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      Case Histories of Intense Pulsed Light Phototherapy in Dermatology - the HPPL™ and IFL ™ Technologies

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          Abstract

          The intense pulsed light (IPL) and laser technologies are widely used for skin rejuvenation and for treating several dermatological disorders such as skin dyschromia and acne, and for non-ablative dermal remodeling of rhytides and hypertrophic scars. Technological evolution is rapid. The High Power Pulsed Light™ [HPPL™] and Incoherent Fast Light™ technologies [IFL™, Novavision Group S.p.A., 20826 Misinto (MB), Italy] are recent innovations in the field of IPL technologies; IFL™ is a further evolution of the already advanced HPPL™ system. The paper presents a selection of case histories of dermatological lesions treated with the HPPL™ and IFL™ technologies. All study materials were appropriately peer-reviewed for ethical problems.

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          The spectrum of laser skin resurfacing: nonablative, fractional, and ablative laser resurfacing.

          Macrene R. Alexiades-Armenakas, Jeffrey Dover, Kenneth A Arndt (2008)
          The drive to attain cosmetic facial enhancement with minimal risk and rapid recovery has inspired the field of nonsurgical skin rejuvenation. Laser resurfacing was introduced in the 1980s with continuous wave carbon dioxide (CO(2)) lasers; however, because of a high rate of side effects, including scarring, short-pulse, high-peak power, and rapidly scanned, focused-beam CO(2) lasers and normal-mode erbium-doped yttrium aluminium garnet lasers were developed, which remove skin in a precisely controlled manner. The prolonged 2-week recovery time and small but significant complication risk prompted the development of non-ablative and, more recently, fractional resurfacing in order to minimize risk and shorten recovery times. Nonablative resurfacing produces dermal thermal injury to improve rhytides and photodamage while preserving the epidermis. Fractional resurfacing thermally ablates microscopic columns of epidermal and dermal tissue in regularly spaced arrays over a fraction of the skin surface. This intermediate approach increases efficacy as compared to nonablative resurfacing, but with faster recovery as compared to ablative resurfacing. Neither nonablative nor fractional resurfacing produces results comparable to ablative laser skin resurfacing, but both have become much more popular than the latter because the risks of treatment are limited in the face of acceptable improvement. At the completion of this learning activity, participants should be familiar with the spectrum of lasers and light technologies available for skin resurfacing, published studies of safety and efficacy, indications, methodologies, side effects, complications, and management.
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            Intense pulsed light (IPL): a review.

            Rolf-Markus Szeimies, Michael Landthaler, Philipp Babilas … (2010)
            Intense pulsed light (IPL) devices use flashlamps and bandpass filters to emit polychromatic incoherent high-intensity pulsed light of determined wavelength spectrum, fluence, and pulse duration. Similar to lasers, the basic principle of IPL devices is a more or less selective thermal damage of the target. The combination of prescribed wavelengths, fluences, pulse durations, and pulse intervals facilitates the treatment of a wide spectrum of skin conditions. To summarize the physics of IPL, to provide guidance for the practical use of IPL devices, and to discuss the current literature on IPL in the treatment of unwanted hair growth, vascular lesions, pigmented lesions, acne vulgaris, and photodamaged skin and as a light source for PDT and skin rejuvenation. A systematic search of several electronic databases, including Medline and PubMed and the authors experience on intense pulsed light. Numerous trials show the effectiveness and compatibility of IPL devices. Most comparative trials attest IPLs similar effectiveness to lasers (level of evidence: 2b to 4, depending on the indication). However, large controlled and blinded comparative trials with an extended follow-up period are necessary.
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              Laser and light-based treatment of Keloids--a review.

              A Mamalis, H Lev-Tov, Mary D H Nguyen … (2014)
              Keloids are an overgrowth of fibrotic tissue outside the original boundaries of an injury and occur secondary to defective wound healing. Keloids often have a functional, aesthetic, or psychosocial impact on patients as highlighted by quality-of-life studies.
              Article 0 comments Cited 19 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Dermatol Reports
                Journal ID (iso-abbrev): Dermatol Reports
                Journal ID (publisher-id): DR
                Title: Dermatology Reports
                Publisher: PAGEPress Publications, Pavia, Italy
                ISSN (Print): 2036-7392
                ISSN (Electronic): 2036-7406
                Publication date (Electronic): 13 June 2017
                Publication date Collection: 13 March 2017
                Volume: 9
                Issue: 1
                Electronic Location Identifier: 7118
                Affiliations
                [1 ]Former Senior Consultant in Dermatology, University of Modena and Reggio Emilia Medical School , Tiggiano (LE)
                [2 ]Clinical Pharmacology and Biophysics Consultant , Milan, Italy
                Author notes

                Sponsor: Novavision Group S.p.A., Misinto (MB), Italy.

                Article
                DOI: 10.4081/dr.2017.7118
                PMC ID: 5475416
                SO-VID: 6cec00a7-5544-4a63-be57-1696a918a1a5
                Copyright © ©Copyright A. Martella and M. Raichi 2017
                License:

                This work is licensed under a Creative Commons Attribution NonCommercial 4.0 License (CC BY-NC 4.0).

                History
                Date received : 06 March 2017
                Date accepted : 02 May 2017
                Page count
                Figures: 9, Tables: 0, Equations: 0, References: 11, Pages: 9
                Categories
                Subject: Article

                Keywords: photorejuvenation,photoaging,intense pulsed light,dermal remodeling
                Data availability:
                Keywords: photorejuvenation, photoaging, intense pulsed light, dermal remodeling

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