我们旨在通过文献综述来讨论使用激光治疗眉毛微刮片和美容纹身并发症。我们的研究问题是,质量转换或皮秒激光对于去除眉毛纹身是否更优越。这项结构化审查是使用PubMed搜索进行的,使用搜索词“激光纹身去除”和“化妆品纹身”和“眉毛”,文章类型过滤为“病例报告”,临床试验,“和”随机对照试验,日期为1994-2023年。包括评估激光对眉毛美容纹身色素影响的所有病例报告或系列报告。我们总结了11项评估激光用于化妆品纹身去除的研究结果,129例患者专门治疗眉毛色素。大多数研究(8/11)报告Fitzpatrick皮肤类型或种族。七项研究利用质量转换(QS)掺钕钇铝石榴石(Nd:YAG),翠绿宝石或红宝石,三个使用皮秒(PS)Nd:YAG或翠绿宝石,和三个使用二氧化碳(CO2)激光。我们报告了激光能量,光斑尺寸,和脉冲持续时间,以及治疗结果和不良事件。历史上,去除色素的方法包括磨皮,冷冻手术,电外科,射频,红外光,强烈的脉冲光,和手术切除;然而,这些方法通常导致不良的美容结果,包括瘢痕形成和进一步的色素沉着.QS激光治疗提供了优越的美容效果,因此被认为是去除色素的黄金标准治疗选择。然而,PS激光器的出现挑战了这一点,因为它们增加了选择性,较低的注量要求,并减少周围的热损伤。我们的审查表明,PSNd:YAG在治疗眉毛纹身方面比QSNd:YAG更快,更有效。此外,用QS激光器观察到的自相矛盾的变暗在PS激光器中并不常见。我们还证明了CO2激光可能是QS或PS激光的有用辅助手段。这篇综述的重点是菲茨帕特里克的皮肤类型和种族,提供了一个独特的视角,使用激光治疗的肤色,这通常会带来额外的治疗挑战。
We aim to discuss the use of laser for the treatment of eyebrow microblading and cosmetic tattoo complications through a
review of the literature. Our research question is whether quality-switched or picosecond laser is superior for the removal of eyebrow tattoos. This structured
review was conducted using a PubMed search using the search terms \"laser tattoo removal\" AND \"cosmetic tattoo\" AND \"eyebrow\" with the article type filtered to \"case reports,\" \"clinical trial,\" and \"randomized controlled trial\" ranging from dates 1994-2023. All case reports or series evaluating the effect of laser on eyebrow cosmetic tattooing pigment were included. We summarize the results of 11 studies evaluating the use of laser for cosmetic tattoo removal, with 129 patients treated specifically for eyebrow pigment. Most studies (8/11) report Fitzpatrick skin type or race. Seven studies utilize quality-switched (QS) neodymium-doped yttrium aluminum garnet (Nd:YAG), alexandrite or ruby, three used picosecond (PS) Nd:YAG or alexandrite, and three used carbon dioxide (CO2) laser. We report laser energy, spot size, and pulse duration, as well as treatment outcomes and adverse events. Historically, methods of pigment removal included dermabrasion, cryosurgery, electrosurgery, radiofrequency, infrared light, intense pulsed light, and surgical excision; however, these methods often led to poor cosmetic outcomes including scarring and further dyspigmentation. QS laser treatments provided superior cosmetic outcomes and thus were considered the gold standard treatment option for pigment removal. However, the advent of PS lasers has challenged this given their increased selectivity, lower fluence requirements, and reduction in surrounding thermal damage. Our
review demonstrates that PS Nd:YAG is quicker and more effective that QS Nd:YAG in the treatment of eyebrow tattoos. Additionally, the paradoxical darkening seen with QS lasers is less common with PS lasers. We also demonstrate that CO2 laser may be a helpful adjunct to QS or PS laser. This
review focuses on Fitzpatrick skin type and race, providing a unique perspective on the use of laser treatment in skin of color, which often poses an additional treatment challenge.