for pigment removal and restoration of dermal health is a promising minimally invasive approach for melasma treatment. The good results in the laser-only group holds equal promise for those patients unable to take oral TXA.

Abstract

Oral tranexamic acid (TXA) is a proven first-line approach for the treatment of recalcitrant melasma. A novel multi-pulse width 1,064 nm Q-switched Nd:YAG (Q-NDY) laser coupled with the micropulse mode (L-NDY, Genesis technique) has shown promise in pigment removal. In this study five female patients were randomly assigned to receive the combination treatment of Q-NDY + L-NDY + TXA (8 sessions, 3 subjects, Group A) or Q-NDY + L-NDY only (10 sessions, 2 subjects, Group B). At the final assessment, both groups showed extremely significant clearance of pigment as observed through the melasma area and severity index scores, although Group A was better than Group B. The combination of TXA, Q-NDY, and L-NDY for pigment removal and restoration of dermal health is a promising minimally invasive approach for melasma treatment. The good results in the laser-only group holds equal promise for those patients unable to take oral TXA.

관련 논문AI추천

Treatment of Melasma with Pulsed-Dye Laser and 1,064-nm Q-Switched Nd:YAG Laser: A Split-Face Study공숙현, 서호석, 최유성대한피부과학회 · Annals of Dermatology2018 · 제30권 제1호Treatment of Melasma with the Photoacoustic Twin Pulse Mode of Low-Fluence 1,064 nm Q-Switched Nd:YAG Laser김명화, 김지석, 김지영, 남찬희, 박병철, 최미수, 홍승필대한피부과학회 · Annals of Dermatology2016 · 제28권 제3호Melasma treatment with the Q-switched 1,064 nm neodymium-doped yttrium aluminum garnet laser using a novel low-fluence large spot size approach in Colombia: retrospective studyDaniela Sabbagh, Ivan Pérez Haded대한의학레이저학회 · Medical Lasers2025 · 제14권 제1호Treatment of Refractory Melasma with Microwave-generated, Atmospheric-pressure, Non-thermal Nitrogen PlasmaHeesu Kim, Hyun-Jo Kim, Sung Bin Cho, Young Koo Kim대한의학레이저학회 · Medical Lasers2019 · 제8권 제2호Comparative efficacy and safety of single-pulse mode vs. sixpulse mode 1,064 nm Q-switched neodymium-doped yttrium aluminum garnet laser for treating facial pigmentary disorders in Republic of Korea: retrospective clinical studyGyujin Lee, Jae-Bong Lee, Won-Serk Kim대한의학레이저학회 · Medical Lasers2025 · 제14권 제3호A Face-Split Study to Evaluate the Effects of Microneedle Radiofrequency with Q-Switched Nd:YAG Laser for the Treatment of Melasma김성애, 김원오, 류영욱, 정진웅, 정혜라대한피부과학회 · Annals of Dermatology2019 · 제31권 제2호

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