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    98 results match your criteria Laser Revision of Scars

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    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

    Techniques for Optimizing Surgical Scars, Part 2: Hypertrophic Scars and Keloids.
    Skinmed 2017 1;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

    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

    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

    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

    Techniques for Optimizing Surgical Scars, Part 1: Wound Healing and Depressed/Atrophic Scars.
    Skinmed 2017 1;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

    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 Dec 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

    Scar Revision and Recontouring Post-Mohs Surgery.
    Facial Plast Surg Clin North Am 2017 Aug 30;25(3):463-471. Epub 2017 May 30.
    Department of Otolaryngology-Head and Neck Surgery, College of Medicine, University of Illinois at Chicago, 1855 West Taylor Street, Chicago, IL 60611, USA.
    Following Mohs reconstruction, several options are available to improve the appearance of the resulting scars. It is critical that the patient has realistic goals before beginning any treatment because scars can be improved but never erased. The surgical and nonsurgical options aim to replace pre-existing scars with ones that are less conspicuous. Read More

    Combination laser treatment for immediate post-surgical scars: a retrospective analysis of 33 immature scars.
    Lasers Med Sci 2017 Jul 2;32(5):1111-1119. Epub 2017 May 2.
    WYNE Dermatology and Plastic Surgery Clinic, Cheongju, Chungbuk, South Korea.
    The application of laser treatments beginning on the day of stitch removal has been demonstrated to improve scar quality. However, there are few guidelines for the treatment of immature scars (ISs), which are defined as "scars whose features are not yet expressed." The purpose of this study was to extract information about early combination laser treatment (CLT) beyond what is currently known by analyzing 33 pairs of pre-treatment and post-treatment photographs of ISs. Read More

    The Subunit Principle in Scar Face Revision.
    J Craniofac Surg 2017 Jun;28(4):1027-1029
    Department of Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
    Facial scaring is considered one of the most difficult cosmetic problems for any plastic surgeon to solve. The condition is more difficult if the direction of the scar is not parallel to relaxed skin tension lines. Attempts to manage this difficult situation included revisions using geometric designs, Z plasties or W plasties to camouflage the straight line visible scaring. Read More

    Treating Scars of the Chin and Perioral Region.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):55-71
    Facial Plastic and Reconstructive Surgery, Penn State Hershey Medical Center, 500 University Drive H091, Hershey, PA 17033, USA; Fedok Plastic Surgery, 113 East Fern Avenue, Foley, AL 36535, USA; Department of Surgery, USA Medical Center, The University of South Alabama, 2451 Fillingim Street, Mobile, AL 36617, USA. Electronic address:
    Lip and chin scarring occurs owing to reconstruction of congenital, cancer resection, or traumatic defects. Knowledge of lip anatomy and function is critical to optimize results. Realistic expectations should be established before intervention. Read More

    Unique Clinical Aspects of Nasal Scarring.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):45-54
    UC Irvine Department of Head & Neck Surgery, 101 The City Drive South, Orange, CA 92868, USA. Electronic address:
    Various methods are available for refining scars of the external nose and optimal scar revision frequently requires the utilization of multiple techniques. Differing anatomy of nasal subunits and their underlying structural framework limit surgical options in nasal scar revision compared with other areas of the face. An understanding of a variety of laser technologies and their specific applications can vastly aid in fine, controlled scar revision. Read More

    Treating Scars of the Cheek Region.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):37-43
    Department of Otorhinolaryngology - Head and Neck Surgery, University of Texas Health Sciences Center at Houston, 6400 Fannin Street, Houston, TX 77030, USA.
    Scars of the cheek resulting from all causes can extol significant psychological toll. The cheek is the largest facial subunit and visually and aesthetically prominent making scars in this region difficult to ignore. An approach to scar management that targets specific characteristics of a scar using a combination of surgical and nonsurgical modalities can significantly improve the appearance of most scars. Read More

    Soft Tissue Principles to Minimize Scarring: An Overview.
    Facial Plast Surg Clin North Am 2017 Feb;25(1):1-13
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, University of Cincinnati College of Medicine, PO Box 670528, 231 Albert Sabin Way, Cincinnati, OH 45267-0528, USA; Department of Dermatology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, PO Box 670528, 231 Albert Sabin Way, Cincinnati, OH 45267-0528, USA. Electronic address:
    This article is a broad overview of measures and techniques that can be used to minimize soft tissue scarring. Read More

    Fractionated Er:YAG laser versus fully ablative Er:YAG laser for scar revision: Results of a split scar, double blinded, prospective trial.
    Lasers Surg Med 2016 Nov 18;48(9):837-843. Epub 2016 Jul 18.
    Division of Dermatology, University of Louisville, 3810 Springhurst Blvd., Louisville, Kentucky, 40241.
    Background And Objective: Ablative laser resurfacing is a common treatment for post-surgical scars. Fractional ablative laser resurfacing has been an emerging treatment option that is replacing fully ablative lasers in many applications. Data comparing fractionated and fully ablative lasers in treating post-operative scars are lacking. Read More

    Split face evaluation of long-pulsed non-ablative 1,064 nm Nd:YAG laser for treatment of direct browplasty scars.
    Lasers Surg Med 2016 Oct 9;48(8):742-747. Epub 2016 Aug 9.
    Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida 33136.
    Purpose: To investigate 1,064 nm long-pulse Nd:YAG laser for postoperative treatment of direct browplasty scars.

    Methods: Nine patients who underwent direct browplasty were enrolled in this prospective study. Subjects were randomized to unilateral laser treatment at 2-week intervals for six total treatments, with the contralateral scar used as a control. Read More

    [Scar revision in children: Clinical situations and solutions].
    Ann Chir Plast Esthet 2016 Oct 23;61(5):578-588. Epub 2016 Jun 23.
    Service de chirurgie plastique, reconstructrice et esthétique, hôpital Roger-Salengro, CHRU Lille, rue Emile-Laine, 59037 Lille cedex, France.
    The scar of soft tissues is a permanent stigma of a trauma but it can sometimes be improved. It is more or less accepted by the patient and may be the source of a significant physical and psychosocial impact that leads to a request for a scar revision. Even if the child presents generally an excellent ability to heal, the quality of the scar depends on many factors such as the age, the type of scar or trauma and the affected body area. Read More

    A Combination Approach to Surgical Scars.
    Dermatol Surg 2016 May;42 Suppl 2:S150-6
    *Department of Dermatology, University of California San Diego, San Diego, California; †Scripps Clinic, Laser and Cosmetic Dermatology, San Diego, California; ‡Department of Dermatology, University of Colorado, Boulder, Colorado.
    Background: Scar formation from surgical procedures is an unavoidable risk. Despite measures taken by both the surgeon and patient during the perioperative and postoperative periods to maximize cosmesis, some patients will wish to pursue surgical or laser scar revision.

    Objective: The authors propose a treatment algorithm to assist in approaching surgical scar revision with combination treatments. Read More

    The microsecond 1064 nm Nd:YAG laser as an adjunct to improving surgical scars following Mohs micrographic surgery.
    J Cosmet Laser Ther 2016 Aug 21;18(4):225-9. Epub 2016 Apr 21.
    a Department of Dermatology , Indiana University School of Medicine , Indianapolis , IN , USA.
    Background: Scarring following skin surgery is an unavoidable certainty. Scars resulting from Mohs Micrographic Surgery (MMS) can cause both cosmetic and functional problems. Various lasers have been used to treat scars, but the role of the microsecond pulsed 1064 nanometer neodymium-doped yttrium aluminum garnet (1064 nm Nd:YAG) in treating surgical scars is not well-defined. Read More

    Savior of post-blepharoepicanthoplasty scarring: Novel use of a low-fluence 1064-nm Q-switched Nd:YAG laser.
    J Cosmet Laser Ther 2016 28;18(2):69-71. Epub 2016 Jan 28.
    a Department of Surgery , Singapore General Hospital , Singapore.
    Blepharoplasty with medial epicanthoplasty is popular in Asia. However, known complications include scarring, which can take the form of hypertrophic scars or keloids. Treatments for scars include pressure dressing, silicone gels, retinoic acids, radiotherapy, cryotherapy, triamcinolone injections, and surgical revision. Read More

    Prevention and treatment of nonfacial scars.
    Semin Cutan Med Surg 2015 Sep;34(3):153-7
    Washington Institute of Dermatologic Laser Surgery, Washington, DC, USA.
    Hypertrophy in nonfacial scars can be caused by mechanical stress created by large core muscles and joint movement and by increased pressure and shear over sites with boney prominences. Careful surgical planning and technique to minimize wound tension, followed by tension off-loading, can help minimize scar hypertrophy. Both surgical and nonsurgical techniques can be utilized for non-facial scar revision. Read More

    Intraoperative Ultrasound to Accurately Gauge Scar Thickness and Identify Altered Intrascar Anatomy During Multimodal Revision of a Hypertrophic Chest Wall Burn Scar.
    Dermatol Surg 2015 Dec;41(12):1444-7
    Department of Dermatology, University of California, San Diego, California Department of Dermatology, University of California, San Diego, California Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California Department of Radiology, Rady Children's Hospital, San Diego, California Department of Dermatology, University of California, San Diego, California Division of Pediatric and Adolescent Dermatology, Rady Children's Hospital, San Diego, California, DermOne, LLC, West Conshohocken, Pennsylvania.

    Best Reconstructive Techniques: Improving the Final Scar.
    Dermatol Surg 2015 Oct;41 Suppl 10:S265-75
    *DermSurgery Associates, Houston, Texas; †Dermatology & Laser Surgery Center, Houston, Texas; ‡Department of Dermatology, University of Texas Medical School, Houston, Texas; §Department of Dermatology, Weill Medical College of Cornell University, New York, New York.
    Background: Abnormal cutaneous scarring is due to excessive growth of fibrous tissue in response to traumatic or iatrogenic tissue injury and may adversely affect a patient's quality of life. The success of a surgical procedure is often tied to the cosmetic outcome.

    Objectives: To provide a synthesis of available literature and provide guidelines for the management of cutaneous scars with laser technology. Read More

    Laser tratment of traumatic scars: a military perspective.
    Semin Cutan Med Surg 2015 Mar;34(1):17-23
    Chairman, Dermatology, Naval Medical Center, San Diego, California, USA.
    Advancements in medical treatment and transport over more than a decade of conflict have resulted in unprecedented survival rates for service members despite catastrophic injuries. Enhanced survival has created an unprecedented need for comprehensive rehabilitation and transition services. Though far from the exclusive domain of military dermatologists, military medicine has had a prominent role in integrating cutaneous procedural techniques into the rehabilitation of traumatically injured patients for a variety of reasons. Read More

    Soft tissue trauma and scar revision.
    Facial Plast Surg Clin North Am 2014 Nov 8;22(4):639-51. Epub 2014 Nov 8.
    Division of Otolaryngology-Head and Neck Surgery, University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132, USA.
    Numerous techniques and treatments have been described for scar revision, with most studies focusing on the adult population. A comprehensive review of the literature reveals a paucity of references related specifically to scar revision in children. This review describes the available modalities in pediatric facial scar revision. Read More

    Comparison of non-ablative and ablative fractional laser treatments in a postoperative scar study.
    Lasers Surg Med 2014 Dec 3;46(10):741-9. Epub 2014 Nov 3.
    Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, South Korea.
    Background And Objective: Postoperative scarring after thyroidectomy is a problem for both patients and clinicians. Recently, both non-ablative and ablative fractional laser (NFL and AFL) systems have attracted attention as potential therapies for the revision of thyroidectomy scars. The present split-scar study was designed to directly compare the efficacy of these two methods for the treatment of post-thyroidectomy scars. Read More

    Updated international clinical recommendations on scar management: part 1--evaluating the evidence.
    Dermatol Surg 2014 Aug;40(8):817-24
    *Gold Skin Care Center and Tennessee Clinical Research Center, Nashville, Tennessee; †Center for Clinical and Cosmetic Research, Aventura, Florida; ‡Department of Laser and Surgery, Istituto Dermatologico Europeo, Milano, Italy; §Department of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany; ‖Paces Plastic Surgery, Atlanta, Georgia; ¶Inkwell Medical Communications, Novelty, Ohio.
    Background: There is an ongoing need to standardize scar management by establishing safe and effective treatment options that can be applied in routine clinical practice.

    Objective: To review available data on methods for preventing and treating cutaneous scarring.

    Materials And Methods: Relevant scientific literature was identified through a comprehensive search of the MEDLINE database. Read More

    The Role of the CO2 Laser and Fractional CO2 Laser in Dermatology.
    Laser Ther 2014 Mar;23(1):49-60
    Department of Dermatology, Queen's Square Medical Center, Yokohama, Japan.
    Background: Tremendous advances have been made in the medical application of the laser in the past few decades. Many diseases in the dermatological field are now indications for laser treatment that qualify for reimbursement by many national health insurance systems. Among laser types, the carbon dioxide (CO2) laser remains an important system for the dermatologist. Read More

    Scar prevention and remodeling: a review of the medical, surgical, topical and light treatment approaches.
    Int J Dermatol 2014 Aug 2;53(8):922-36. Epub 2014 Apr 2.
    Department of Dermatology, Wayne State University, Dearborn, MI, USA.
    Cosmetic, functional, and structural sequelae of scarring are innumerable, and measures exist to optimize and ultimately minimize these sequelae. To evaluate the innumerable methods available to decrease the cosmetic, functional, and structural repercussions of scarring, pubMed search of the English literature with key words scar, scar revision, scar prevention, scar treatment, scar remodeling, cicatrix, cicatrix treatment, and cicatrix remodeling was done. Original articles and reviews were examined and included. Read More

    Scar revision.
    Indian J Plast Surg 2013 May;46(2):408-18
    Department of Plastic Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
    Most surgical patients end up with a scar and most of these would want at least some improvement in the appearance of the scar. Using sound techniques for wound closure surgeons can, to a certain extent, prevent suboptimal scars. This article reviews the principles of prevention and treatment of suboptimal scars. Read More

    Systematic review and meta-analysis on outcomes for endoscopic versus external dacryocystorhinostomy.
    Orbit 2014 Apr 19;33(2):81-90. Epub 2013 Dec 19.
    Department of Otorhinolaryngology, Hornsby Hospital , Hornsby, New South Wales , Australia .
    Background: Dacryocystorhinostomy (DCR) is commonly performed for epiphora, dacryocystitis and during tumor surgery. External (EXT-DCR) and endoscopic DCR (END-DCR) are both practiced. END-DCR was initially performed with laser (EL-DCR) but has shifted to careful bone removal with mechanical drills (EM-DCR). Read More

    Residual scarring from hidradenitis suppurativa: fractionated CO2 laser as a novel and noninvasive approach.
    Pediatrics 2014 Jan 9;133(1):e248-51. Epub 2013 Dec 9.
    Scar Treatment and Revision (S.T.A.R.) Program, Pediatric and Adolescent Dermatology, Rady Children's Hospital, 8010 Frost St, Suite 602, San Diego, CA 92123.
    Hidradenitis suppurativa (HS) is a chronic, relapsing, inflammatory skin condition that can have a significant psychosocial impact, both with the active disease and with residual scarring. Although a wide variety of treatment options exist for HS, to our knowledge there are no reported modalities aimed specifically at treating HS scarring. We describe the case of an adolescent female who received medical management of intramammary HS followed by successful treatment with fractionated 10,600-nm carbon dioxide laser for her residual cribriform scarring. Read More

    Addition of platelet concentrate to dermo-epidermal skin graft in deep burn trauma reduces scarring and need for revision surgeries.
    Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2014 Jun 27;158(2):242-58. Epub 2013 Sep 27.
    Institute of Radiodiagnostic and Vice-President for Science and Research, University Hospital Ostrava, Czech Republic.
    Background: [corrected] Deep skin burn injuries, especially those on the face, hands, feet, genitalia and perineum represent significant therapeutic challenges. Autologous dermo-epidermal skin grafts (DESG) have become standard of care for treating deep burns. Additionally, human autologous thrombin activated autologous platelet concentrate (APC) has gained acceptance in the setting of wounds. Read More

    Use of local mitomycin C in enhancing laryngeal healing after laser cordotomy: a prospective controlled study.
    Head Neck 2014 Sep 13;36(9):1248-52. Epub 2014 Jan 13.
    Department of Otorhinolaryngology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
    Background: The purpose of this study was to investigate the role of intraoperative application of mitomycin C in prevention of glottic restenosis after posterior transverse CO2 laser cordotomy (PTLC) for patients with post-thyroidectomy bilateral vocal fold paralysis.

    Methods: Twenty-five patients with an impaired airway because of bilateral vocal fold paralysis were treated with PTLC. Patients were divided into groups: the mitomycin C group (13 patients) had PTLC and topical mitomycin C; and the control group (12 patients) had PTLC only. Read More

    [The treatment of combined cicatrical stenoses of the larynx and trachea].
    Vestn Otorinolaringol 2013 (1):64-7
    The objective of the present study was to analyse the causes behind formation of combined laryngothracheal stenoses and the factors contributing to their development. The secondary objective was to determine the main classification characteristics of cicatrical stenoses of the larynx and trachea, and to estimate the effectiveness of their treatment by a combined reconstructive surgical technique. Analysis of outcomes of the surgical treatment of 19 patients with combined cicatrical stenoses of the larynx and trachea of different etiology for the period from 2005 to 2011 is presented. Read More

    Usefulness of carbon dioxide laser for recurrent lumbar disc herniation.
    Photomed Laser Surg 2012 Oct 13;30(10):568-72. Epub 2012 Aug 13.
    Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.
    Objective: During revision microdiscectomy for recurrent lumbar disc herniation (rLDH), the major concerns are approach-related complications, including dural tear and nerve root injury, because of adhesion scars and granulation tissue along the previous laminotomy site. In revision microdiscectomy of rLDH, carbon dioxide (CO2) laser can enable precise dissection and removal of adhesion scar. The purpose of this study was to evaluate the clinical usefulness of CO2 laser dissection in patients who had undergone revision microdisectomy of rLDH. Read More

    Scar revision review.
    Arch Facial Plast Surg 2012 May-Jun;14(3):162-74
    Department of Otolaryngology–Head and Neck Surgery, University of Illinois at Chicago, 60612, USA.
    Scars are a natural part of dermal healing following lacerations, incisions, or tissue loss. They can vary in quality depending on the individual's racial characteristics, the mechanism of the trauma, and conditions in which the wound healed-all of which are factors beyond the surgeon's control. A scar on the face can have significant implications for the patient. Read More

    Successes, revisions, and postoperative complications in 446 Mohs defect repairs.
    Facial Plast Surg 2012 Jun 21;28(3):358-66. Epub 2012 Jun 21.
    Division of Facial Plastic Surgery, The New York Eye & Ear Infirmary, 310 E. 14th St., New York, NY 10003, USA.
    Objective: To determine factors predictive of complications and the need for adjunctive treatments repair of facial Mohs defects.

    Methods: Charts of patients undergoing repair of facial defects from 2000 to 2010 in an academic facial plastic surgery practice were reviewed for patient medical history, tumor type, defect site and size, method of repair, postoperative sequelae, and adjunctive treatments.

    Results: A total of 446 Mohs defect repairs were analyzed. Read More

    Early chemabrasion for acne scars after treatment with oral isotretinoin.
    Dermatol Surg 2012 Sep 11;38(9):1521-6. Epub 2012 Jun 11.
    Department of Dermatology, São Paulo, Brazil.
    Background: Acne is an inflammatory disease of the pilosebaceous follicles. Oral isotretinoin is the treatment of choice for severe acne. Exaggerated cicatrization related to oral isotretinoin was reported in the 1980s and 1990s. Read More

    Ablative fractional resurfacing for the treatment of traumatic scars and contractures.
    Semin Cutan Med Surg 2012 Jun;31(2):110-20
    Department of Dermatology, Naval Medical Center San Diego, San Diego, CA, USA.
    After a decade of military conflict, thousands of wounded warriors have suffered debilitating and cosmetically disfiguring scars and scar contractures. Clearly, there is a need for effective scar treatment regimens to assist in the functional and cosmetic rehabilitation of these patients. Traditional treatments, including aggressive physical and occupational therapy and dedicated wound care, are essential. Read More

    Management of acne scarring, part I: a comparative review of laser surgical approaches.
    Am J Clin Dermatol 2012 Oct;13(5):319-30
    Department of Dermatology, University of Pennsylvania, Philadelphia, PA, USA.
    Acne scarring is the result of a deviation in the orderly pattern of healing and can have profound psychosocial implications for patients. While the most effective means of addressing acne scarring is to prevent its formation through good acne control, there are a number of therapeutic interventions that improve the appearance of acne scars. Many of these procedural modalities have flaws and are limited by operator skill and experience. Read More

    Comparison of the effectiveness of nonablative fractional laser versus ablative fractional laser in thyroidectomy scar prevention: A pilot study.
    J Cosmet Laser Ther 2012 Apr;14(2):89-93
    Department of Dermatology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
    A scar is a mark that remains after the healing of a wound or other morbid processes. In the past, treatment was mainly focused on severe scarring, such as the hypertrophic and burn scars. However, scars from relatively minor wounds can also be stressful. Read More

    Laser treatment for improvement and minimization of facial scars.
    Facial Plast Surg Clin North Am 2011 Aug;19(3):527-42
    Perelman Center for Advanced Medicine, University of Pennsylvania, 3400 Civic Center Boulevard, Room 1-330S, Philadelphia, PA 19104, USA.
    Cutaneous injuries that result in scar formation are relatively common, leading patients to seek treatment for cosmetic or functional improvement. Treatments that have the potential to improve or eliminate scarring include radiation therapy, surgical excision, and intralesional injections of corticosteroids, 5-flourouracil, or bleomycin. Unfortunately, these methods are associated with high recurrence rates and untoward sequelae such as skin atrophy, dyspigmentation, and pain. Read More

    1550-nm nonablative laser resurfacing for facial surgical scars.
    Arch Facial Plast Surg 2011 May-Jun;13(3):203-10
    University of Miami Cosmetic Medicine and Research Institute, Miami, Florida, USA.
    Objective: To investigate the efficacy of 1550-nm (Fraxel SR1500 RE:Store; Solta Medical, Hayward, California) nonablative laser treatment of facial surgical scars.

    Methods: In this prospective clinical study, a volunteer sample of 13 adults with Fitzpatrick skin types I to III and facial surgical scars with a postoperative duration longer than 6 months were enrolled. Subjects were treated once every 4 weeks for a total of 4 treatments. Read More

    Use of tattooing to camouflage various scars.
    Aesthetic Plast Surg 2011 Jun 1;35(3):392-5. Epub 2011 Apr 1.
    Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
    Background: Tattooing often is overlooked by plastic surgeons when treating scars. However, some scars are not apt for surgical scar revision and cannot be dramatically improved by laser treatment either. Tattooing can be considered as a simple alternative in such situations. Read More

    Laser scar revision: A review.
    J Cosmet Laser Ther 2011 Apr;13(2):54-62
    The Skin and Laser Surgery Center of New England, Nashua, New Hampshire, USA.
    Surgery, burns, wounds, and inflammatory processes can lead to the development of a variety of different scars. Scars are categorized as hypertrophic, keloid, atrophic and acne scars. Different treatments are utilized for each scar type. Read More

    Persistent and recurrent conductive deafness following stapedotomy.
    J Laryngol Otol 2011 May 9;125(5):460-6. Epub 2010 Dec 9.
    Otolaryngology Unit, University of Edinburgh, Scotland, UK.
    Background: Stapedotomy produces the best hearing results of any otological operation. However, in a small number of cases the air-bone gap is not successfully closed, or conductive hearing loss recurs.

    Objective: To investigate the proportion of cases in the senior author's series which required revision surgery and to determine the medium to long term success rate of surgery, taking into account the results of revision surgery. Read More

    Lasers for scars: a review and evidence-based appraisal.
    J Drugs Dermatol 2010 Nov;9(11):1355-62
    Department of Dermatology and Cutaneous Surgery, University of Miami, Miami, FL 33136, USA.
    Numerous treatment modalities are available for scar management depending upon scar characteristics, age and patient expectations. The focus of this article is to review commonly used nonsurgical methods of scar revision. These include topical applications (e. Read More

    Prophylactic low-level light therapy for the treatment of hypertrophic scars and keloids: a case series.
    Lasers Surg Med 2010 Aug;42(6):597-601
    RoseLab Skin Optics Research Laboratory, Montreal, Quebec, Canada.
    Background And Objectives: Hypertrophic and keloid scars result from alterations in the wound healing process. Treating abnormal scars remains an important challenge. The aim of this case series was to investigate the effectiveness of near infrared (NIR) light emitting diode (LED) treatment as a prophylactic method to alter the wound healing process in order to avoid or attenuate the formation of hypertrophic scars or keloids. Read More

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