Augustinas Buškus, Miglė Miškinytė, Saulius Puolis

Abstract

This systematic literature review of 6 clinical trials ai­med to assess the efficacy of various wave-length laser treatment options for facial telangiectasias. A total of 271 subjects were involved in the studies. Intense pulsed light, pulsed dye, Neodymium-doped lasers at different wavelengths are employed for treatment of facial telan­giectasia. While the Neodymium-doped lasers (1064 nm) demonstrated the highest clearance rate (95–100%) with minimal side effects, other studies indicated that combi­ned approaches – broad-range pulsed light with a 1440 nm diode laser or the use of specific light filters to target vasculature could enhance treatment outcomes and pa­tient satisfaction. Although studies report good to excel­lent outcomes, some authors report recurrence or mode­rate improvement, and data on long-term efficacy remain limited. In summary, current evidence points to Nd:YAG laser as one of the most effective treatment methods for facial telangiectasias, but further research is needed to establish optimal therapeutic protocols.

Keyword(s): Telangiectasia, Laser therapy, Facial erythema.

DOI: 10.35988/sm-hs.2025.362
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