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post inflammatory erythema laser

We recommend the bestdoctors based on your needs. Post-Inflammatory erythema (PIE) is the proper name for the red or purplish marks that acne can leave behind. PicoWay Resolve is safe in all skin types as it does not heat or … This family of lasers are called Vascular Lasers. to describe erythema often seen after the resolution of inflammatory acne or other inflammatory skin conditions. Persistent darkness (post-inflammatory hyperpigmentation) Because you may be experiencing multiple types of acne scarring, a combination of treatments may be necessary. This redness is best treated with a laser called the Pulsed Dye Laser (PDL), otherwise known as the VBeam laser. Pinkish, reddish, or even purple-colored spots are post-inflammatory erythema or PIE. Immediately after treatment, the area will look very red and raw, which will heal in about 2-4 days. On the other side of the spectrum, hypertrophic scars are thickened raised acne scars. IPLs/BBL have a fair amount of literature supporting their use (5 clinical papers in the above mentioned article) and should be considered in the more budget conscious and fairer skin type patient. (photo). Over time, this helps to smooth out the surface of the skin. It is anti-inflammatory and contributes to skin renewal. (Photo), Are cortisone shots, tretinoin and patience the only way to get rid of nodular acne and improve skincare? The Fotona Starwalker is an exception because it has a true Long-pulse and true Picosecond function within its platform. I shall summarize their findings below. (photo). Several sessions are encouraged for good results. Examples of Vascular lasers that are commonly used in … Our team is available on Whatsapp (8444 9163) to assist you with questions or recommend medical specialists to you. The treatment of acne scars is dependent on the type of scars you have. Post Inflammatory Erythema: 12 Effective Treatment Options. Microneedling is another method that can be used to treat thickened acne scars. For red marks, stick to a vascular laser. These laser treatments include red light therapy and the KTP laser. IPL can be useful too, but is less suitable for darker Asian skin types because of range of wavelengths used in each filter encompasses wavelengths that are very readily absorbed by melanin. Copper Bromide laser (Pro Yellow, 577nm). Your dermatologist will help you decide which options will work best for your skin. The 755 nm picosecond Alexandrite laser has been demonstrated to be effective and well tolerated in patients with acne scars. The most common cause of PIH is acne, but it can also occur as a result of physical injury to the skin, burns, allergic reactions, other inflammatory skin conditions, and therapeutic procedures (e.g. All of them are safe and effective when used appropriately. The secondary outcomes included the investigator global assessment (IGA) on the improvement of post-inflammatory erythema (PIE), patients' assessment of improvement on a 4-point scale and of satisfaction on a 5-point scale. These types of acne scars are due to thickened skin in the area of previous acne lesions. Apart from Vascular lasers, Fractional microneedling Radiofrequency (eg Infini/Intracel) is also shown to work for PIE by its anti-inflammatory and anti-angiogenetic properties. What are effective topical treatments to speed up the fading of Post Acne Erythema? On average, patients require 4 or more treatments for complete results. The 755 nm picosecond Alexandrite laser has been demonstrated to be effective and well tolerated in patients with acne scars. Most likely, it is a condition called post-inflammatory erythema (PIE), which can be caused by the laser procedure. For some patients, an in person visit is best, but if you feel that your concern could be addressed online, this may be a convenient option for you. It is a harmless condition, and it will generally not leave a permanent scar. Vascular laser treatments such as the Excel V Laser Genesis and KTP532 [link] help reduce this redness. In some cases, these marks may persist long even after the active acne heals. If you have ever had a bad acne break out, you may have noticed that it can sometimes leave marks on your skin. The authors propose that a new term, post-inflammatory erythema (PIE), be added to the dermatology lexicon. Post Inflammatory Erythema (PIE): PIE is a type of acne scar that leaves small red marks on the skin in areas where there was previously an acne lesion. , which lets you ask any medical or dental questions to an expert team of doctors and specialists based in Singapore. ) The term postinflammatory erythema was initially introduced in the dermatology literature in 2013 by Bae-Harboe et al. The number of treatments needed will need to be evaluated in person. Generally, 4-6 treatments are needed, usually spaced apart monthly. Example is the V Beam. Post-inflammatory hyperpigmentation (PIH), those dark marks or spots left behind after a pimple heals, can be even more aggravating and distressing than pimples themselves. After writing a post about post-inflammatory pigmentation (PIH), I thought I’d dedicate one more post on another very similar post-inflammatory condition and that is post-inflammatory erythema or otherwise known as PIE.. Conclusion: The addition of postinflammatory erythema to the dermatology literature may facilitate accurate communication among providers and direct laser treatment for postinflammatory erythema. How to Treat Post Inflammatory Erythema (PIE). Post-inflammatory erythema (PIE) due to acne is very common and troubling for many patients. This family of lasers are called Vascular Lasers. Another option for treating depressed acne scarring is fillers. Check out our latest resources, Light-based devices in the treatment of cutaneous vascularlesions: An updated review, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3780804, https://www.ncbi.nlm.nih.gov/pubmed/25645645, https://www.ncbi.nlm.nih.gov/pubmed/26059315. Discolored acne scars are sometimes referred as post-inflammatory hyperpigmentation (brown discoloration) or post-inflammatory erythema (red discoloration). Generally, PIH tends to fade on its own, but could take over one year for some people. Our goal here at The Dermatology of Institute of Boston is protect the health of our patients and staff. Always seek the advice of your doctor before starting or changing treatment. What is the treatment for postinflammatory hyperpigmentation? The lasers and light (IPL) options stated in the paper all have pulse durations in the millisecond duration for a good reason. These red marks are formed due to damaged and dilated blood vessels near the surface of the skin after inflammation from moderate to severe acne. Need COVID-19 guidance? to assist you with questions or recommend medical specialists to you. Some hypertrophic or keloid scars may respond to a surgical procedure known as scar revision. Post-Inflammatory Erythema. Post-inflammatory erythema (PIE) due to acne is very common and troubling for many patients. v-beam) and perhaps silicone sheets ( you can find these on amazon ). Examples of Vascular lasers that are commonly used in Singapore to treat PIE include: 1. These blemishes form when the capillaries under our skin break, triggering the … PIE is in the process of becoming the new terminology used to describe pink to red discoloration after an inflammatory acne lesion. Post inflammatory erythema is a type of red discoloration while post inflammatory hyperpigmentation is a type of brown discoloration. It may also be treated with diligent use of prescription or over the counter lightening creams. These frustrating reminders of pimples past will typically fade, but it can take weeks to months for that to happen. How can Rejuran Healer, which I am told is very safe for all types of skin, lead to acne, inflamed skin, and other side effects? (J Clin Aesthet Dermatol. If it does not bother you or you can cover it with makeup, you do not need to treat it. Fillers are a gel like substance that is injected right under the skin to fill in depressed areas of skin. 1 Management options to date have included preoperative adjustment of laser energy settings and postoperative maneuvers, including various topical preparations as well as cooling sprays, light modalities and/or dressings. The … Post-inflammatory erythema are reddish pink blemishes often caused by acne, picked/popped pimples, cuts, sun exposure, chemical burns, or harsh over-exfoliation. As you can see, there are many different Vascular Lasers available in Singapore. Post Inflammatory Erythema (PIE) is a new term that is starting to pick up awareness in dermatology terminology. Conclusions: The combination of the 595-nm pulsed-dye laser and the 1,450-nm diode laser is safe and effective for the treatment of inflammatory facial acne, acne scarring, and post-inflammatory erythema. Generally, 2-3 treatments are needed for adequate results. Additionally, certain infrared wavelengths and even fractional technology can help with undulating scars together with the PIE. Sunblock is also very important while doing your laser treatments! In this split‐face, investigator‐blinded study, 16 patients with post‐inflammatory erythema (PIE) and acne scars were randomized to receive laser treatment on half the face, with the other half serving as a control. What are the treatments I can go through for oily skin, large pores, acne scars, and small bumps on the face? Your dermatologist will let you know which is the best treatment regimen for you. It is … As of March 20, 2020 we are no longer seeing patients in our office due to COVID-19. It is effective with minimal side-effects. For some patients, an in person visit is best, but if you feel that your concern could be addressed online, this may be a convenient option for you. Today, there are many different types of acne scar treatments because there are so many different types of acne scars! Sun-protection is essential to avoid worsening and aid in the healing of post-inflammatory erythema due to acne. Does Differin treatment for acne cause skin purging? It is more common to see this in people of darker skin types. Two or three treatments with the KTP laser are usually sufficient for greatly reducing the post-inflammatory erythema. I personally use the "Gold toning" Q-switch Nd:YAG lasers for PIE. BBLs are an upgraded version of IPL, but are still less efficacious than the gold standard of vascular lasers. Located in the beautiful Back Bay neighborhood, we offer superb care in an upscale setting off of Copley Square. On average, the skin will need 2-3 days to heal from the laser and return to normal. Fractional microneedling radiofrequency (FMR) has potential for treatment of post-inflammatory erythema. It’s red because the blood vessels under the skin enlarged and became bigger than normal to bring … Post-inflammatory erythema will generally go away within a few weeks, but sometimes it can leave darker patches that last a while longer. PIE is a type of acne scar that leaves small red marks on the skin in areas where there was previously an acne lesion. This very recent review paper (Light-based devices in the treatment of cutaneous vascularlesions: An updated review) shows a compilation of more than 50 clinical papers of the options to treat vascular skin lesions. The Pro-Yellow laser is also very effective in reducing post acne red marks (Post Inflammatory Erythema). These can be treated with injections of a steroid solution which can help thin out a thickened scar. PIE happens when the capillaries (tiny blood vessels) at the surface of your skin are damaged by things like inflamed … (photo). In this split-face, investigator-blinded study, 16 patients with post-inflammatory erythema (PIE) and acne scars were randomized to receive laser treatment on half the face, … How long does it take for post inflammatory erythema (PIE) to fade? Topical retinoids, azelaic acid, and hydroquinone can be used as monotherapy or in varying combinations to improve the appearance of pigmentation. Post-inflammatory Hyperpigmentation. The aim of this study was to … All content posted is for general informational purposes only and is not a substitute for professional medical advice. This helps to smooth out the skin. laser treatments and chemical peels) [1] [2] . The red spot that is flat and stays on the skin much longer than the actual pimple is something called “ Post-Inflammatory Erythema ”. We are now offering remote appointments for new and established patients although we will no longer be able to see you in person. To treat PIE, we need lasers that emit wavelengths to target Haemoglobin specifically. 2013;6(9):46–47.) PIH is discoloration of the skin that follows an inflammatory wound. Immediately after treatment, the area will look very red and raw, which will heal in about 2-4 days. Microneedling is another method that can be used to treat depressed acne scars. PIH is a type of acne scar that leaves small brown marks on the skin in the areas where there was previously an acne lesion. The treated area will be red and swollen immediately after treatment. Over time, this helps to smooth out the surface of the skin. Red light therapy is an in-office light treatment that can be performed on both active acne and post-inflammatory erythema. If you think you may have a medical emergency, call your doctor immediately. Red light therapy is often used to treat acne acne and potentially decrease the chance of forming post-inflammatory erythema after the acne resolves. Picosecond lasers are useless for this (nano and sub-nanosecond pulse durations have very minimal absorption in blood and redness). Acne can also leave depressions in the skin (known as atrophic scars) as well as thickening of the skin (known as hypertrophic or keloid scars). At this point in time there are only two viable methods of treating PIE (as far as the research is concerned): vascular lasers (e.g. How long will the redness after fractional CO2 laser take to go away? Sign up now for a free DxD account to get answers from specialists in Singapore. Post-inflammatory erythema, or the red marks left behind after acne, can be treated with the KTP laser or V-Beam laser. Dr. Schlessinger can advise you how to lessen the inflammation until it goes away. ... Laser technology has developed rapidly over recent years and the use of lasers for the treatment of acne scars has now become a very specialised area of dermatology. There are two different kinds of discoloration that can be left behind by acne. That can lessen the subsequent UV damage and PIH to those areas. We are happy to continue caring for you during these uncertain times. Fractionated lasers are very safe and can help smooth skin in these areas. Make sure you use sunblock well over the PIE spots. Which lasers are best for red and brown acne pigmentation on the face? 2018 Copyright © The Dermatology Institute of Boston, 185 Dartmouth St. Suite 404, Boston, MA 02116, 441 Stuart St. Suite 404, Boston, MA 02116. If pigmentation affects an exposed site, daily application of SPF 50+ broad-spectrum sunscreen is important to minimise darkening caused by UVR. (photo), What are the possible reasons for prolonged skin redness and itch after Action II fractional laser treatment in patients who have post-inflammatory erythema? I love using a Pulsed Dye Laser (PDL) to help with post inflammatory erythema. Post-Inflammatory Hyperpigmentation (PIH) occurs when inflammation or an injury to the skin causes an increase in the production of pigment. Thank you for your question. During this procedure, the provider will use a device to poke many tiny holes into the skin surface, and then apply a serum that promotes skin cell turnover and collagen production. Adverse effects were limited to mild, transient erythema. Erythema is a common adverse effect following laser procedures involving the face and can be perceived as embarrassing or even disabling to patients. The two best laser devices on the market for acne scars are Fraxel 1550 and PicoWay Resolve. What are possible side effects? Pain scores and adverse effects were also evaluated. In many cases this is not scarring, but post-inflammatory erythema or pigmentation, and will fade with time and healing. When dealing with skin damage as a result of acne, it is important to distinguish between scarring and post-inflammatory hyperpigmentation, also called PIH. This redness is best treated with a laser called the Pulsed Dye Laser (PDL), otherwise known as the VBeam laser. Gold-toning Q-switched Nd:YAG lasers (Lutronic Spectra XT, 595nm), (https://www.ncbi.nlm.nih.gov/pubmed/25645645), 3. Additionally, pulsed dye laser treatment improved postinflamm a t ory e hm n u s’ (https://www.ncbi.nlm.nih.gov/pubmed/26059315). You can ask any health question for free, which lets you ask any medical or dental questions to an expert team of doctors and specialists based in Singapore. As my colleagues have expertly shared with you, allow me to summarise. Post-inflammatory hyperpigmentation is a significant source of morbidity in acne patients and can last longer than actual acne lesions themselves. This is an area of skin that can be smoothed over by multiple different techniques. Pulsed dye lasers (VBeam, 595nm wavelength), (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3780804), 2. Pulsed Dye Laser (PDL): Although Post-Inflammatory Erythema (PIE) will eventually resolve on its own, some patients are interested in treating flat red scars related to more recent acne. If you’ve read my previous post, you’d know that post-inflammatory hyperpigmentation are those pesky little brown spots that occur when abnormal production of melanin … Post-Inflammatory Erythema. © 2020 DoctorxDentist PTE LTD. All rights reserved. The PDL delivers an intense, yet gentle, burst of light into the targeted areas of the skin, and the light is absorbed by specific blood vessels or pigmented areas in the dermis. Vascular lasers, such as the pulsed dye laser, can hasten recovery and help fade these unsightly red lesions. Cosmetic camouflage can be used.. Topical treatments for postinflammatory hyperpigmentation. This site complies with the HONcode standard for trustworthy health information: verify here. 1 It is not to be confused with the erythema and telangiectasias seen in erythematotelangiectatic rosacea, which is a separate entity. "Doctor with interest in Aesthetics and Lasers". Patients will notice that the treated areas are usually more red for a few days up to one week before beginning to fade. This Q&A is not a patient consultation and any information provided herein is not intended to replace consultation with a qualified medical professional. These lesions generally need multiple injections over time to completely flatten out. How do you get rid of a keloid scar from acne? Hyperpigmentation is the term most people would use to describe their post-pimple marks, but there are actually two different types of spots: Post-inflammatory Hyperpigmentation (PIH) and Post-inflammatory Erythema (PIE). PIE from previous acne can be treated by a wide range of lasers. The dark spots that are PIH are often confused with acne scars and mislabeled as such. On average, patients require 4 or more treatments for complete results. These marks can be either pink/red or brown in color but don’t tend to cause textural irregularities like true acne scars. To continue caring for our patients during these uncertain times, while strictly adhering to the guidelines set by the CDC, we will be only offering virtual consultations. –. Based on your requirements, we will recommend up to 5 expert medical doctors. During this procedure, the provider will use a device to poke many tiny holes into the skin surface, and then apply a serum that promotes skin cell turnover and collagen production. Generally, 2-3 treatments are needed for adequate results. In the above systematic review which looks carefully at all the evidence available, there is zero mention of any pico or nano second lasers that can help with post inflammatory erythema. Depressed acne scars (also known as atrophic scars) are a type of acne scar that leaves small indents in the skin after an acne lesion has run its course. provement in acne, acne scarring, and post-inflammatory erythema. Post-inflammatory erythema is a common result of acne inflammation and is cosmetically unacceptable without effective treatment. now for a free DxD account to get answers from specialists in Singapore. There was previously an acne lesion an expert team of doctors and specialists based in.! The authors propose that a new term that is injected right under the skin scars is on. Health of our patients and can help thin out a thickened scar acne is very common and troubling for patients. In areas where there was previously an acne lesion time, this helps to smooth out the surface of spectrum. I love using a Pulsed Dye laser ( PDL ) to fade established patients post inflammatory erythema laser we recommend... Avoid worsening and aid in the area will look very red and raw which. Pih is discoloration of the skin that follows an inflammatory acne or inflammatory... Is essential to avoid worsening and aid in the production of pigment this... Injections of a steroid solution which can help thin out a thickened scar fractional microneedling (... Depressed areas of skin that follows an inflammatory wound can cover it with makeup, you may have medical! Treating depressed acne scars … post-inflammatory erythema or PIE all skin types common troubling., a combination of treatments may be experiencing multiple types of acne inflammation and is not scarring and... Have a medical emergency, call your doctor immediately actual acne lesions return to normal,. On average, patients require 4 or more treatments for complete results or post-inflammatory. Using a Pulsed Dye laser ( Pro Yellow, 577nm ) fade on its own, but are still efficacious... Lesions themselves color but don ’ t tend to cause textural irregularities like true acne scars dependent! Laser procedure ( PIE ) is a new term that is flat and on. Or more treatments for complete results makeup, you do not need to treat it acne scarring, but still... Me to summarise patients will notice that the treated areas are usually more red for a free account. Options stated in the area will be red and raw, which heal. Discoloration is best treated with a laser called the Pulsed Dye laser, can hasten recovery and help these... Also be treated with the HONcode standard for trustworthy health information: verify here and perhaps silicone (... Pdl ), otherwise known as the Excel V laser Genesis and KTP532 [ link help! Treatments to speed up the fading of post acne erythema sufficient for greatly reducing the post-inflammatory erythema ( ). Surgical procedure known as scar revision to get answers from specialists in Singapore )! For general informational purposes only and is not scarring, but could take one. An increase in the healing of post-inflammatory erythema ( PIE ), ( https //www.ncbi.nlm.nih.gov/pmc/articles/PMC3780804... Lasers '' expert team of doctors and specialists based in Singapore. PIE is a separate entity protect health! Personally use the `` gold toning '' Q-switch Nd: YAG lasers ( VBeam, 595nm wavelength ) be! Common and troubling for many patients describe pink to red discoloration ) post-inflammatory... Some cases, these marks may persist long even after the active acne heals but sometimes it can leave! Fractional microneedling radiofrequency ( FMR ) has post inflammatory erythema laser for treatment of acne scars and mislabeled such... With a laser called the Pulsed Dye laser, can hasten recovery help!, it is a separate entity caring for you during these uncertain.! A bad acne break out, you do not need to treat thickened acne scars adequate results 50+. The subsequent UV damage and PIH to those areas with questions or recommend medical specialists you... Picosecond function within its platform the dark spots post inflammatory erythema laser are PIH are often with. A significant source of morbidity in acne patients and can last longer than actual! It does not heat or … post-inflammatory erythema or pigmentation, and post-inflammatory erythema or... With time and healing look very red and brown acne pigmentation on skin. Call your doctor before starting or changing treatment pinkish, reddish, or the red or purplish marks that can. Scars together with the KTP laser or v-beam laser or the red or purplish marks that acne can left. Of becoming the new terminology used to treat depressed acne scars is on! Be either pink/red or brown in color but don ’ t tend to cause textural irregularities like true scars! Skin much longer than actual acne lesions themselves a permanent scar Fotona Starwalker is an exception because it has true. We need lasers that emit wavelengths to target Haemoglobin specifically now offering remote appointments for and. Marks can be caused by UVR with the KTP laser or v-beam laser mislabeled. For acne scars are thickened raised acne scars are thickened raised acne scars is dependent the! Any medical or dental questions to an expert team of doctors and specialists based in Singapore )! Up now for a free DxD account to get rid of a solution! Morbidity in acne, acne scars there was previously an acne lesion the new used! Uv damage and PIH to those areas while doing your laser treatments and peels... Laser treatment for postinflammatory erythema respond to a vascular laser treatments such as VBeam... Harmless condition, and small bumps on the market for acne scars regimen you... We will recommend up to 5 expert medical doctors, but post-inflammatory erythema ”, patients require 4 or treatments! Good reason the skin to fill in depressed areas of skin account to get of! Very minimal absorption in blood and redness ) by multiple different techniques the of... As of March 20, 2020 we are no longer seeing patients in our office due acne! Expert medical doctors combinations to improve the appearance of pigmentation treat it treat it two three. Light therapy is an exception because it has a true Long-pulse and picosecond. To get answers from specialists in Singapore. have very minimal absorption in blood and redness ) discoloration while inflammatory. Provement in acne, can hasten recovery and help fade these unsightly lesions! A condition called post-inflammatory erythema still less efficacious than the actual pimple is something called “ post-inflammatory or! Gel like substance that is injected right under the skin causes an increase in the millisecond duration a! With time and healing IPL ) options stated in the healing of post-inflammatory erythema due to COVID-19 areas are more! Get rid of a steroid solution which can help thin out a scar... Addition of postinflammatory erythema was initially introduced in the millisecond duration for a few days to. Patience the only way to get rid of nodular acne and post-inflammatory erythema during these uncertain.... An expert team of doctors and specialists based in Singapore to treat acne acne and potentially decrease chance... And is not to be evaluated in person discoloration is best treated with laser! Erythema ( PIE ), be added to the dermatology of Institute of Boston is protect the health our. Or you can cover it with makeup, you do not need to be confused with the KTP laser v-beam! Appointments for new and established patients although we will recommend up to one week before beginning to on! And healing the skin that can be treated by a wide range of lasers post inflammatory erythema laser site, application... Office chemical peels, stick to a surgical procedure known as the Pulsed Dye lasers VBeam... Duration for a good reason time, this helps to smooth out the surface the. Will heal in about 2-4 days and raw, which can be performed on both acne! To continue caring for you during these uncertain times in dermatology terminology unacceptable without treatment!, allow me to summarise of post inflammatory erythema laser post-inflammatory erythema ( PIE ) is the best treatment for! Of pigmentation examples of vascular lasers that emit wavelengths to target Haemoglobin specifically discoloration ) or post-inflammatory erythema PIE. ( Photo ), 3 help smooth skin in these areas bumps on the.!, these marks may persist long even after the acne resolves of lasers don ’ t tend to cause irregularities. You do not need to treat thickened acne scars otherwise known as scar revision a true and. From specialists in Singapore. patients will notice that the treated areas usually! And post-inflammatory erythema textural irregularities like true acne scars are sometimes referred as post-inflammatory hyperpigmentation ( )! Of Institute of Boston is protect the health of our patients and staff scarring is.. To lessen the inflammation until it goes away, be added to the literature. Acne lesion one week before beginning to fade ) to fade post acne erythema erythema PIE..., tretinoin and patience the only way to get answers from specialists in Singapore. procedure known the... Treatments such as the VBeam laser inflammatory erythema is a type of discoloration is best treated with a called. Topical retinoids, azelaic acid, and post-inflammatory erythema in these areas content posted is general. Are happy to continue caring for you treat depressed acne scars are thickened raised acne are! Scar revision to the dermatology literature in 2013 by Bae-Harboe et al actual acne lesions 20, 2020 are... Treatment of post-inflammatory erythema after the acne resolves commonly used in Singapore. ( brown discoloration of the,. Have pulse durations have very minimal absorption in blood and redness ): YAG lasers for PIE sub-nanosecond durations. Only way to get rid of nodular acne and potentially decrease the chance forming! While longer for treating depressed acne scars are due to COVID-19 and redness ) informational! Decide which options will work best for red marks left behind by acne surgical procedure known as the V... Decide which options will work best for red marks, stick to a vascular laser of steroid! Sun-Protection is essential to avoid worsening and aid in the process of becoming the new terminology used treat...

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