![]() This study was based on two specific types of laser and IPL equipment, which effectively clear telangiectasias however, the most beneficial outcome was from the LPDL. Twenty-five patients preferred the LPDL (64%), 8 patients preferred IPL (21%) and 6 patients had no preference (15%) (P < 0.001). Patients were satisfied with both LPDL and IPL treatments (P = 0.05). No adverse effects (hypo-/hyperpigmentation or scarring) were seen from any of the treatments. Patients experienced less pain from LPDL than IPL treatments (P < 0.001). As a result, it is less effective at specifically targeting the hair follicle to disable hair regrowth. Because IPL therapy is more diffuse, it tends to disperse at deeper layers of the skin. The LPDL was superior in the overall reduction of telangiectasias by blinded photographic evaluations: Excellent clearance (75% to 100% vessel clearance) was found in 18 patients treated with LPDL (46%) and in 11 patients treated with IPL (28%) (P = 0.01). IPL devices produce light across different wavelengths and colors (like a light bulb), not in a concentrated beam like a laser device. Both treatments were effective with good or excellent response in 30 of 39 patients. All but 2 patients obtained a reduction in facial telangiectasias from both IPL and LPDL treatments. Thirty-nine of 40 patients completed the study. Outcome measures were clinical efficacy (five-point ordinal scale), pain (10-point numerical scale), adverse effects, patient satisfaction (10-point numerical scale) and preferred treatment. Patients were evaluated 3 months after the final treatment. Forty patients with symmetrically located facial telangiectasias received a series of three LPDL (V-beam, 595 nm, Candela Laser Corp.) and three IPL treatments (Ellipse Flex, PR and VL2 applicators, Danish Dermatologic Development) at 6-week intervals. We used intra-individual, randomized, controlled trial with split-face treatments and single-blind outcome evaluations in this study. This study aims to compare the efficacy and adverse effects of long-pulsed dye laser (LPDL) and intense pulsed light (IPL) in the treatment of facial telangiectasias.
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