COMPARISION OF Q-SWITCHED ND:YAG LASER AND JESSNER PEELING METHODS IN MELASMA TREATMENT

Project no. 110 · Status: Kapanmış · 2017

Summary

Melasma is an acquired hyperpigmentation disease characterized by hyperpigmented patches in sun-exposed areas that significantly impairs quality of life and can be difficult to treat. Topical treatments such as hydroquinone, retinoic acid and azeleic acid, chemical peels, laser treatments and oral tranexamic acid are among the main treatment options. In our study, we aimed to compare the effectiveness of Jessner peeling and Q-switched laser in melasma treatment. For this purpose, Jessner peeling was applied to 20 patients and 1064 nm-Nd: YAG Q-switched laser was applied to 19 patients of 39 melasma patients who applied to the Cosmetology Unit of Ege University Department of Dermatology and Venereal Diseases between November 2018-March 2020. 37 patients completed the study. The MASI scores and the pigment and erythema scores measured by mexameter of both treatments were compared. It was found that both procedures caused a statistically significant decrease in MASI scores, pigment and erythema scores, and no statistically significant difference was found between the effect of both procedures on reducing these scores. In conclusion, in our study, it has been shown that chemical peeling with Jessner solution and Q-switched laser treatments are effective in melasma; however, neither method was found to be superior to each other in treatment.

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