Background: For ethnic skin, laser surgery for pigmented lesions presents a special challenge due to the increased risk of postprocedural complications-erythema, blistering, and postinflammatory dyspigmentation.
Aims: To describe the treatment of ephelides in Asian skin treated with a picosecond 785-nm laser.
Patients/methods: The first patient with ephelides on the cheeks and nose was treated with a picosecond 785-nm laser with the treatment parameter of 1.2 J/cm2 and 3-mm spot size. The second patient with ephelides on the cheeks was treated with a picosecond 785-nm laser with the treatment parameter of 1.3 J/cm2 and 3-mm spot size.
Results: After a single laser session, both patients achieved appreciable improvement without any complications.
Conclusion: This is the first case series demonstrating the efficacy and safety of the picosecond 785-nm laser for the treatment of ephelides in Asian skin.
Keywords: 785-nm; Asian; ephelides; freckle; picosecond.
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