Successful treatment of ephelides in Asian skin using the picosecond 785-nm laser

Background: For ethnic skin, laser surgery for pigmented lesions presents a special challenge due to the increased risk of postprocedural complications-erythema, blistering, and postinflammatory dyspigmentation.

Aims: To describe the treatment of ephelides in Asian skin treated with a picosecond 785-nm laser.

Patients/methods: The first patient with ephelides on the cheeks and nose was treated with a picosecond 785-nm laser with the treatment parameter of 1.2 J/cm² and 3-mm spot size. The second patient with ephelides on the cheeks was treated with a picosecond 785-nm laser with the treatment parameter of 1.3 J/cm² and 3-mm spot size.

Results: After a single laser session, both patients achieved appreciable improvement without any complications.

Conclusion: This is the first case series demonstrating the efficacy and safety of the picosecond 785-nm laser for the treatment of ephelides in Asian skin.