Safer 1064 Nm Long-Pulse Frequency Settings and Safety Eyewear Setup to Improve Visualization of Superficial Veins

The article discusses the use of neodymium-doped yttrium aluminum garnet (Nd:YAG) laser as an effective treatment for facial vasculature in patients with frontal fibrosing alopecia (FFA). The authors commend the use of a 3-mm spot size for treating superficial facial veins, which is suitable for the dermal atrophy seen in FFA. They recommend reducing the frequency to 0.5 Hz or single pulses to minimize the risk of iatrogenic scarring, especially for beginners. The article also addresses concerns about treating supratrochlear veins due to the risk of thrombosis, noting a lack of documented complications. For better visualization of veins during laser surgery, the use of specific protective eyewear is suggested, which enhances contrast and aids in identifying difficult-to-see vasculature.