125 results match your criteria Laser Revision of Scars


Combination of 1064 nm Long-Pulsed and Q-Switched Nd:YAG Laser for Facial Hypertrophic Scar and Hyperpigmentation Following Burn Injury.

Int Med Case Rep J 2022 25;15:23-27. Epub 2022 Jan 25.

Department of Plastic Surgery and Reconstruction, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.

Burn injury is a common type of trauma which causes significant morbidity and mortality. Wound healing following burns can be complicated by the formation of hypertrophic scars and the occurrence of post-inflammatory hyperpigmentation (PIH). Neodymium:yttrium aluminum garnet (Nd:YAG) laser might become one of the treatments of choice for hypertrophic scars and PIH. Read More

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January 2022

Safety and efficacy of fractional radiofrequency for the treatment and reduction of acne scarring: A prospective study.

Lasers Surg Med 2022 01 19;54(1):74-81. Epub 2021 Aug 19.

Ameriderm Research, Leavitt Medical Associates of Florida, Port Orange, Florida, USA.

Objectives: Skin rejuvenation with radiofrequency has been a widely used treatment modality for the safe and efficient remodeling of the dermis and revision of textural irregularities, achieved with minimal downtime. The efficacy of fractional radiofrequency (FRF) specifically for acne scarring has not been widely established. The objective of this clinical trial was to establish the efficacy and safety of FRF for moderate to severe acne scarring in a wide range of Fitzpatrick skin types using two different applicator tips to deliver energy to the skin (80-pin of up to 124 mJ/pin and 160-pin of up to 62 mJ/pin). Read More

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January 2022

A Single-Institution Experience With Standardized Objective and Subjective Scar Evaluation While Undergoing Fractional Ablative Carbon Dioxide Laser Treatment.

J Burn Care Res 2022 01;43(1):61-69

Burn Center, MedStar Washington Hospital Center, District of Columbia, USA.

Laser treatment of burn scar has increased in recent years. Standard components of scar evaluation during laser scar revision have yet to be established. Patients who began laser scar revision from January 2018 to 2020, underwent at least three treatments, and completed evaluations for each treatment were included. Read More

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January 2022

Clinical Outcomes Following the Early Application of Multimodal Scar Programs for Facial Incisional Wounds.

Aesthetic Plast Surg 2021 08 10;45(4):1772-1782. Epub 2021 May 10.

Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

Background: Even though scars are major issues for patients who undergo facial lacerations, programs for their prevention and early management are not well established. The purpose of this study was to evaluate the clinical outcomes of prophylactic scar assessments and early scar interventions in patients with lacerations.

Patients And Methods: A total of 116 patients underwent suture line and scar prevention treatment in the emergency room from 2014 to 2015. Read More

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The Effectiveness of Early Combined CO2 Ablative Fractional Laser and 595-nm Pulsed Dye Laser Treatment After Scar Revision.

J Craniofac Surg 2021 Mar-Apr 01;32(2):629-631

TwoM Aesthetic Plastic Surgery Clinics, Seoul, Republic of Korea.

Abstract: Scars are significant complications of wound healing and associated with negative physical, psychological, and cosmetic effects. Scar revision and laser treatment have been used over the past century to improve many different types of scars. Here, we evaluated the effectiveness of early combined carbon dioxide ablative fractional laser (AFL) and pulsed dye laser (PDL) treatment after scar revision. Read More

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Electrochemical Therapy of In Vivo Rabbit Cutaneous Tissue.

Laryngoscope 2021 07 5;131(7):E2196-E2203. Epub 2021 Mar 5.

Beckman Laser Institute & Medical Clinic, University of California, Irvine, California, U.S.A.

Objectives: To examine the acid-base and histological changes in in vivo rabbit cutaneous tissue after electrochemical therapy.

Study Design: In vivo rabbit tissue study.

Methods: The shaved skin on the backs of female Oryctolagus cuniculi were assigned to treatments with or without tumescence with normal saline. Read More

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Use of Autologous Adipose-Derived Stromal Vascular Fractions in Revision Rhinoplasty for Severe Contractures in Asian Patients.

Plast Reconstr Surg 2021 03;147(3):401e-411e

From the Fresh Facial Aesthetic Surgery and ENT Clinic; Yonsei E1 Plastic Surgery Clinic; Maylin Clinic; Yonsei Seran Dermatology and Laser Clinic; and the Department of Plastic and Reconstructive Surgery, Yonsei University, College of Medicine.

Background: Autologous adipose-derived stromal vascular fraction treatments have been shown to elicit antiinflammatory, antifibrotic, immunomodulatory, angiogenic, and regenerative effects. Injections of adipose-derived stromal vascular fraction have been used to treat severely scarred tissues.

Methods: Revision septorhinoplasty was performed in 40 patients with severely contracted noses. Read More

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Paradigms in Complex Facial Scar Management.

Semin Plast Surg 2020 Nov 24;34(4):305-313. Epub 2020 Dec 24.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.

The process of scar formation is a sequela of the healing following soft tissue injury extending to, or through, the reticular dermis. Scars, within the head and neck in particular, may be physically disfiguring with resultant psychosocial implications. Mitigation of excessive scar formation during the healing process following surgery, or in the setting of trauma, begins with meticulous soft tissue handling and reconstructive technique. Read More

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November 2020

Prevention of Scarring With Intraoperative Erbium: YAG Laser Treatment.

J Drugs Dermatol 2020 Nov;19(11):1040-1043

Background: Scars can develop as a result of surgical incisions and pose psychological, cosmetic, and physical stress to the patients affected. Lasers have been used for scar revision, but little information exists regarding intraoperative use and efficacy.

Objective: To evaluate a 2,940-nm fractional erbium:YAG laser to improve scar appearance when used immediately after skin closure. Read More

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November 2020

Outcomes and adverse effects of ablative vs nonablative lasers for skin resurfacing: A systematic review of 1093 patients.

Dermatol Ther 2021 01 2;34(1):e14432. Epub 2020 Nov 2.

Skin & Laser Surgery Center of New England, Nashua, New Hampshire, USA.

It is generally believed that ablative laser therapies result in prolonged healing and greater adverse events when compared with nonablative lasers for skin resurfacing. To evaluate the efficacy of ablative laser use for skin resurfacing and adverse events as a consequence of treatment in comparison to other modalities, a PRISMA-compliant systematic review (Systematic Review Registration Number: 204016) of twelve electronic databases was conducted for the terms "ablative laser" and "skin resurfacing" from March 2002 until July 2020. Studies included meta-analyses, randomized control trials, cohort studies, and case reports to facilitate evaluation of the data. Read More

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January 2021

A Split-Scar Study Investigating the Effectiveness of Early Intervention With Electroabrasion on Improving the Cosmetic Appearance of Postsurgical Scars.

Dermatol Surg 2020 10;46(10):1300-1305

Dermatology, Dermatologic and Mohs Micrographic Surgery, University of California San Diego, San Diego, California.

Background: Electroabrasion, which uses an in-office electrosurgical device, is a method of surgical planning that ablates the skin to the papillary dermis. Several reports demonstrate that intraoperative ablative interventions with lasers or dermabrasion can modulate scar formation more effectively. This investigation uses electroabrasion intraoperatively to mitigate scar formation. Read More

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October 2020

Laser Therapy of Traumatic and Surgical Scars and an Algorithm for Their Treatment.

Lasers Surg Med 2020 02 17;52(2):125-136. Epub 2019 Oct 17.

Department of Dermatology, University of Texas MD Anderson Cancer Center, University of Texas, McGovern Medical School, 6655 Travis St. #700, Houston, Texas, 77030.

Background And Objectives: This paper describes the laser techniques available for the treatment of surgical and trauma scars and develops recommendations for an algorithmic-based treatment approach based on extensive clinical experience and published data.

Study Design/materials And Methods: We reviewed the literature regarding laser treatment of surgical and traumatic scars and incorporated the clinical experience of the authors to develop an algorithm for the treatment of surgical and trauma scars.

Results: In order to develop treatment recommendations, scars were differentiated based on their clinical characteristics. Read More

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February 2020

Revision of a depressed scar across a relaxed skin tension line by punch elevation, filler injection, and fractional CO₂ laser.

Acta Dermatovenerol Alp Pannonica Adriat 2019 Sep;28(3):129-130

Students research committee, Kermanshah University of Medical Sciences (KUMS), Kermanshah, Iran.

Revision of a depressed scar is more challenging because it does not follow the relaxed skin tension line (RSTL). Several measures have been suggested for revision of this type of scar, and they have a number of limitations, complications, advantages, and disadvantages. A 45-year-old woman presented with a depressed scar measuring approximately 45 × 2. Read More

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September 2019

Failure in Revision Dacryocystorhinostomy: A Study of Surgical Technique and Etiology.

J Craniofac Surg 2020 Jan/Feb;31(1):193-196

Department of Ophthalmology, Izmir Katip Celebi University Ataturk Training and Research Hospital.

The aim of this study is to assess the etiologic factors of primary dacryocystorhinostomy (DCR) failure according to DCR techniques and also to determine risk factors for the prediction of failure in revision external DCR. Retrospective review was performed in patients who underwent revision external DCR for previous DCR failure between 2008 and 2018. All patients underwent full ophthalmic and intranasal examination, lacrimal probing, and irrigation. Read More

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Efficacy of Combined Intense Pulsed Light (IPL) With Fractional CO -Laser Ablation in the Treatment of Large Hypertrophic Scars: A Prospective, Randomized Control Trial.

Lasers Surg Med 2019 10 14;51(8):678-685. Epub 2019 May 14.

Miami Dermatology & Laser Institute, Miami, Florida, 33173.

Background And Objectives: Scar rehabilitation is a complex process that incorporates medical, surgical, and physical therapeutic measures to best restore function and visual normalcy. Lasers have emerged as essential tools in the management of scars, with devices available to address scar size, dyschromia, and contour irregularities. As different lasers treat these different features, multi-laser, same session therapeutic approaches may offer a more comprehensive approach to scar revision. Read More

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October 2019

Surgical and Noninvasive Modalities for Scar Revision.

Dermatol Clin 2019 Jul;37(3):375-386

Department of Dermatology, University of California Davis Medical System, 3301 C Street, #1400, Sacramento, CA 95816, USA. Electronic address:

Scar revision is of premier importance to the dermatologic surgeon. Some of the least invasive modalities include use of silicone gel sheets, resurfacing with electrosurgical instruments, dermabrasion, chemical peels, and subcision. Laser technology also has been implemented to selectively target and ablate fibrous scar tissue via selective thermolysis. Read More

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Comparative Evaluation of Clinical Outcomes of Laser Skin Resurfacing Using an Ultra-Pulse Carbon Dioxide Laser and Manual Dermabrasion Using a Medium-Grit Drywall Sand Screen for Scar Revision in Adults: A Split-Scar Prospective Study.

J Oral Maxillofac Surg 2019 Feb 27;77(2):411.e1-411.e8. Epub 2018 Oct 27.

Lecturer, Department of Oral & Maxillofacial Surgery, MGM Dental College & Hospital, Navi Mumbai, India.

Purpose: The purpose was to evaluate the clinical outcomes of laser skin resurfacing using an ultra-pulse carbon dioxide (CO) laser and manual dermabrasion with a medium-grit drywall sand screen for scar revision in adults with Fitzpatrick skin type III to V.

Materials And Methods: A total of 20 postsurgical and post-traumatic scars in individuals with Fitzpatrick skin type III to V were included in this study. Preoperative evaluation of the scars was performed by 3 blinded observers using the Manchester scar rating scale. Read More

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February 2019

An Algorithm Using Botox Injections for Facial Scar Improvement in Fitzpatrick Type IV-VI Skin.

Plast Reconstr Surg Glob Open 2018 Aug 8;6(8):e1888. Epub 2018 Aug 8.

Department of Dermatology, Cosmetic Dermatology & Dermato-Surgery & Director, The Esthetic Clinics, Mumbai, India.

Background: Wounds of the face are known to heal poorly with conspicuous scarring. Hence, it is crucial to address the distracting effect of muscle pull on immature collagen, which often leads to worsening of scars.

Study Design: Prospective clinical study. Read More

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Facial Scar Improvement Procedures.

Facial Plast Surg 2018 Oct 8;34(5):448-457. Epub 2018 Oct 8.

Department of Otolaryngology-Head and Neck Surgery, University of Utah Hospital, Salt Lake City, Utah.

Scars are a natural part of dermal healing following lacerations, incisions, or tissue loss. The ideal scar is narrow, flat, level with surrounding tissue, and difficult for the untrained eye to see due to color match and placement parallel to relaxed skin tension lines; however, scarring that is dyspigmented, hypertrophied, widened, contracted, or atrophic can be aesthetically displeasing or causing functional limitations. When the scar has unfavorable characteristics, scar revision is often indicated and the cosmetic surgeon must be knowledgeable of the minimally invasive as well as surgical techniques to improve aesthetics, reduced reoccurrence, or correct functional limitations. Read More

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October 2018

The Super-High SMAS Facelift Technique with Tailor Tack Plication.

Aesthetic Plast Surg 2018 Dec 19;42(6):1531-1539. Epub 2018 Sep 19.

Department of Plastic Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.

Background: Super-high superficial musculoaponeurotic system (SMAS) suspension and tailor tack plication are powerful facelift tools used in cases of primary facial rhytidectomy.

Technique: Thorough pre-operative patient screening and counseling are completed in an outpatient cosmetic surgery center. A super-high SMAS flap is developed by undermining and incising along a line extending from the tragus to lateral canthus and dissecting the SMAS sufficiently to induce movement of the lateral nose and the oral commissure with traction on the SMAS. Read More

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December 2018

Inside "Outside" Job: Unexpected Geometric Skin Ulcerations Overlying Orthopedic Hardware After Multimodal Laser Scar Revision.

Dermatol Surg 2018 Sep;44(9):1231-1233

Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California Department of Dermatology, University of California, Irvine Irvine, California Department of Medicine, University of California, San Diego, California DermOne, LLC, West Conshohocken, Pennsylvania.

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September 2018

Post-Surgical Repair of Cleft Scar Using Fractional CO Laser.

Open Access Maced J Med Sci 2018 Jul 22;6(7):1231-1234. Epub 2018 Jun 22.

Al Azhar University, Cairo, Egypt.

Background: Postoperative scarring is a common cause of patients dissatisfaction. Several modalities have been developed to overcome such a problem following surgical repair. Despite precise surgical technique, still, some scars would remain over the time, mostly due to the weak formation or inadequately replaced collagen fibres in the underneath dermis especially those following unilateral or bilateral cleft lip repair surgery. Read More

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Isotretinoin and dermatosurgical procedures.

Indian J Dermatol Venereol Leprol 2019 Jan-Feb;85(1):18-23

Department of Dermatologist, Inlaks and Budhrani Hospital, Pune, Maharashtra, India.

Several early reports suggested that performance of dermatosurgical procedures in patients on oral isotretinoin is associated with abnormal skin healing, keloid or hypertrophic scar formation. However, this association has been recently questioned in some studies. This review examines this issue, analyzes the studies published and concludes that the recommendation made earlier about the need to avoid dermatosurgical procedures in patients on isotretinoin is based on inadequate and insufficient evidence and hence needs revision. Read More

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Techniques for Optimizing Surgical Scars, Part 3: Erythema, Hyperpigmentation, and Hypopigmentation.

Skinmed 2018;16(2):113-117. Epub 2018 Apr 1.

Refresh Dermatology, Houston, TX;

Surgical management of benign or malignant cutaneous tumors may result in noticeable scars that are of great concern to patients, regardless of sex, age, or ethnicity. Techniques to optimize surgical scars are discussed in this three-part review. Part 3 focuses on scar revision for erythema, hyperpigmentation, and hypopigmentation. Read More

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October 2019

Fractional CO Laser vs Fractional CO with Topical Platelet-rich Plasma in the Treatment of Acne Scars: A Split-face Comparison Trial.

J Cutan Aesthet Surg 2017 Jul-Sep;10(3):136-144

Department of DVL, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India.

Background: It is a challenge to treat acne scars and a multimodal combination approach is necessary. While fractional CO lasers (FCLs) are an established treatment option, the role of platelet-rich plasma (PRP) in the treatment of acne scars is not established though it is being used extensively in other fields of medicine owing to its healing properties. We combined the two methods to assess the proposed synergistic action on acne scars. Read More

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February 2018

[Eyelid surgery : Principles of blepharoplasty, application of CO lasers, aftercare and scar revision].

Authors:
U Schaudig

Ophthalmologe 2018 04;115(4):264-265

Augenklinik, Asklepios Klinik Barmbek, Rübenkamp 220, 22291, Hamburg, Deutschland.

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Techniques for Optimizing Surgical Scars, Part 2: Hypertrophic Scars and Keloids.

Skinmed 2017;15(6):451-456. Epub 2017 Dec 1.

Refresh Dermatology, Houston, TX;

Surgical management of benign or malignant cutaneous tumors may result in noticeable scars that are of great concern to patients, regardless of sex, age, or ethnicity. Techniques to optimize surgical scars are discussed in this three-part review. Part 2 focuses on scar revision for hypertrophic and keloids scars. Read More

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Pediatric dermatology procedures and pearls: Multimodal revision of earlobe keloids.

Pediatr Dermatol 2018 Mar 20;35(2):268-270. Epub 2017 Dec 20.

Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital and University of California at San Diego, San Diego, CA, USA.

Keloid scars are benign proliferations of fibrous tissue and collagen that usually occur in response to cutaneous injury. Many treatment modalities have been described in the literature, with variable rates of recurrence and no clear consensus. Keloids remain a therapeutic challenge to patients and physicians alike. Read More

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Scar Revision: Surgical and Nonsurgical Options.

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

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

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December 2017