{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T22:43:09Z","timestamp":1763764989014,"version":"3.37.3"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T00:00:00Z","timestamp":1707436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Lasers Surg Med"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Ultraviolet light and infrared radiation exposure to the chest and neck can result in photoaging changes, such as rhytids, skin roughness, and dyschromia, which can be treated with nonablative fractionated lasers. The low\u2010powered fractionated 1440\u00a0and 1927\u2010nm diode lasers have been shown to safely reduce facial photodamage. This study was conducted to investigate the safety and efficacy of a low\u2010powered 1440\u00a0and 1927\u2010nm nonablative fractionated diode laser in addressing photoaging symptoms, such as rhytids, skin roughness, and dyschromia, of the neck and chest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a prospective, single\u2010arm, nonrandomized study, a cohort of 24 adult female patients with photodamage to their neck and chest received four treatments to these areas, administered at 4\u2010week intervals. Treatments consisted of four passes on high settings with the 1440\u2009nm handpiece followed by four passes with the 1927\u2009nm handpiece. Photographs were taken at each study visit. Study investigators graded wrinkle severity, texture, and mottled pigmentation of the treated area at baseline and follow\u2010up visit, 3 months after the fourth treatment. Subjects also rated clinical improvement of their neck and chest, along with overall appearance. Blinded evaluators used baseline and follow\u2010up photographs to quantify improvements of rhytids and hyperpigmentation of the neck and chest using a 6\u2010point improvement scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the original cohort, 20 subjects completed all four treatments and 3\u2010month follow\u2010ups. The mean rhytid scores improved by 0.7\u2009\u00b1\u20091.0 for both neck and chest. Meanwhile, texture scores improved by 1.2\u2009\u00b1\u20090.4 for the neck and 1.4\u2009\u00b1\u20090.7 for the chest, with pigment scores improving by 0.5\u2009\u00b1\u20090.6 for the neck and 0.67\u2009\u00b1\u20090.7 for the chest. Statistical analysis using paired <jats:italic>t<\/jats:italic>\u2010tests, performed on all pre\u2010 and posttreatment scores, revealed significant differences (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) in wrinkle severity, skin texture, and pigmentation of the neck and chest posttreatment. The degree of improvement was consistent for both the neck and chest areas. Blinded evaluators graded clinical improvements in rhytids and pigmentation at 0.6\u2009\u00b1\u20091.0 and 0.8\u2009\u00b1\u20091.2 respectively, corresponding to mild improvement of both neck and chest.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A series of treatments with the nonablative low\u2010energy fractional 1440\u00a0and 1927\u2010nm diode laser appears to be safe and effective for improving rhytids, skin texture, and hyperpigmentation of the neck and chest.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lsm.23767","type":"journal-article","created":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T12:13:25Z","timestamp":1707480805000},"page":"233-238","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Neck and chest rejuvenation with fractional 1440\u00a0and 1927\u2010nm low\u2010powered diode laser"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8013-7036","authenticated-orcid":false,"given":"Lauren","family":"Hoffman","sequence":"first","affiliation":[{"name":"UnionDerm New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9666-2940","authenticated-orcid":false,"given":"Eleanor","family":"Smeallie","sequence":"additional","affiliation":[{"name":"UnionDerm New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nkem","family":"Ugonabo","sequence":"additional","affiliation":[{"name":"UnionDerm New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Chapas","sequence":"additional","affiliation":[{"name":"UnionDerm New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,9]]},"reference":[{"issue":"8","key":"e_1_2_9_2_1","first-page":"s3","article-title":"The 1440 nm and 1927 nm nonablative fractional diode laser: current trends and future directions","volume":"19","author":"Friedman PM","year":"2020","journal-title":"J Drugs Dermatol"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2007.05.006"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2012.08.041"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.20048"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.22518"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2007.02.005"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.36849\/jdd.6181"},{"issue":"11","key":"e_1_2_9_9_1","first-page":"1300","article-title":"Fractional, nonablative Q\u2010switched 1,064\u2010nm neodymium YAG laser to rejuvenate photoaged skin: a pilot case series","volume":"11","author":"Luebberding S","year":"2012","journal-title":"J\u00a0Drugs\u00a0Dermatol: JDD"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2011.01884.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2007.33003.x"}],"container-title":["Lasers in Surgery and Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lsm.23767","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T03:19:59Z","timestamp":1713928799000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lsm.23767"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,9]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/lsm.23767"],"URL":"https:\/\/doi.org\/10.1002\/lsm.23767","archive":["Portico"],"relation":{},"ISSN":["0196-8092","1096-9101"],"issn-type":[{"type":"print","value":"0196-8092"},{"type":"electronic","value":"1096-9101"}],"subject":[],"published":{"date-parts":[[2024,2,9]]},"assertion":[{"value":"2023-11-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}