Laser Treatment of Scars

Sepehr Oliaei; John Stuart Nelson; Richard Fitzpatrick; Brian J.F. Wong

doi:10.1055/s-0032-1325646

Facial Plastic Surgery, Inhaltsverzeichnis

Facial Plast Surg 2012; 28(05): 518-524
DOI: 10.1055/s-0032-1325646

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Laser Treatment of Scars

Authors

Sepehr Oliaei

¹Department of Otolaryngology–Head and Neck Surgery, University of California Irvine, Orange, California
John Stuart Nelson

²University of California Irvine, The Beckman Laser Institute and Medical Clinic, Irvine, California
Richard Fitzpatrick

³Department of Dermatology, Cosmetic Laser Dermatology, San Diego, California
Brian J.F. Wong

¹Department of Otolaryngology–Head and Neck Surgery, University of California Irvine, Orange, California

⁴Division of Facial Plastic Surgery, Department of Otolaryngology, University of California Irvine, Irvine, California

⁵Department of Biomedical Engineering, Department of Surgery, The Beckman Laser Institute and Medical Clinic, Irvine, California

Abstract

Recent advances in optical technologies have produced laser systems capable of optimizing the appearance of scars from various etiologies. Laser treatment can commence as early as the time of the initial injury and as late as several years after the injury. Optimal results can now be attained with minimal down time. Herein, we review several available optical technologies for treatment of surgical, traumatic, and inflammatory scars, based upon our clinical experience.

Keywords

laser - scar - revision - fractional - acne

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Referenzen

References
1 Katz BE, Oca AG. A controlled study of the effectiveness of spot dermabrasion (“scarabrasion”) on the appearance of surgical scars. J Am Acad Dermatol 1991; 24: 462-466
2 Harmon CB, Zelickson BD, Roenigk RK , et al. Dermabrasive scar revision. Immunohistochemical and ultrastructural evaluation. Dermatol Surg 1995; 21: 503-508
3 Oliveira GV, Hawkins HK, Chinkes D , et al. Hypertrophic versus non hypertrophic scars compared by immunohistochemistry and laser confocal microscopy: type I and III collagens. Int Wound J 2009; 6: 445-452
4 Capon A, Souil E, Gauthier B , et al. Laser assisted skin closure (LASC) by using a 815-nm diode-laser system accelerates and improves wound healing. Lasers Surg Med 2001; 28: 168-175
5 Cotton J, Hood AF, Gonin R, Beesen WH, Hanke CW. Histologic evaluation of preauricular and postauricular human skin after high-energy, short-pulse carbon dioxide laser. Arch Dermatol 1996; 132: 425-428
6 Kitzmiller WJ, Visscher M, Page DA, Wicket RR, Kitzmiller KW, Singer LJ. A controlled evaluation of dermabrasion versus CO2 laser resurfacing for the treatment of perioral wrinkles. Plast Reconstr Surg 2000; 106: 1366-1372 ; discussion 1373–1374
7 Nehal KS, Levine VJ, Ross B, Ashinoff R. Comparison of high-energy pulsed carbon dioxide laser resurfacing and dermabrasion in the revision of surgical scars. Dermatol Surg 1998; 24: 647-650
8 Green HA, Domankevitz Y, Nishioka NS. Pulsed carbon dioxide laser ablation of burned skin: in vitro and in vivo analysis. Lasers Surg Med 1990; 10: 476-484
9 Newman JB, Lord JL, Ash K, McDaniel DH. Variable pulse erbium:YAG laser skin resurfacing of perioral rhytides and side-by-side comparison with carbon dioxide laser. Lasers Surg Med 2000; 26: 208-214
10 Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science 1983; 220: 524-527
11 Allison KP, Kiernan MN, Waters RA, Clement RM. Pulsed dye laser treatment of burn scars. Alleviation or irritation?. Burns 2003; 29: 207-213
12 Zhibo X, Miaobo Z. Molecular mechanism of pulsed-dye laser in treatment of keloids: an in vitro study. Adv Skin Wound Care 2010; 23: 29-33
13 Alster TS. Improvement of erythematous and hypertrophic scars by the 585-nm flashlamp-pumped pulsed dye laser. Ann Plast Surg 1994; 32: 186-190
14 Tong AK, Tan OT, Boll J, Parrish JA, Murphy GF. Ultrastructure: effects of melanin pigment on target specificity using a pulsed dye laser (577 nm). J Invest Dermatol 1987; 88: 747-752
15 Manstein D, Herron GS, Sink RK, Tanner H, Anderson RR. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med 2004; 34: 426-438
16 Orringer JS, Rittié L, Baker D, Voorhees JJ, Fisher G. Molecular mechanisms of nonablative fractionated laser resurfacing. Br J Dermatol 2010; 163: 757-768
17 Hunzeker CM, Weiss ET, Geronemus RG. Fractionated CO2 laser resurfacing: our experience with more than 2000 treatments. Aesthet Surg J 2009; 29: 317-322
18 Haedersdal M. Fractional ablative CO(2) laser resurfacing improves a thermal burn scar. J Eur Acad Dermatol Venereol 2009; 23: 1340-1341
19 McCraw JB, McCraw JA, McMellin A, Bettencourt N. Prevention of unfavorable scars using early pulse dye laser treatments: a preliminary report. Ann Plast Surg 1999; 42: 7-14
20 Conologue TD, Norwood C. Treatment of surgical scars with the cryogen-cooled 595 nm pulsed dye laser starting on the day of suture removal. Dermatol Surg 2006; 32: 13-20
21 Nouri K, Jimenez GP, Harrison-Balestra C, Elgart GW. 585-nm pulsed dye laser in the treatment of surgical scars starting on the suture removal day. Dermatol Surg 2003; 29: 65-73 ; discussion 73
22 Sherling M, Friedman PM, Adrian R , et al. Consensus recommendations on the use of an erbium-doped 1,550-nm fractionated laser and its applications in dermatologic laser surgery. Dermatol Surg 2010; 36: 461-469
23 Capon A, Iarmarcovai G, Gonnelli D, Degardin N, Magalon G, Mordon S. Scar prevention using Laser-Assisted Skin Healing (LASH) in plastic surgery. Aesthetic Plast Surg 2010; 34: 438-446
24 Capon A, Iarmarcovai G, Mordon S. Laser-assisted skin healing (LASH) in hypertrophic scar revision. J Cosmet Laser Ther 2009; 11: 220-223
25 Choe JH, Park YL, Kim BJ , et al. Prevention of thyroidectomy scar using a new 1,550-nm fractional erbium-glass laser. Dermatol Surg 2009; 35: 1199-1205
26 Achauer BM, Nelson JS, Vander Kam VM, Applebaum R. Treatment of traumatic tattoos by Q-switched ruby laser. Plast Reconstr Surg 1994; 93: 318-323
27 Chang SE, Choi JH, Moon KC, Koh JK, Sung KJ. Successful removal of traumatic tattoos in Asian skin with a Q-switched alexandrite laser. Dermatol Surg 1998; 24: 1308-1311
28 Dufresne Jr RG, Garrett AB, Bailin PL, Ratz JL. CO2 laser treatment of traumatic tattoos. J Am Acad Dermatol 1989; 20: 137-138
29 Haywood RM, Monk BE, Mahaffey PJ. Treatment of traumatic tattoos with the Nd YAG laser: a series of nine cases. Br J Plast Surg 1999; 52: 97-98
30 Tanzi EL, Alster TS. Comparison of a 1450-nm diode laser and a 1320-nm Nd:YAG laser in the treatment of atrophic facial scars: a prospective clinical and histologic study. Dermatol Surg 2004; 30 (2 Pt 1) 152-157
31 Rogachefsky AS, Hussain M, Goldberg DJ. Atrophic and a mixed pattern of acne scars improved with a 1320-nm Nd:YAG laser. Dermatol Surg 2003; 29: 904-908
32 Hasegawa T, Matsukura T, Mizuno Y, Suga Y, Ogawa H, Ikeda S. Clinical trial of a laser device called fractional photothermolysis system for acne scars. J Dermatol 2006; 33: 623-627
33 Hedelund L, Moreau KE, Beyer DM, Nymann P, Haedersdal M. Fractional nonablative 1,540-nm laser resurfacing of atrophic acne scars. A randomized controlled trial with blinded response evaluation. Lasers Med Sci 2010; 25: 749-754