In-vivo experimental evaluation of nonablative skin remodeling using a 1.54-um laser with surface cooling

Serge R. Mordon; Alexandre Capon M.D.; Collette Creusy M.D.; Laurence Fleurisse M.D.; Bruno Buys; Marc A. Faucheux; Pascal Servell

doi:10.1117/12.386248

17 May 2000 In-vivo experimental evaluation of nonablative skin remodeling using a 1.54-μm laser with surface cooling

Serge R. Mordon, Alexandre Capon M.D., Collette Creusy M.D., Laurence Fleurisse M.D., Bruno Buys, Marc A. Faucheux, Pascal Servell

Author Affiliations +

Proceedings Volume 3907, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems X; (2000) https://doi.org/10.1117/12.386248
Event: BiOS 2000 The International Symposium on Biomedical Optics, 2000, San Jose, CA, United States

Abstract

Selective dermal remodeling using diode or 1.32 micrometer Nd:YAG lasers has been recently proposed for skin rejuvenation. This new technique consists in inducing collagen tightening and/or neocollagen synthesis without significant damage of the overlying epidermis. Such an approach requires (1) a cooling system in order to target dermal collagen with relatively good protection of the epidermal layer, (2) a specific wavelength for confining the thermal damage into the upper dermis (100 to 400 micrometer). Based on previous studies, demonstrating a better water absorption and a reduced melanin absorption at 1.54 micrometer compared to the 1.32 micrometer, this experimental study aimed to evaluate a new laser (co-doped Yb-Er:phosphate glass material, Aramis, Quantel-France) emitting at 1.54 micrometer. This laser was used in combination with the Dermacool system (Dermacool, Mableton, USA) in order to achieve epidermis cooling before, during and after irradiation. Male hairless rats were used for the study. Pulse train irradiation (1.1 J, 3 Hz, 30 pulses) and different cooling temperatures (+5 degree(s)C, 0 degree(s)C, -5 degree(s)C) were screened with clinical examination and histological evaluation at 1, 3, and 7 days after laser irradiation. The clinical effects showed that pulse train irradiation produced reproducible epidermal preservation and confinement of the thermal damage into the dermis. The different cooling temperatures did not provide detectable differences in terms of size and depth of thermal damage. New collagen synthesis was confirmed by a marked fibroblastic proliferation, detected in the lower dermis at D3 and clearly seen in the upper dermis at D7. This new laser appears to be a promising new tool for the treatment of skin laxity, solar elastosis, facial rhytids and mild reduction of wrinkles.

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Serge R. Mordon, Alexandre Capon M.D., Collette Creusy M.D., Laurence Fleurisse M.D., Bruno Buys, Marc A. Faucheux, and Pascal Servell "In-vivo experimental evaluation of nonablative skin remodeling using a 1.54-μm laser with surface cooling", Proc. SPIE 3907, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems X, (17 May 2000); https://doi.org/10.1117/12.386248

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