Which Laser Treatment is Best for Cheekbone Nevus Removal? - Dermatology

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Which type of laser treatment is best for treating nevus of Ota?


I have developed dozens of black spots the size of mung beans on my cheekbones and both sides of my face, which have been diagnosed by a doctor as nevus of Ota.
I am considering laser treatment to remove these spots and have consulted two hospitals, where I found that the doctors use different types of lasers (ruby laser and chromium-doped aluminum oxide laser).
Each doctor advocates for the superiority of their chosen laser, which has left me feeling confused.
I would like to ask which type of laser is most effective for treating nevus of Ota while minimizing damage to the surrounding tissue?

Xiao Ban, 30~39 year old female. Ask Date: 2007/05/07

Dr. Jiang Yujiao reply Dermatology


Hello: In response to your question, the zygomatic nevus is a pigmented lesion.
Ruby laser, rubidium-chromium laser, and jadeite laser are all preferred options.
The choice depends on the lasers available at the clinic and the physician's familiarity and experience with them.
There is not much difference in the outcomes among the three types; choosing the right physician is more important.

Reply Date: 2007/05/07

More Info


When it comes to the removal of cheekbone nevi, or pigmented lesions, the choice of laser treatment can indeed be confusing due to the variety of lasers available and the differing opinions of medical professionals. The two types of lasers you mentioned—ruby laser and chromium laser (often referred to as the Q-switched Nd:YAG laser)—are both commonly used for treating pigmented lesions, but they have different mechanisms and effectiveness.

Ruby Laser: The ruby laser operates at a wavelength of 694 nm and is particularly effective for targeting melanin, the pigment found in skin lesions. It works by delivering short pulses of high-energy light that are absorbed by the melanin in the nevus. This absorption causes the pigment to break down, allowing the body to gradually resorb it. The ruby laser is known for its precision and can be effective in treating superficial lesions with minimal damage to surrounding tissue. However, it may not be as effective for deeper or larger lesions.

Q-switched Nd:YAG Laser: This laser operates at a wavelength of 1064 nm and is also effective for treating pigmented lesions. It penetrates deeper into the skin compared to the ruby laser, making it suitable for a wider range of lesions, including those that are deeper or more extensive. The Q-switched Nd:YAG laser can also be used for tattoo removal and is known for its versatility. It can be less painful than the ruby laser and often requires fewer treatment sessions. However, it may cause more thermal damage to surrounding tissues, which can lead to longer recovery times.

Choosing the Right Laser: The best choice of laser for cheekbone nevus removal depends on several factors, including the depth and size of the lesions, your skin type, and your overall health. It's essential to consult with a dermatologist or a qualified laser specialist who can assess your specific condition and recommend the most appropriate treatment. They may also consider factors such as your skin's healing response, potential for scarring, and any previous treatments you may have undergone.

Post-Treatment Care: Regardless of the laser used, post-treatment care is crucial for optimal healing and minimizing complications. This may include avoiding sun exposure, using gentle skincare products, and following any specific instructions provided by your healthcare provider.

In conclusion, both ruby and Q-switched Nd:YAG lasers have their advantages and limitations. The choice of laser should be tailored to your individual needs and the characteristics of the nevus. A thorough consultation with a qualified professional will help you make an informed decision and achieve the best possible outcome for your cheekbone nevus removal.

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