Treatment of Leg Telangiectasias Using a 650-microsecond Pulsed Nd:YAG 1064nm Laser

James Newman, MD, Natalia Geraskova, MD, Center for Facial Plastic Surgery, San Mateo, CA; Laser Cosmetic Clinic “Loreksiniya”, Dubna, Russia

 Background and Objectives:
Nd Yag Lasers with 20-30 millisecond pulse widths are traditionally used to treat cosmetic leg veins, with well documented side effects of bruising and discomfort particularly with large areas treated. This study was conducted to evaluate the safety and clinical efficacy of a novel short pulsed, 650 microsecond pulsed 1064nm NdYag laser for the treatment of lower extremity telangiectasias.

Study Design and Methods: Adult female subjects with Fitzpatrick Skin types I-III with leg telangiectasias 0.2-3mm in diameter covering at least 20cm2 were selected for individual laser treatment sessions at 4 week intervals until satisfactory clinical clearance was observed. Laser treatment parameters varied depending on the size, quantity, and density of vessels as follows
Vessels with less than 1mm diameter- Spot size of 2mm, Fluence 127J/cm2, pulse width of 650microseconds
Vessels with diameter 1-3mm-Spot size 2-3mm, Fluence 159-223J/cm2, pulse width of 650 microseconds. Ice pack was used for precooling for 20-30 seconds prior to laser.
The vessels were treated for the full length and observed for clearance. Adverse events of discomfort, blistering, crusts, scars and duration of erythema were monitored for the first 4 weeks after treatment. Photos were taken before and immediately after treatment and at 4 weeks and 12 weeks after treatment. Follow up continued for 12 months to evaluate for recurrence.

Results: 22 female subjects were treated on the lower extremities. 72% of subjects showed substantial improvement at 4 weeks after the first treatment. 96% of patients showed substantial improvement 3 months after the third treatment. In all subjects mild erythema appeared immediately after treatment and lasted for 3-24 hours. Small vessels frequently disappeared during the treatment while larger vessels over 1 mm changed color by darkening. 5 patients exhibited light brown crusting along the coagulated vessel which did not leave any permanent marks by the 3 month follow up appointment. There were no burns, scarring or hyperpigmentation observed in any of the patients. Pain was rated as mild during the treatment sessions.

Conclusion: Lower extremity telangiectasias ranging from.1-3mm can be treated safely and effectively in skin types I-III with a novel 650 microsecond pulsed Nd Yag Laser with minimal discomfort.

As published at the 2016 Annual Meeting of the American Society for Laser Medicine & Surgery ASLMS

Table of Contents

Hyperpigmentation

Photos Courtesy of Cheryl Burgess, MD.

Photos Courtesy of Jennifer Parker-Porter, MD.

Learn more about treating hyperpigmentation today.

Vascular Lesions

Photos Courtesy of Dr. Guilia Kasimova.

Photos Courtesy of Michael Gold, MD.

Learn more about treating vascular lesions today.

Rosacea / Redness

Photos Courtesy of Yelena Kipervas, DO.

Photos Courtesy of Dr. Nabil Fakih.

Learn more about treating rosacea and redness today.

Hair Removal

Photos Courtesy of Dr. Andrew Nnadi.

Photos Courtesy of Steik Spa.

Learn more about treating hair removal today.

PFB

Photos Courtesy of Dr. Michelle Henry.

Photos Courtesy of Wendy Roberts, MD.

Learn more about treating PFB today.

Scars

Photos Courtesy of Dr. William Watfa.

Photos Courtesy of Bradley Bloom, MD.

Learn more about treating scars today.

Autoimmune Disorders

Photos Courtesy of Dr. Passeron.

Photos Courtesy of Dr. Sakhiya.

Learn more about treating autoimmune disorders today.

Skin Rejuvenation

Photos Courtesy of Catie Cutler, LE.

Photos Courtesy of Chesahna Kindred, MD.

Learn more about skin rejuvenation today.

Acne

Photos Courtesy of Michael Gold, MD.

Photos Courtesy of Michael Gold, MD.

Learn more about treating acne today.

Staff Accountant / Junior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Staff Accountant / Junior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Staff Accountant / Junior Accountant

• Provide support to the Controller and the management team
• Maintain day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Support the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Uploading annual budget and tracking actual to budget variances
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Participation in quarterly inventory reconciliations
• Assist team with projects such as policy creation, system implementation, client support etc.

• Some experience with and strong understanding of the monthly close process and technical accounting
• Detailed oriented, with ability to see the big picture
• Self-starter who can work independently and employ time management skills to meet deadlines.
• Knowledge of MS Excel (V-lookup, formulas, pivot tables).
• Strong interpersonal and communication skills
• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP
• 1-3 years’ experience in an accounting function (including internship)
• General Ledger/Operational Accounting experience
• Knowledge of Quickbooks or other reporting software a plus (more the better)
• Industry experience a plus

Senior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Senior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Senior Accountant:

• Provide support to the Controller and the management team
• Own day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Assist in establishing and maintaining policies & procedures in accordance with GAAP and Aerolase policy
• Key contributor to the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Assist in the preparation of management reports – (cash management, various projections, month end reporting package)
• Involvement with the annual budget process
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Prepare and submit payroll
• Participation in quarterly inventory reconciliation to the perpetual
• Ad hoc projects

• Strong knowledge of the monthly close process and technical accounting

• Detailed oriented, with ability to see the big picture

• Experience in continuous improvement and accounting best practices

• Self-starter who can work independently and employ time management skills to meet deadlines.

• System savvy – ability to learn new financial software

• Intermediate knowledge of MS Excel (V-lookup, formulas, pivot tables).

• Global consolidations experience a plus

• Strong interpersonal and communication skills

• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP

• 3+ years’ experience working as a staff/senior accountant

• General Ledger/Operational Accounting experience a must

• Extensive knowledge of Quickbooks and other reporting software

• Prior involvement with system implementation

• Prior public accounting experience (any size firm) a plus

• Industry experience a plus

Request Your Aerolase Demo Today!

"*" indicates required fields