121 results match your criteria Laser Revision of Scars


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

Aesthetic Plast Surg 2021 May 10. 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 Mar 5. 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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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

Posttraumatic Laser Treatment of Soft Tissue Injury.

Facial Plast Surg Clin North Am 2017 Nov;25(4):617-628

Beckman Laser Institute and Medical Clinic, University of California Irvine, 1002 Health Sciences Road East, Irvine, CA 92612, USA; Division of Facial Plastic Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California Irvine, 101 The City Drive South, Building 56, Suite 500, Orange, CA 92868, USA; Department of Biomedical Engineering, Henry Samueli School of Engineering, University of California, Irvine, 3120 Natural Sciences II, Irvine, CA 92697-2715, USA. Electronic address:

Laser treatment for posttraumatic injury offers the clinician the unique opportunity for early intervention in mediating early scar formation, or for reducing the appearance of scars after maturation. In this review, the authors focus on the mechanisms by which lasers exert their therapeutic effects, highlighting several popular lasers and dosimetry used, and underscoring the power of combined surgical scar revision in managing posttraumatic facial scars. Read More

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November 2017

Early treatment using fractional CO laser before skin suture during scar revision surgery in Asians.

J Cosmet Laser Ther 2018 Apr 27;20(2):102-105. Epub 2018 Feb 27.

c Department of General Surgery , The First Affiliated Hospital, School of Medicine, Zhejiang University , Hangzhou , P. R . China.

Fractional CO laser is one of the most effective treatment options used to resurface scars. However, most previous studies have been performed on mature scars at least 2 months after surgery. Recent studies have emphasized the importance of early treatment to reduce scar formation. Read More

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Techniques for Optimizing Surgical Scars, Part 1: Wound Healing and Depressed/Atrophic Scars.

Skinmed 2017;15(4):271-276. Epub 2017 Aug 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. In part 1, an overview of the importance of preoperative planning, intraoperative technique, and pathophysiology of wound healing is followed by a discussion of scar revision options for depressed/atrophic scars. Read More

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Safety of non-ablative fractional laser for acne scars within 1 month after treatment with oral isotretinoin: A randomized split-face controlled trial.

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

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December 2017