Original Article Published 26 June 2020 Lasers in Medical Science volume 36, pages 401–406 2021Cite this article AbstractFacial telangiectasia FT is a condition in which small dilated vessels visibly protrude on the surface of the skin. The aim of this study was to evaluate the efficacy and safety of a single-session pro-yellow laser in the treatment of FT and spider angioma SA to compare it with a limited number of studies conducted on this subject. In this pilot study, we reviewed 41 patients who admitted to our dermatology clinic with FT and SA and were treated by using pro-yellow laser. The efficacy of the treatment was evaluated using the recorded clinical information and digital camera images. The improvement was graded as complete 90–100%, very good 75–89%, good 50–74%, moderate 25–49%, and weak < 25%. Of the 41 patients included in the study, 37 had FT and four had SA. Twenty-two patients were female and 19 were male. Pro-yellow laser therapy was generally well tolerated by patients, and minimal pain occurred during the application. In 1-month follow-up, good, very good, or complete recovery was achieved in of the FT patients. The new pro-yellow laser only has a yellow light wavelength. Its unique wavelength at 577-nm yellow light is ideal for vascular lesions. In this study, of the patients with FT achieved good, very good, or complete improvement after a single session of 577-nm pro-yellow laser, and complete improvement was achieved in all the four patients with SA. Access options Buy single article Instant access to the full article PDF. 39,95 € Price includes VAT Ukraine ReferencesHare McCoppin HH, Goldberg DJ 2010 Laser treatment of facial telangiectasia an update. Dermatol. Surg 361211–1230Article Google Scholar McCoy SE 1997 Copper bromide laser treatment of facial telangiectasia results of patients treated over five years. Lasers Surg. Med 21329–340Article CAS Google Scholar Key JM, Waner M 1992 Selective destruction of facial telangiectasia using a copper vapor laser. Arch. Otolaryngol. Head Neck Surg 118509–513CAS Google Scholar Owen WR, Hoppe E 2012 Copper bromide laser for facial telangiectasia a dose response evaluation. Australas J Dermatol 53281–284Article Google Scholar Railan D, Parlette EC, Uebelhoer NS, Rohrer TE 2006 Laser treatment of vascular lesions. Clin Dermatol 248–15Article Google Scholar Tanzi EL, Lupton JR, Alster TS 2003 Lasers in dermatology four decades of progress. J Am Acad Dermatol 491–31Article Google Scholar Baumgartner J, Šimaljakova M, Babál P 2016 Extensive angiokeratoma circumscriptum - successful treatment with 595-nm variable-pulse pulsed dye laser and 755-nm long-pulse pulsed alexandrite laser. J Cosmet Laser Ther 18134–137Article Google Scholar Cassutoa DA, Deborah M, Emanuellia G 2000 Treatment of telangiectasia with a diode-pumped NdYAG laser at 532 nm. J Cutan Laser Ther 2141–146Article Google Scholar Gao L, Qu H, Gao N, Li K, Dang E, Tan W et al 2020 A retrospective analysis for facial telangiectasia treatment using pulsed dye laser and intense pulsed light configured with different wavelength bands. J Cosmet Dermatol 1988–92Article Google Scholar Karppinen T, Kantola E, Karppinen A, Rantamaki A, Kautiainen H, Mordon S et al 2019 Treatment of telangiectasia on the cheeks with a compact yellow 585nm semiconductor laser and a green 532nm KTP laser a randomized double-blinded split-face trial. Lasers in Surgery and Medicine 99991–7 Google Scholar Guina M, Rantamäki A, Härkönen A 2017 Optically pumped VECSELs review of technology and progress. Journal of Physics D Applied Physics 50383001Article Google Scholar Kapicioglu Y, Sarac G, Cenk H 2019 Treatment of erythematotelangiectatic rosacea, facial erythema, and facial telangiectasia with a 577-nm pro-yellow laser a case series. Lasers Med Sci 3493–98Article Google Scholar Sarac G, Kapicioglu Y 2019 Efficacy of 577-nm pro-yellow laser in port wine stain treatment. Dermatol Ther. CH, Kim MH, Hong SP, Park BC 2019 Fractional 532-nm KTP diode laser and 595-nm pulsed dye laser in treatment of facial telangiectatic erythema. J Cosmet Dermatol 18783–787Article Google Scholar Tierney E, Hanke CW 2009 Randomized controlled trial comparative efficacy for the treatment of facial telangiectasias with 532 nm versus 940 nm diode laser. Lasers Surg Med 41555–562Article Google Scholar Mohamed EM, Mohamed Tawfik K, Hassan Ahmad W 2019 Successful treatment of facial vascular skin diseases with a 577-nm pro-yellow laser. J Cosmet Dermatol 181675–1679Article Google Scholar Seo HM, Kim JI, Hs K, Choi YJ, Kim WS 2016 Prospective comparison of dual wavelength long-pulsed 755-nm alexandrite/1064-nm neodymium yttrium-aluminum-garnet laser versus 585-nm pulsed dye laser treatment for rosacea. Ann Dermatol 28607–614Article Google Scholar Laube S, Lanigan SW 2002 Laser treatment of rosacea. J Cosmet Dermatol 1188–195Article CAS Google Scholar Mohamed EM, Younes AH, Hussein GM 2020 Efficacy of 577 nm pro-yellow laser in the treatment of melasma a prospective split-face study. J Cosmet Laser Ther 22107–110Article Google Scholar Download referencesAuthor informationAuthors and AffiliationsFaculty of Medicine, Department of Dermatology, Inonu University, Malatya, TurkeyDursun Turkmen, Nihal Altunisik & Serpil SenerAuthorsDursun TurkmenYou can also search for this author in PubMed Google ScholarNihal AltunisikYou can also search for this author in PubMed Google ScholarSerpil SenerYou can also search for this author in PubMed Google ScholarCorresponding authorCorrespondence to Dursun declarationsThe authors have no conflict of interests and received no funding for this work. The study was conducted in accordance with the Helsinki Declaration. The study received the local ethics committee approval on 17 December 2019 134. Written consent was obtained from all patients or their informationPublisher’s noteSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional and permissionsAbout this articleCite this articleTurkmen, D., Altunisik, N. & Sener, S. The efficacy of a single-session pro-yellow laser in the treatment of facial telangiectasia. Lasers Med Sci 36, 401–406 2021. citationReceived 21 January 2020Accepted 17 June 2020Published 26 June 2020Issue Date March 2021DOI telangiectasia,Laser therapy,Pro-yellow laser,Spider angioma,577 nm

ContentsWhat is Pro Yellow Laser?Why the colour yellow?How deep can the Pro Yellow Laser penetrate the skin?What are the areas or skin concerns benefit from the Pro Yellow Laser?AcnePigmentationSkin rejuvenationFacials veins and blood vesselsRedness & rosacea caused by dilated blood vesselsVascular conditionsHow does Pro Yellow Laser work?How do I know if the Pro Yellow Laser treatment is right for me?Are there side effects to the Pro Yellow Laser treatment?How many treatments are required?How long is a Pro Yellow Laser treatment?Is the Pro Yellow Laser treatment painful?When will the results be visible?How much does a Pro Yellow Laser cost in Singapore? What is Pro Yellow Laser? Pro Yellow Laser is a German-engineered Quadrostar that is an improved version of the commonly used Dual Yellow/Combination laser at some clinics. Because of its special wavelength of 577nm, this Pro Yellow Laser represents a gold standard for vascular treatments and epidermal pigmentation treatments. Ultimately, it is a treatment used to treat pigmentation and promote skin rejuvenation. Source CanAm Aesthetic Inc Why the colour yellow? The colour yellow has the ideal wavelength of is 577nm and the QuadroStar Pro Yellow Laser was the first pure yellow in the industry that was successful for skin rejuvenation. This Pro Yellow wavelength provides the best absorption when it comes to treating blood vessels. When compared to the standard green wavelength of 532nm, the yellow wavelength has the ability to produce 40% of higher absorption in the blood. This also means that lesser power is required during the treatment. How deep can the Pro Yellow Laser penetrate the skin? Most of our unwanted dark spots, skin discolouration and redness on the skin are rooted in a deeper vascular network of veins that extend beyond the treatable depths of that the traditional green lasers of 532nm can reach. The inability to address these areas can result in the inability to effectively treat deeper pigmented and vascular issues. Hence, comes the part of the Pro Yellow Laser. This yellow laser has the ability to penetrate much deeper than the standard green lasers that simultaneously address both visible lesions and underlying vessels. Not only that, but this also allows for safer treatment of various skin concerns for light and dark skin. What are the areas or skin concerns benefit from the Pro Yellow Laser? Acne The yellow light from the laser helps treat acne by killing the bacteria that causes it. It also reduced the redness and inflammation simultaneously. Other than that, it also shrinks the sebaceous glands that produce the sebum. Pigmentation With a specific wavelength, the energy from the Pro Yellow laser is absorbed by both the melanin pigments and underlying blood vessels. Hence, resulting in the breaking down of pigments and reducing the blood supply to the skin cells that produce the pigments. Skin rejuvenation This laser energy from the treatment is absorbed into the dermis layer of the skin to not only treat, but improve the support structure of the skin. Hence, making look brighter and feel much tighter and firm. Facials veins and blood vessels As this laser has a high rate of absorption in the red blood cells than any other lasers, it helps reduce the unsightly veins or blood vessels that are on the face. Especially areas like the nose and cheeks. Redness & rosacea caused by dilated blood vessels This yellow laser helps by reducing the size or eliminating the blood vessels that would result in reduced redness on the skin and an even-toned complexion. Also, this laser reduces the red marks that are caused by increased blood circulation by reducing the blood vessels in the area. Vascular conditions Vascular lesions are caused by small and dilated capillaries that appear as red spots or visible threads on your skin. The Pro Yellow Laser can effectively treat them by shrinking the vessels with its yellow light, without causes damage to the capillaries. How does Pro Yellow Laser work? The main reason the Pro Yellow Laser works well is that it is able to penetrate deeper into the tissues. Green lasers with wavelengths of 532nm were tested to treat pigmentation but it did not reach deep enough into the skin to effectively reach the pigmentation and blood vessels that were contributing to these issues. Also, compared to the standard green wavelength, the yellow wavelength is able to produce 40% higher absorption in the blood. This then leads to the advantages of having better comfort during the procedure, a shorter healing time, reduced risks of side effects like blisters burns or pigmentation chance. The other advantages include the ability to treat darker skin types compared to other lasers and sensitive skin like those with rosacea or eczema. How do I know if the Pro Yellow Laser treatment is right for me? If you have these skin concerns, then you can definitely opt for the Pro Yellow Laser treatment Melasma/brown sportsBenign molesRed sportsCouperosis/telangiectasiasHemangiomaPort-wine stains vascular birthmarksErythema post-acneSun sports/lentiginesPost-inflammatory hyperpigmentationPyogenic granulomaRosaceaSebaceous hyperplasia dilated oil glandsSeborrheic kerastosisSkin tagsWrinklesVenous lake blue spotsVerruca vulgaris wartsXanthelasma cholesterol deposits on the skin Are there side effects to the Pro Yellow Laser treatment? First and foremost, you should know that the Pro Yellow Laser is a very safe procedure because the laser does not injure the outermost layer of the skin. When we talk about side effects, the only ones you may encounter are mild redness and swelling. However, these side effects will disappear within hours after the treatment. How many treatments are required? For vascular or pigmented lesions, visible results can be seen in 1 to 3 treatments that are spaced 3 weeks apart. Thereafter, maintenance treatments are also required. Effective and visible results also depend on the severity of the skin condition. However, the outcomes would also depend on the proper diagnosis of the condition of your skin and the chosen treatment parameters or laser settings. How long is a Pro Yellow Laser treatment? Each treatment of the Pro Yellow Laser procedure takes about 45 minutes, which includes time for preparation as well. Is the Pro Yellow Laser treatment painful? Most of those who have gotten this treatment compare it to the feel of laser tingling or a prickling sensation like needles and pins. Also, this treatment is also well tolerated even without the use of anaesthesia. However, if the patients request it, topical anaesthesia will be given. When will the results be visible? The Pro Yellow Laser treatment can provide immediate effects on vascular lesions. For pigmented lesions, visible results are typically visible within the 5th and 10th day, and continued improvements can be seen over a span of 30 days. How much does a Pro Yellow Laser cost in Singapore? Most of the Pro Yellow Laser treatments cost starts from $ However, you should keep in mind that each clinic or establishment have different charges.

Whatis Pro Yellow Laser? Quadrostar Pro Yellow Laser is a German engineered version of the Dual Yellow Laser / Combination laser which is more commonly used. It has an ideal and specific wavelength of 577nm which makes it suitable for vascular skin removal. The other indications for its use are rosacea, skin depigmentation and underlying

Pro-yellow laser is a highly effective treatment for post-acne erythema, but the efficacy of this approach for the treatment of atrophic acne scars appears to be only mild to moderate at best, according to study findings published in Dermatologic Therapy. A total of 40 patients with post-acne erythema mean age, years were recruited into this study from a single dermatology clinic. Patients who had recently used systemic isotretinoin were also included in the study, but pro-yellow laser treatment was only used immediately after stopping isotretinoin. After application of topical anesthetic cream to lesions, the investigators applied the 577 nm pro-yellow laser as a single session with irradiation of 22 j/cm2. The researchers then assessed the improvement in post-acne erythema and scars after treatment. Post-acne erythema accompanied by scarring was significantly higher in women compared with men vs P =.021. Approximately n=21 of patients had good improvement in their erythema rates, and 25% n=10 experienced excellent improvement and n=9 of patients had moderate improvement. No statistically significant difference was observed between men and women in regard to the improvement in post-acne erythema P =.52. In addition, n=20 had mild improvement in acne scars, whereas n=6 of patients had moderate improvement. Limitations of this study included its retrospective design, lack of a control group, and its recruitment of patients from a single center. The pro-yellow laser provided good to excellent results for the treatment of post-acne erythema, the study authors concluded, while also providing mild to moderate improvement in atrophic acne scars. Reference Sarac G, Kapicioglu Y, Cenk H. An evaluation of the efficacy of a single-session 577 nm pro-yellow laser treatment in patients with postacne erythema and scarring. Published online December 1, 2020. Dermatol Ther. doi

The efficacy and safety of pro-yellow laser treatment for the management of vascular skin lesions was reported in study data published in the Journal of Cosmetic Dermatology. In a study of patients with myriad vascular skin conditions, treatment with 577-nm pro-yellow laser was associated with substantial improvement in lesion size and appearance. Treatment was well tolerated by all patients. Although pro-yellow laser is an established treatment method for diabetic retinopathy, only a limited number of studies have evaluated its efficacy and safety for the management of vascular skin lesions. To close this gap, investigators retrospectively assessed the outcomes of patients who received treatment with a pro-yellow laser at a dermatology clinic in Turkey. Patients with a clinical diagnosis of any vascular skin condition were eligible for inclusion; their demographic data and clinical history were extracted from medical records. All patients received treatment with the same laser apparatus at 4-week intervals. Treatment efficacy was assessed through clinical examination performed at baseline and 4 weeks after the last laser session. Improvement was rated by clinicians on an ordinal scale based on level of lesion improvement “excellent” 75% to 100% improved, “very good” 50% to 74%, “good” 25% to 49%, and “poor” less than25%. Adverse events were catalogued and reported. A total of 74 patients received pro-yellow laser treatment at the participating dermatology clinic. Their mean age was years and the majority were women. Patient skin phototypes ranged from Fitzpatrick type 2 to type 3 Various vascular skin conditions were represented in the cohort, including facial telangiectasia n=37, erythematotelangiectatic rosacea n=13, port-wine stain n=6, spider angioma n=6, venous lake n=6, cherry angioma n=4, and scrotal angiokeratoma n=2. The mean number of laser sessions varied by diagnostic group, and ranged from 1 to Very good to excellent improvement was observed in the majority of the study cohort. Among patients with facial telangiectasia, and experienced excellent or very good improvement, respectively. In patients treated for rosacea, experienced excellent improvement, experienced very good improvement, and experienced good improvement. In patients with venous lake, results were evenly divided between excellent 50% and very good 50% improvement. All patients with cherry angioma, spider angioma, and scrotal angiokeratoma experienced excellent improvement following laser treatment. The only reported adverse event was erythema in the treatment area, which resolved within 24 to 48 hours of laser application. Treatment efficacy was not significantly associated with patient age, sex, or skin phototype. Based on these results, pro-yellow laser is an effective, safe option for the management of vascular skin lesions. However, because the trial did not enroll patients with severe vascular problems, results cannot be extrapolated to more serious lesions. “[The] pro-yellow laser provides efficient results without side effects like edema, petechia and purpura,” investigators wrote. “The pro-yellow device is small, compact, user friendly and has [an] integrated cooling system [and] these features make it practical for daily use in dermatology clinics.” Reference Aksoy Sarac G, Onder M. Evaluation of the efficacy of pro-yellow laser in the management of vascular skin disorders. J Cosmet Dermatol. Published online April 19, 2021. doi

pro yellow laser before and after