皮秒双波长激光成功去除VI型皮肤红色黑色纹身.pdfVIP

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SuccessfulTreatmentofaRedandBlackProfessionalTattooinSkinTypeVIWithaPicosecond

Dual-Wavelength,Neodymium-DopedYttriumAluminiumGarnetLaser

Useofthe532nmlaserwavelengthwithnanosecond

pulsesisgenerallycontraindicatedfortattooremoval

indark-skinnedpatients.1Indarklypigmentedindi-

viduals,absorptionoflaserenergybyepidermalmel-

anincompeteswithtattoopigments.Longer

wavelengths,suchasthe1,064-nmneodymium-

dopedyttriumaluminiumgarnet(Nd:YAG)laser,are

preferentiallyabsorbedbytheblacktattoopigments

comparedtomelaninandare,therefore,safertousein

dark-skinnedpatientsfortheappropriatetattoocol-

ors.1Incontrast,removalofred,orange,andyellow

colors,whicharepreferablytreatedby532nm,is

severelyhamperedindarkskinduetomelanin’s

increasedabsorptionbytheshorterwavelength.

Toovercomethelimitationsofnanosecondlasers,

picosecondlaserswithveryhighpeakpowerswere

developedforfastertattooclearance.Althougheffec-

tiveforblueandgreenpigmentsafter1or2treat-Figure1.A29-year-oldwomanwithFitzpatrickskinType

VIandaprofessionalblackandredtattooontheneck.

ments,complicationssuchashypopigmentationand

hyperpigmentationwerereportedfor755nm,750ps

pulses.2Furthermore,thesafetyofpicosecondlasersdurationwas450and375psfor1,064and532nm,

remainstobeevaluatedindarklypigmentedskin.3respectively,andthemaximumenergyfor1,064nm