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Comparative treatment of multiple vellus hair cysts with the 2940 nm Er:YAG and 1540 nm Er:Glass laser.
Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology 2011 October
Eruptive vellus hair cysts occur sporadically, hereditarily or in association with other diseases due to developmental anomalies of vellus hair follicles. Here, we report on a 41-year-old male with multiple vellus hair cysts of the forehead, who was successfully treated three times with a non-ablative, non-fractional 1540 nm Er:Glass laser on one side of his face, and with an ablative non-fractional 2940 nm Er:YAG laser on the other side, at intervals of 6-12 weeks. Over the whole treatment period of about 9 months, we could observe a marked reduction in the total number of cysts. The bigger and painful inflammatory cysts were reduced significantly. There was a slight tendency for better clinical outcome in the area in which the Er:YAG laser had been used. Clinical and histopathological findings, pathogenesis and treatment options are discussed with a review of the literature.
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