VII Campaña Nacional <strong>de</strong> Prevención <strong>de</strong>l Cáncer <strong>de</strong> Piel 284 Carta el Editor 292 Indice por autores 296 Indice por títulos 299 Per<strong>la</strong>s <strong>Derm</strong>atológicas A. Mordoh
Volumen VIII - Nº 5 - 2002 D e rm<strong>atolog</strong>ía A rg e n t i n a Nuestra experiencia con láser alexandrita para <strong>de</strong>pi<strong>la</strong>ción Our experience with alexandrite <strong>la</strong>ser for hair re m o v a l Laura Alfie*, Lucía Ramíre z * * * Médica <strong>Derm</strong>atóloga ** Cosmiatra Trabajo realizado en <strong>la</strong> práctica privada. Clí<strong>de</strong>r Clínica <strong>Derm</strong>atológica. Fecha <strong>de</strong> recepción: 10/5/01 Fecha <strong>de</strong> aprobación: 28/1/02 Resumen A n t e c e d e n t e s :el control <strong>de</strong>l vello in<strong>de</strong>seado es una necesidad social <strong>de</strong> nuestros días. Diseño: en un consultorio privado en <strong>la</strong> localidad <strong>de</strong> M a rtínez, <strong>de</strong>s<strong>de</strong> octubre <strong>de</strong> 1998 a marzo <strong>de</strong> 2001 se a t e n d i e ron 320 pacientes (una muestra consecutiva). Se re a l i z a ron 500 tratamientos en diferentes áre a s anatómicas (ro s t ro, bozo, mentón, ingle, piernas, etc.). O b j e t i v o :evaluar los resultados obtenidos al finalizar el año <strong>de</strong> tratamiento, como también los efectos advers o s . Incluimos recomendaciones para antes <strong>de</strong>l tratamiento, durante éste y postratamiento. M é t o d o s : se utilizó un láser alexandrita (Can<strong>de</strong><strong>la</strong>) <strong>de</strong> pulso <strong>la</strong>rgo (755 nm) con enfriador, rango <strong>de</strong> fluencia 16-35 joules/cm 2 . El tratamiento constó <strong>de</strong> varias sesiones en el transcurso <strong>de</strong> un año. R e s u l t a d o s :f u e ron satisfactorios; en el 95% <strong>de</strong> los casos se observó una disminución casi total <strong>de</strong> <strong>la</strong> <strong>de</strong>nsidad y el grosor <strong>de</strong>l pelo, o bien su <strong>de</strong>saparición completa. Se a t e n d i e ron más mujeres que hombres. La foliculitis asociada (<strong>de</strong>l mentón, barba e ingle) <strong>de</strong>sapareció con el tratamiento láser. De los pacientes que solicitaron <strong>de</strong>pi<strong>la</strong>ción láser, los tratados en el área <strong>de</strong>l ro s t ro presentaban mayor prop o rción <strong>de</strong> trastornos horm o n a l e s . El efecto adverso más frecuente fue <strong>la</strong> hiperpigmentación, que fue transitoria. C o n c l u s i o n e s :el láser alexandrita es un método seguro y efectivo para el control <strong>de</strong>l vello in<strong>de</strong>seado. Se obtienen buenos resultados aun en pacientes con t r a s t o rnos endocrinos (<strong>Derm</strong>atol Argent 2002; Nº5: 246- 2 5 0 ) . Pa<strong>la</strong>bras c<strong>la</strong>ves: láser alexandrita, <strong>de</strong>pi<strong>la</strong>ción, hirsutismo, foliculitis, efectos adversos. Summary Background: The control of unwanted hair is a social need of our present. Design: From October 1998 to March 2001, 320 patients have been treated (a consecutive sample), in a private medical institute located in Martínez. 500 treatments in differente anatomical areas (face, chin, inguen, legs, etc.) were done. Objective: The aim of this work is to evaluate the obtained results as well as the adverse effects of the treatment. Previous, during and pos treatment recommendations are inclu<strong>de</strong>d. Methods: An Alexandrite <strong>la</strong>ser (Can<strong>de</strong><strong>la</strong> GentleLase) which <strong>de</strong>livers <strong>la</strong>ser energy at a wavelength of about 755 nm (16-35 J&cm2 range of fluence), with integral skin cooling <strong>de</strong>vice, has been used. The treatment consisted in several sessions throughout a year. Results:They were satisfactory. Almost full reduction of <strong>de</strong>nsity and width or complete disappearance of hair has been observed in 95% of the cases. Women have been treated in <strong>la</strong>rger proportion to men. The associated folliculitis (of chin, beard, inguen) disappeared with the <strong>la</strong>sre treatment. Consi<strong>de</strong>ring all the patients who consulted for <strong>la</strong>ser hair removal, those who were treated in the facial area presented a <strong>la</strong>rger proportion of hormonal disor<strong>de</strong>rs. The most frequent adverse effect was hyperpigmentation, which is transitory. Conclusions: Alexandrite <strong>la</strong>ser is a safe and effective method for controlling unwanted hair. Successful results are observed even in patients with disor<strong>de</strong>rs of endocrine nature. Key words: alexandrite <strong>la</strong>ser, hair removal, hirsutism, folliculitis, adverse effects of the oral mucosa. 246
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