BACKGROUND. Facial telangiectasias are a frequently observed cosmetic
concern. Current therapeutic modalities have certain side effects and
limitations. We treated a group of patients with facial telangiectasia
s with a new variable pulse width frequency-doubled neodymium:YAG lase
r at 532 nm. OBJECTIVE. This study evaluated the clinical response and
side effects during the treatment of facial telangiectasias in 40 pat
ients. METHODS. Forty patients with facial telangiectasias were treate
d with the VersaPulse laser. Fluences of between 9.5 and 12.0 J/cm(2)
at 3 or 4-mm spot size were used. A sapphire water-cooled chill tip wa
s used to cool the cutaneous surface during treatment. RESULTS. Ninety
percent of patients experienced between 75% and 100% clearance of the
ir facial telangiectasias after single treatment. No significant side
effects or complications were noted. CONCLUSION. The VersaPulse variab
le pulse width neodymium:YAG laser appears to be an effective treatmen
t modality for facial telangiectasia. (C) 1998 by the American Society
for Dermatologic Surgery, Inc.