Med Lasers.  2023 Mar;12(1):67-69. 10.25289/ML.23.006.

Combination treatment of a 1,064-nm picosecond domain Nd:YAG laser and a pneumatic needle-less injector for en coup de sabre in Republic of Korea: a case report

Affiliations
  • 1Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Republic of Korea
  • 2Department of Dermatology, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong, Republic of Korea

Abstract

En coup de sabre is a form of localized scleroderma involving the frontoparietal scalp and forehead. It often results in cosmetic disfiguring and severe psychological distress. Herein, we report a case of en coup de sabre successfully treated with a combination of a 1,064-nm picosecond domain Nd:YAG laser and a pneumatic needle-less microjet injector. After 10 treatment sessions at 4-week intervals, the lesion showed significant cosmetic improvement. No serious adverse events were observed until the 6-month follow-up. This combination may be a safe and effective option for aesthetic improvement of patients with en coup de sabre. Well-designed clinical studies involving more patients are necessary to further prove its effectiveness and safety.

Keyword

En coup de sabre; Hyperpigmentation; Picosecond laser; Pneumatic needleless injector
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