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Cutis 2018 Feb;102(2):E16-E22

Division of Dermatology, Washington University, USA.

Frontal fibrosing alopecia (FFA) is a form of scarring alopecia whose diagnosis is increasing globally. Although its etiology is unknown, FFA is thought to be a clinical subset of lichen planopilaris (LPP) that primarily affects postmenopausal women. Patients diagnosed with FFA between January 2006 and December 2013 at clinics of the Washington University Division of Dermatology (St. Read More

Dermatol Surg 2019 Mar;45(3):446-457

George Washington University School of Medicine and Health Sciences, Washington, DC.

Background: Transgender individuals experience common and unique dermatologic concerns from severe acne associated with testosterone therapy in transmen to complications due to illicit silicone injections in transwomen. Currently, 2 survey studies and 4 reviews have addressed the dermatologic care of transgender individuals. However, none of them provide a focus on the dermatologic surgeon. Read More

Menopause 2019 Apr;26(4):423-427

University of California, Irvine, CA.

Objective: The treatment of genitourinary syndrome of menopause (GSM) includes prescription hormone therapy, nonhormonal over-the-counter products, and most recently, laser treatment. Although the Food and Drug Administration has cleared fractional carbon dioxide (CO2) laser for a variety of dermatologic and gynecologic indications, lasers have not to date, been approved for use for vulvar/vaginal atrophy, or sexual dysfunction.

Methods: Four case studies that were referred to a tertiary sexual medicine center regarding laser treatment complications for GSM are reported. Read More

Dermatol Clin 2019 Jan 1;37(1):1-9. Epub 2018 Nov 1.

The Acne Treatment and Research Center of the DermGroup, 310 Madison Avenue, Morristown, NJ 07960, USA; Rutgers Robert Wood Johnson Medical Center, Piscataway, NJ 08820, USA. Electronic address:

Laboratory monitoring for patients on isotretinoin should include creatinine kinase in athletic males and the more liver-specific gamma glutamyltransferase. There is mounting evidence that acne pathophysiology includes a barrier defect and subsequent microbiome disruption. Avoidance of acne scars with early and aggressive treatment is a more efficient and cost-effective option than subsequent treatment. Read More

J Cosmet Laser Ther 2018 Sep 20:1-3. Epub 2018 Sep 20.

c Department of Dermatology , Chung-Ang University College of Medicine , Seoul , Korea.

Postinflammatory hyperpigmentation (PIH) and erythema are the most common adverse effects associated with laser treatment, particularly in dark-skinned individuals. Several methods have been used to prevent or minimize these adverse effects; however, to date, no definitive precautions/strategies are known to prevent post-laser PIH and erythema. We investigated whether the topical application of the α-adrenergic receptor agonist brimonidine could reduce laser treatment-related complications such as erythema and PIH. Read More

Medicine (Baltimore) 2018 Aug;97(35):e12188

Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center, Daejeon.

Few reports have described epidermal cysts (ECs) arising from scar tissues, and the standard course of treatment has not been established. We aimed to report the findings of a Korean patient series with ECs arising from scar tissues, to describe patient management in the context of previous publications, and to present a simple algorithm for managing ECs arising from scar tissues.We managed 6 patients with ECs arising from scar tissues, and retrospectively reviewed their demographic and clinical data. Read More

J Cosmet Dermatol 2018 Aug 29;17(4):637-642. Epub 2018 Jul 29.

Division in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Center, Yonsei University College of Dentistry, Seoul, South Korea.

Background: Injections of filler into the nose for dorsum augmentation have a higher risk of complications due to the complicated blood supply and anastomotic channels in this area.

Objectives: The aim of this study was to determine the anatomical features and location of the dorsal nasal artery (DNA), and to provide clinical anatomical information to reduce side effects and severe complications in the perinasal area.

Methods: Using the 31 cadaveric noses in Asians, dissections and histologic examinations were performed to identify the location and depth of the vascular structures including DNA. Read More

J Cosmet Laser Ther 2019 13;21(1):44-48. Epub 2018 Mar 13.

c Maryland Dermatology Laser, Skin, & Vein Institute , Hunt Valley , MD , USA.

Introduction: Energy-based cosmetic devices offer an in-office treatment option, with minimal downtime, to non-invasively remove unwanted fat. We evaluated focused, pulsed ultrasound treatment to randomized flanks, compared to corresponding non-treated contralateral flanks.

Material And Methods: Subjects were enrolled at three sites for a series of focused ultrasound treatments to a single flank, with the contralateral flank remaining untreated throughout the study. Read More

Open Access Maced J Med Sci 2018 Jan 7;6(1):31-34. Epub 2018 Jan 7.

Universita degli Studi dell'Insubria Dipartimento di Scienze Chirurgiche e Morfologiche, Varese, Italy.

Aim: Hidradenitis suppurativa (HS) is a chronic inflammatory disease, commonly characterized by painful, deep dermal abscesses and chronic draining sinus tracts. Recently, laser and light-based therapies have become more commonly used in the management of HS.

Material And Methods: We report 20 HS patients treated with a 1064 nm wavelength, emitted from a diode laser, launched in an optical fibre through intracavitary modalities. Read More

Int J Dermatol 2018 Apr 12;57(4):480-487. Epub 2018 Feb 12.

Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Pathumwan, Bangkok, Thailand.

Proven as effective acne scar treatment, ablative fractional carbon dioxide (AFCO ) laser requires post-laser wound healing care. MAS063DP is a multicomponent nonsteroidal anti-inflammatory moisturizer for effective post-laser treatment. This study compares the efficacy of MAS063DP and 0. Read More

Dermatol Surg 2018 07;44(7):985-993

Cosmetic Laser Dermatology, San Diego, California.

Background: The chin is a critical component to the perception of facial attractiveness. Dermal fillers offer a nonsurgical, temporary method of correcting mild to moderate chin retrusion and resorption. Thus far, discussion of this procedure has been largely limited to the plastic surgery and otolaryngology literature. Read More

Am J Clin Dermatol 2018 Aug;19(4):489-503

Mount Sinai St. Luke's and West, 1090 Amsterdam Avenue, Suite 11B, New York, NY, 10025, USA.

Postinflammatory hyperpigmentation (PIH) is a reactive hypermelanosis that develops following cutaneous inflammation. Common causes of PIH include intrinsic skin conditions (e.g. Read More

Facial Plast Surg 2017 Dec 1;33(6):621-626. Epub 2017 Dec 1.

Department of Otolaryngology, Indiana University School of Medicine, Indianapolis, Indiana.

Ann Dermatol Venereol 2018 Apr 14;145(4):233-239. Epub 2017 Nov 14.

Service de dermatologie, centre Tarnier, hôpital Cochin, AP-HP, 89, avenue d'Assas, 75006 Paris, France; Université Paris 5, 15, rue de l'École-de-Médecine, 75006 Paris, France. Electronic address:

Background: Von Willebrand disease (VWD) and hemophilia A and B are the most common types of hereditary coagulation-factor deficiencies. The frequency and type of complications of skin surgery in these patients are unknown. The increasing incidence of skin cancer prompted us to reflect upon this issue. Read More

J Am Acad Dermatol 2017 Oct;77(4):607-621

Department of Dermatology, Henry Ford Hospital, Detroit, Michigan. Electronic address:

Postinflammatory hyperpigmentation (PIH) occurs after various dermatoses, exogenous stimuli, and dermatologic procedures. The clinical course of PIH is chronic and unpredictable, although the probability of resolution of epidermal hyperpigmentation is better than those of dermal hyperpigmentation. PIH can be prevented or alleviated. Read More

Lasers Surg Med 2017 12 29;49(10):886-890. Epub 2017 Aug 29.

Department of Dermatology, University of Utah School of Medicine, Salt Lake City, Utah, 84132.

Background And Objective: Based on reports of poor wound healing and scarring, it is currently recommended that patients wait 6 months after completion of oral isotretinoin therapy before the safe initiation of laser treatment. Our aim was to evaluate the safety of non-ablative fractional laser (NAFL) treatment for acne scars within 1 month after isotretinoin therapy.

Study Design/methods: This was a randomized split-face controlled trial involving 10 patients with acne scars who had completed isotretinoin treatment. Read More

J Dermatolog Treat 2018 Mar 9;29(2):202-207. Epub 2017 Aug 9.

b Department of Dermatologic Surgery and Laser Unit, St. Thomas' Hospital , St. John's Institute of Dermatology , London , UK.

Background: Biofilms are diverse groups of microorganisms encased in a self-produced matrix that offers protection against unfavorable conditions and antibiotics.

Methods: We performed a literature search using the MEDLINE electronic database. Only original articles published in English were considered for review. Read More

J Cosmet Laser Ther 2017 Oct 2;19(5):300-302. Epub 2017 Mar 2.

a Department of Dermatology, School of Medicine , Stanford University , Redwood City , CA , USA.

The advent of targeted chemotherapy has led to the emergence of new dermatologic toxicities. We sought to use lasers and light devices to treat recalcitrant cutaneous adverse effects related to cancer treatment. Three stage III or IV cancer patients with cutaneous complications due to epidermal growth factor receptor (EGFR) inhibitors were treated with melanin and vascular-specific laser and light technologies. Read More

Ugeskr Laeger 2017 Feb;179(8)

In this article we give an overview of which skin conditions that are currently treated with laser and explains the basic principles of treatment. In addition, we summarize recommendations of the Danish Dermatological Society for demarcation of medical treatments which can be provided free of charge from cosmetic self-payment treatments. Read More

J Cosmet Dermatol 2017 Jun 30;16(2):162-167. Epub 2017 Mar 30.

Faculty of Medicine, McGill University,Montreal, Canada.

Background: A pre-and postprocedure regime aimed at prevention of infection, reduction of inflammation and risk of scarring, is to enable optimal outcomes.

Objectives: The role of a hypochlorous acid containing spray and translucent scar gel formulation that combines modified silicon oil with hypochlorous acid, was explored for pre- and postprocedure treatment and scar management.

Methods: For this purpose a literature review was conducted to explore the value of the technology used in pre-and postprocedural regimes. Read More

G Ital Dermatol Venereol 2017 Aug 28;152(4):360-372. Epub 2017 Mar 28.

Department of Dermatology and Cutaneous Surgery, University of Miami Hospital, Miami, FL, USA.

Acne is a chronic disease of the pilosebaceous units, presenting as inflammatory or noninflammatory lesions, affecting primarily the face but also the back and chest. The mainstay of treatment remains topical retinoids, benzoyl peroxide, azelaic acid, antibiotics, and isotretinoin, many of which result in poor compliance, lack of durable remission, and incur adverse effects. The use of lasers to treat acne is continuously increasing because of their minimal complications, limited number of office-based treatments required, potential benefits of simultaneously treating acne scarring, and the rapid onset of results. Read More

Curr Probl Dermatol 2017 10;52:105-112. Epub 2017 Mar 10.

Department of Dermatology, Klinikum Darmstadt, Darmstadt, and Department of Dermatology, University Hospital Greifswald, Greifswald, Germany.

Tattoo removal by Q-switched nanosecond laser devices is generally a safe and effective method, albeit a time-consuming one. Despite the newest developments in laser treatment, it is still not possible to remove every tattoo completely and without complications. Incomplete removal remains one of the most common challenges. Read More

Dermatol Surg 2017 Apr;43(4):485-493

*Department of Dermatology, University College London Hospital, London, United Kingdom; †Department of Dermatologic Surgery and Laser Unit, St. John's Institute of Dermatology, St. Thomas' Hospital, London, United Kingdom.

Background: Warts or verrucae vulgaris are common cutaneous infections with currently no definitive curative treatments available.

Objective: To determine the efficacy of pulsed dye laser (PDL) in the treatment of warts.

Materials And Methods: A literature search was performed using the PubMed and MEDLINE databases. Read More

J Cosmet Laser Ther 2017 Aug 6;19(4):199-204. Epub 2017 Feb 6.

d Cochrane Taiwan , Taipei Medical University , Taipei , Taiwan.

Background: Laser resurfacing is used to minimize wrinkles, solar scars and sequelae of acne.

Objective: Purpose of the systematic review was to compare resurfacing outcomes of CO laser and erbium: yttrium aluminium garnet (erb:YAG) laser therapies.

Materials And Methods: Medline, Cochrane Library, EMBASE and Google Scholar databases were searched until 9 April 2015 using the following terms: laser, carbon dioxide/CO, facial wrinkles, rhytides and erbium-doped yttrium aluminium garnet/erbium:YAG/Er:YAG. Read More

J Cosmet Laser Ther 2017 Jun 31;19(3):181-187. Epub 2017 Jan 31.

b Department of Medical Biotechnology , School of Advance Science in Medicine, Tehran University of Medical Sciences , Tehran , Iran.

Background: Melasma is a challenging dermatological condition during pregnancy. The aim of this study was to determine the clinical efficacy of a topical liposome-encapsulated Aloe vera preparation, on melasma in pregnant women. In order to enhance the bioavailability of Aloe vera leaf gel extract (AGE), liposomes encapsulating Aloe vera were prepared and examined for their biochemical properties. Read More

J Lipid Res 2017 04 23;58(4):783-797. Epub 2017 Jan 23.

cyberDERM, Inc., Broomall, PA.

Though cardioprotective, niacin monotherapy is limited by unpleasant cutaneous symptoms mimicking dermatitis: niacin-associated skin toxicity (NASTy). Niacin is prototypical of several emerging drugs suffering off-target rubefacient properties whereby agonizing the GPR109A receptor on cutaneous immune cells provokes vasodilation, prompting skin plethora and , as well as , , and , and systemically, heat loss, , chills, and rigors. Typically, NASTy effects are described by subjective patient-reported perception, at best semi-quantitative and bias-prone. Read More

Lasers Surg Med 2017 08 24;49(6):570-576. Epub 2017 Jan 24.

School of Medicine of the Federal University of Minas Gerais, Núcleo de Pós-Graduação e Pesquisa, Santa Casa de Belo Horizonte, MG, Brazil.

Introduction: Some publications have shown good aesthetic results for scars through the early application of fractional CO lasers on elective surgery scars. The aim of this randomized, double-blinded clinical trial was to compare the aesthetic quality of the scar from a group of patients submitted to super-pulsed fractional CO laser applications (10,600 nm fractional CO , set at a density of 20% and an energy of 10 mJ, a scanner of 03 × 03 mm, and a pulse repetition time of 0.3 seconds) in contrast with the other group that used only the silicone gel on the scar after plastic surgery. Read More

Hautarzt 2017 Feb;68(2):120-126

Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum des Saarlandes, 66421, Homburg, Deutschland.

Melasma, also known as chloasma or mask of pregnancy, presents clinically as hyperpigmented skin areas, which develop mostly in the face as a consequence of increased synthesis of melanin. The established treatment options, including topically applied agents and the use of various laser systems, mostly result in improvement but not in complete remission of the lesions. Because of its significant impact on quality of life and the limited effectivity of available treatment options, the management of melasma is challenging for the treating physician. Read More

Br J Dermatol 2017 Jun 25;176(6):1456-1464. Epub 2017 Apr 25.

Laser & Skin Surgery Center Indiana, Carmel, IN, U.S.A.

Background: Actinic keratosis (AK) is a common sun-related skin condition, which can progress to squamous cell carcinoma and occur in cancerized fields.

Objectives: To investigate in a phase I/II trial the safety and efficacy of ingenol disoxate as topical field therapy for patients with AK on the balding scalp.

Methods: Part 1 was a phase I, open-label, dose-escalation trial investigating up to six doses of ingenol disoxate to determine the maximum tolerated dose (MTD). Read More

Dermatol Surg 2017 Mar;43(3):357-363

*SkinCare Physicians, Chestnut Hill, Massachusetts; †Feinberg School of Medicine, Department of Dermatology, Northwestern University, Chicago, Illinois.

Background: Reports of poor wound healing in the setting of isotretinoin treatment have created a conservative standard of care in which laser and phototherapy treatment of patients receiving isotretinoin is relatively contraindicated.

Objective: A survey of 220 nationally recognized experts in cutaneous laser surgery was conducted to evaluate physician experience and opinion pertaining to laser and light procedures in patients treated with isotretinoin, including perceived risk and actual complications.

Results: There was a 42% response rate. Read More

Cutis 2016 Sep;98(3):156;167;168

Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, USA.

Dermatol Surg 2016 Nov;42 Suppl 1:S300-S304

*Private Practice, Boca Raton, Florida; †Evidence Scientific Solutions, Philadelphia, Pennsylvania; ‡Department of Dermatology, University of California Los Angeles and Private Practice (Skin Care and Laser Physicians of Beverly Hills), Los Angeles, California.

ATX-101 (deoxycholic acid injection; Kythera Biopharmaceuticals, Inc. [an affiliate of Allergan plc, Dublin, Ireland]) was approved in 2015 in the United States (Kybella) and Canada (Belkyra) for submental fat reduction. As expected, injection-site reactions such as pain, swelling, and bruising, which were mostly mild or moderate and transient, were common adverse events (AEs) reported in clinical trials. Read More

Lancet 2016 Oct;388(10052):1427-1436

Department of Surgery, The University of Texas Medical Branch, Galveston, TX, USA; The Institute for Translational Sciences, The University of Texas Medical Branch, Galveston, TX, USA; Shriners Hospitals for Children, Galveston, TX, USA.

Improvements in acute burn care have enabled patients to survive massive burns that would have once been fatal. Now up to 70% of patients develop hypertrophic scars after burns. The functional and psychosocial sequelae remain a major rehabilitative challenge, decreasing quality of life and delaying reintegration into society. Read More

Dermatol Surg 2017 Jan;43 Suppl 1:S70-S74

*Gateway Aesthetic Institute and Laser Center, Salt Lake City, Utah; †Goldman, Butterwick, Fitzpatrick, Groff & Fabi, Cosmetic Laser Dermatology, San Diego, California.

Background: Successful treatment of acne scars is challenging. Many modalities have been used with marginal success.

Objective: The authors describe a combination of a superficial chemical peel, subcision, and fractional carbon dioxide (CO2) laser resurfacing in a single-treatment session as a novel treatment approach for rolling acne scars. Read More

Aesthetic Plast Surg 2016 Oct 12;40(5):761-8. Epub 2016 Aug 12.

Department of Dermatology, Korea University College of Medicine, Inchon-ro 73(Anam-dong 5ga), Seongbuk-gu, Seoul, 136-705, Korea.

Background: Ablative CO2 fractional lasers have recently been introduced for burn scar treatment because of pronounced clinical outcomes with fewer treatment sessions than nonablative fractional laser.

Objective: This study was conducted to observe clinical as well as histologic changes of burn scars after treatment with CO2 fractional laser.

Materials And Methods: Eleven patients (one female and 10 males, aged 31-59 years) with skin phototypes III to V with burn scars received 10 sessions of fractional CO2 laser treatments (UltraPulse(®) Encore; Lumenis, Santa Clara, CA, USA) over an average 5-week interval. Read More

J Am Acad Dermatol 2016 Aug;75(2):265-84

Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. Electronic address:

While the overall incidence of emergencies in dermatologic surgery is low, emergent situations can occasionally pose a risk to patients undergoing such procedures. The clinical importance of several types of emergences related to systemic reactions, high energy systems, and trauma are reviewed, and relevant epidemiology, clinical manifestations, diagnosis, work-up, management, and prevention are discussed. Early detection of surgical emergencies can mitigate any associated adverse outcomes, thereby allowing the outstanding record of safety of dermatologic surgery to continue. Read More

Cutis 2016 Jun;97(6):E28-9

Department of Dermatology, University of California, San Diego, USA.

This column highlights some of the potential complications that have been associated with cosmetic procedures. Tips for how dermatology residents may prevent, identify, and manage complications from cosmetic procedures for optimal patient outcomes is provided. In part 1 of this series, soft-tissue augmentation and botulinum toxin injections are discussed. Read More

J Cutan Med Surg 2016 Sep 17;20(5):432-45. Epub 2016 May 17.

University of Calgary, Calgary, AB, Canada.

Rosacea is a chronic facial inflammatory dermatosis characterized by background facial erythema and flushing and may be accompanied by inflammatory papules and pustules, cutaneous fibrosis and hyperplasia known as phyma, and ocular involvement. These features can have adverse impact on quality of life, and ocular involvement can lead to visual dysfunction. The past decade has witnessed increased research into pathogenic pathways involved in rosacea and the introduction of novel treatment innovations. Read More

J Cosmet Laser Ther 2016 Oct 2;18(6):352-4. Epub 2016 Jun 2.

a Laser Skin Care of Louisiana , Lafayette , LA , USA.

Fractional CO2 laser resurfacing using aggressive treatment parameters may result in adverse effects comparable to those of fully ablative CO2 laser resurfacing. A 45-year-old female underwent fractional CO2 laser treatment of the neck. She contacted the author for treatment of the marked erythema, swelling, and perceived skin tightness that resulted from the resurfacing procedure. Read More

Lasers Surg Med 2016 Apr 4;48(4):385-91. Epub 2016 Mar 4.

Max Planck Institute for the Structure and Dynamics of Matter, Hamburg, 22761, Germany.

Background And Objective: As a result of wound healing the original tissue is replaced by dysfunctional scar tissue. Reduced tissue damage during surgical procedures beneficially affects the size of the resulting scar and overall healing time. Thus the choice of a particular surgical instrument can have a significant influence on the postoperative wound healing. Read More

Lasers Surg Med 2016 Feb;48(2):181-7

Laser and Skin Surgery Center of New York, New York City, 10016, New York.

Background And Objectives: Laser procedures in skin of color (SOC) patients are challenging due to the increased risk of dyspigmentation and scarring. A novel 755 nm alexandrite picosecond laser has demonstrated effectiveness for tattoo removal and treatment of acne scars. No studies to date have evaluated its applications in pigmentary disorders. Read More

Dermatol Surg 2016 Mar;42(3):277-85

*Yonsei Star Skin & Laser Clinic, Seoul, South Korea; †Departments of Dermatology, Chung-Ang University College of Medicine, Seoul, South Korea; ‡GoodDay Skin & Laser Clinic, Seoul, South Korea.

Background: Enlarged skin pores refer to conditions that present with visible topographic changes of skin surfaces. Although not a medical concern, enlarged pores are a cosmetic concern for a large number of individuals. Moreover, clear definition and possible causes of enlarged pores have not been elucidated. Read More

Dermatol Surg 2016 Mar;42(3):320-6

*Tucson Dermatology Ltd., Tucson, Arizona; †Department of Dermatology and Cutaneous Biology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania; ‡Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina, Charleston, South Carolina.

Background: Single-stage repairs of large nasal dorsum defects risk introducing lower nasal distortion.

Objective: To describe the authors experience with the "birhombic" flap, a bilateral Dufourmentel rhomboid flap, for repair of nasal surgical defects after Mohs micrographic surgery.

Materials And Methods: The authors performed a retrospective chart review of patients who underwent birhombic flap repair of the nose by a single physician after Mohs micrographic surgery from 2008 to 2013 at the Medical University of South Carolina. Read More

J Dtsch Dermatol Ges 2016 Feb;14(2):166-71

Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Background And Objectives: Pemphigus is a group of autoimmune diseases characterized by intraepidermal acantholytic blisters. Isomorphic responses, or Koebner phenomenon (KP), defined as the appearance of typical lesions of a disease following trauma are rarely reported in pemphigus. Our aim was to present patients who developed new pemphigus lesions as a result of skin trauma. Read More

Ann Dermatol Venereol 2015 Dec;142 Suppl 3:S8-S17

5, rue du Werkhof, 68100, Mulhouse, France. Electronic address:

The publications in the field of aesthetic dermatology including those related to laser treatment and related procedures are numerous. Nevertheless, a large number of them lack a serious and well-structured methodological approach or are biased and may lead to false conclusion due to conflict of interest. The selection of the publications used for this review, while subjective, has been based on the strength of the methodology applied as well as their benefit to the dermatological community as a whole. Read More

Pediatrics 2016 Feb 7;137(2):e20142065. Epub 2016 Jan 7.

Department of Dermatology, Naval Medical Center, San Diego, California.

For most children and adolescents who have developed symptomatic scars, cosmetic concerns are only a portion of the motivation that drives them and their caregivers to obtain treatment. In addition to the potential for cosmetic disfigurement, scars may be associated with a number of physical comorbidities including hypertrichosis, dyshidrosis, tenderness/pain, pruritus, dysesthesias, and functional impairments such as contractures, all of which may be compounded by psychosocial factors. Although a plethora of options for treating scars exists, specific management guidelines for the pediatric and adolescent populations do not, and evidence must be extrapolated from adult studies. Read More

Dermatol Surg 2016 Jan;42(1):12-20

*Department of Dermatology, University of Illinois, Chicago, Illinois; †Cosmetic Laser Dermatology, Goldman, Butterwick, Fitzpatrick, Groff & Fabi, San Diego, California; ‡Department of Medicine/Dermatology, University of California; §Department of Ophthalmology, University of British Columbia, Vancouver, Canada.

Background: Over recent decades, the options available to patients for cosmetic rejuvenation have expanded dramatically. The range of options commonly available to patients now includes neuromodulators, fillers, sclerotherapy, chemical peels, lasers, lights and other energy devices, and liposculpture and continues to grow. Like all therapeutic interventions, these cosmetic dermatologic procedures are not without risk. Read More

Dermatol Surg 2016 Jan;42(1):70-6

Washington Institute of Dermatologic Laser Surgery, Washington, DC.

Background: The pulsed dye laser (PDL) has long been used for treatment of erythematous and hypertrophic scars. Its effectiveness has been attributed in large part to its vascular-specificity. The vascular-specific potassium titanyl phosphate (KTP) laser has also been reported to be clinically effective for scars, but has not been compared to the PDL. Read More

J Drugs Dermatol 2015 Nov;14(11):1209-12

Background: Wound healing is a complex process; during the process angiogenesis takes place, that presents clinically as erythema, telangiectasia and edema. Pulsed dye laser (PDL) has a wavelength of 585-595 nm, which targets the chromophore hemoglobin.

Objective: Determine the level of improvement of post-dermatological surgery scars. Read More