{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T19:13:16Z","timestamp":1791573196449,"version":"4.3.4"},"reference-count":8,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Post\u2010procedural ecchymosis can last up to two weeks and diminish patient satisfaction. Laser\u2010assisted clearance is documented with pulsed\u2010dye devices, but data on 1064\u2010nm picosecond\/nanosecond platforms remain sparse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate a staged 1064\u2010nm laser protocol for accelerating bruise resolution after dermal filler injections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three women (aged 40\u201352\u2009years, Fitzpatrick III\u2013IV) with facial bruises were treated on Day 2\u20133 using a picosecond 1064\u2010nm Nd:YAG laser (0.20\u20130.30\u2009J\/cm\u00b2, 8\u201310\u2009mm spot, 8\u201310\u2009Hz, 8\u201310\u2009min). A nanosecond Q\u2010switched 1064\u2010nm Nd:YAG session followed on Day 4\u20137 (2.5\u20133.0\u2009J, 8\u2009mm spot, 30\u201340\u2009stacked shots) with peri\u2010session cooling. Clinical photographs and Global Aesthetic Improvement Scale (GAIS) ratings were obtained through Day 7.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All bruises faded substantially within 4\u20135\u2009days; near\u2010complete resolution was achieved by Day 6\u20137. GAIS scores were \u201cMuch\u201d or \u201cVery Much Improved\u201d in every case. No pain, post\u2010inflammatory hyperpigmentation, or other adverse effects occurred. Compared with typical spontaneous recovery (\u224810\u201314\u2009days), the protocol shortened visible downtime by 40%\u201360%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A sequential 1064\u2010nm picosecond\u2013nanosecond regimen appears safe and effective for rapid ecchymosis clearance after aesthetic injections. Larger controlled studies are warranted to optimise fluence, cost\u2010effectiveness, and applicability to other procedural bruises and darker skin types.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.70299","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T08:59:01Z","timestamp":1750323541000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Alternative Laser Treatment Protocol for Bruise Management"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5572-1364","authenticated-orcid":false,"given":"Kyu\u2010Ho","family":"Yi","sequence":"first","affiliation":[{"name":"Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 FOUR Project Yonsei University College of Dentistry  Seoul Korea"},{"name":"You and I Clinic  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jovian","family":"Wan","sequence":"additional","affiliation":[{"name":"Medical Research Inc.  Wonju Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Song Eun","family":"Yoon","sequence":"additional","affiliation":[{"name":"BRANDNEW Aesthetic Surgery Clinic  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruri","family":"Pamela","sequence":"additional","affiliation":[{"name":"CELV Dermatology Clinic  Jakarta Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugues","family":"Cartier","sequence":"additional","affiliation":[{"name":"Centre M\u00e9dical Saint Jean  Arras France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastien","family":"Garson","sequence":"additional","affiliation":[{"name":"Cabinet M\u00e9dical  Senlis France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Ascher","sequence":"additional","affiliation":[{"name":"SibUS\u2010In  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"E1","article-title":"The Management of Bruising Following Nonsurgical Cosmetic Treatment","volume":"10","author":"King M.","year":"2017","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_11_3_1","first-page":"61","article-title":"A Review of Clinical Signs Related to Ecchymosis","volume":"114","author":"Epperla N.","year":"2015","journal-title":"WMJ"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2002.120465"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000000701"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.5402"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dth.12721"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archfaci.2008.538"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/703571"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.70299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,23]],"date-time":"2025-06-23T08:56:31Z","timestamp":1750668991000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.70299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1111\/jocd.70299"],"URL":"https:\/\/doi.org\/10.1111\/jocd.70299","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2024-12-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70299"}}