GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Pigment · Poikiloderma of Civatte

IPL bbl photorejuvenation evidence for Poikiloderma of Civatte

C 45.5 / 100 Supported 1 RCT/meta · 1 clinical/observational · 1 case · 12 total
Early-stage evidence

This is an early evidence stage based mainly on observational studies and case reports. Use it as supplementary reference, and follow your doctor's judgment for treatment decisions.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Includes meta-analysis/SR Median year 2009 Positive results 75%

Known in Korea as

IPLLPL튠라이트바디 BBL

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier1 Application of intense pulsed light in the treatment of dermatologic disease: a systematic review. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2014 · PMID 24495252

Abstract summary (English) BACKGROUND: The Food and Drug Administration (FDA) has approved intense pulsed light (IPL) devices for the treatment of a variety of benign pigmentary and vascular lesions, but the range of disease amenable to IPL treatment continues to expand, and there are no evidence-based clinical guidelines for its use in FDA-approved and off-label indications. OBJECTIVE: To provide evidence-based recommendations to guide...

Journal Article, Systematic Review

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tier2 Treatment of poikiloderma of Civatte using intense pulsed light source: 7 years of experience. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2007 · PMID 18177401

Abstract summary (English) BACKGROUND AND OBJECTIVE: The treatment of choice of poikiloderma of Civatte should address both pigmented and vascular lesions at the same time. A broad-spectrum, noncoherent intense pulsed light (IPL) source can be used to obtain this effect. In this study, we investigated the clinical efficacy and side effects of treating this condition with IPL.

Clinical Trial, Journal Article

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tier0_review Treatment of Poikiloderma of Civatte with ablative fractional laser resurfacing: prospective study and review of the literature. Journal of drugs in dermatology : JDD · 2009 · PMID 19537378

Abstract summary (English) BACKGROUND: Previous laser treatments for Poikiloderma of Civatte (PC) (i.e., Pulsed dye, Intense Pulsed Light, KTP and Argon) are limited by side effect profiles and/or efficacy. Given the high degree of safety and efficacy of ablative fractional photothermolysis (AFP) for photoaging, we set out to assess the efficacy of PC with AFP. DESIGN: A prospective pilot study for PC in 10 subjects with a series of 1-3...

Journal Article, Review

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tier0_review [What's new in aesthetic dermatology: filler and laser treatments]. Annales de dermatologie et de venereologie · 2009 · PMID 19576483

Abstract summary (English) In esthetic dermatology, filling and laser treatments are two essential techniques. Several recent studies on calcium hydroxyapatite in filling treatments and facial volumetry, in esthetics, but also in HIV patients, have been published. It was also tested in accentuated melomental folds where it is superior to hyaluronic acid.

English Abstract, Journal Article, Review

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tier0_review IPL technology: a review. Lasers in surgery and medicine · 2003 · PMID 12561039

Abstract summary (English) BACKGROUND AND OBJECTIVES: Intense pulsed light (IPL) systems are high-intensity light sources, which emit polychromatic light. Unlike laser systems, these flashlamps work with noncoherent light in a broad wavelength spectrum of 515-1,200 nm. These properties allow for great variability in selecting individual treatment parameters and adapting to different types of skin types and indications.

Journal Article, Review

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tier3 Fractional photothermolysis for treatment of poikiloderma of civatte. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2006 · PMID 16442059

Abstract summary (English) Poikiloderma of Civatte refers to a change in the skin where there is atrophy, hyper- and hypopigmentation, and dilation of fine blood vessels (telangiectasia). These alterations often cause cosmetic disfigurement, most commonly in middle-aged or elderly women with a fair complexion. Several treatment modalities, based on the theory of selective photothermolysis, including argon lasers, KTP lasers, pulsed dye...

Case Reports, Journal Article

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tier_other Non-ablative fractionated laser skin resurfacing for the treatment of aged neck skin. The Journal of dermatological treatment · 2014 · PMID 24953237

Abstract summary (English) BACKGROUND: Aging of the neck skin includes poikiloderma of Civatte, skin laxity and wrinkles. While the vascular alterations of poikiloderma of Civatte can be effectively treated with lasers or intense pulsed light, a successful treatment of dyschromia, skin laxity and wrinkles is still difficult to achieve. OBJECTIVE: To evaluate the safety and efficacy of non-ablative fractional 1540 erbium glass laser for the...

Journal Article

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tier_other Histopathologic changes induced by intense pulsed light in the treatment of poikiloderma of Civatte. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2012 · PMID 22540888

Abstract summary (English) BACKGROUND: The clinical efficacy of intense pulsed light (IPL) in the treatment of poikiloderma of Civatte (PC) is well documented, but little is known about microscopic changes. OBJECTIVE: To analyze histopathologic findings on the necks of individuals with PC after IPL therapy. MATERIALS AND METHODS: Fourteen patients with PC on the neck underwent three monthly sessions of IPL.

Journal Article

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tier_other Intense pulsed light in the treatment of non-aesthetic facial and neck vascular lesions: report of 85 cases. Journal of the European Academy of Dermatology and Venereology : JEADV · 2011 · PMID 20477927

Abstract summary (English) BACKGROUND: Intense pulsed light (IPL) treatment is one of the most effective procedures for patients with non-aesthetic vascular lesions in addition to signs of skin photoageing, and it has been reported as very successful in the treatment of telangiectasias, spider nevi, erythrosis, and above all, rosacea and poikiloderma. Its use is based on the principle of selective photothermolysis, which exploits the...

Journal Article

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tier_other Treatment of poikiloderma of Civatte on the neck with an intense pulsed light source. Plastic and reconstructive surgery · 2001 · PMID 11335804

Abstract summary (English) Effective treatment of poikiloderma of Civatte is difficult. The ideal treatment combines elimination of both the vascular and pigmented components simultaneously. Treatment with a broad-spectrum noncoherent intense pulsed light source delivers multiple wavelengths with software-controlled pulse durations and sequencing that permit treatment of both vascular and pigmented lesions simultaneously.

Journal Article

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Suggested interpretation

Limited evidence

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