Traumatic and surgical scars: successful treatment with a 1,565nm erbium-glass NAFL combined with IPL.

Abstract

Scars are a very common condition of the general population and can have a profound impact on the psyche of the patient such as low self-esteem and feelings of psychosocial isolation. Various therapeutic approaches have been proposed for improving the clinical appearance of scars. Fractional mode of ablative and non-ablative lasers has become a novel strategy for the treatment of scars. A total of 43 patients (Fitzpatrick skin type II to IV), clinically diagnosed of surgical and post-traumatic scars from January 2015 to December 2016, were treated. Each treatment comprised of several passes over the scars with different devices, using a 1.565nm scanned erbium-doped fiber NAFL and an IPL. All patients noted subjective improvement in cosmesis and functionality after treatment, also with a decreased pain and an increased mobility on the underlying plans. Numerous therapeutic strategies for traumatic and surgical scars have been suggested to date, but no consistent treatment modality has been established yet. In our study, we have shown that there was a significant collagen remodelling with decrease of scar vascularity and significant improvement of pliability of scar after combined treatment with non-ablative fractional resurfacing and IPL resulting in a remarkable improvement in scar vascularity, pigmentation and height.

• Authors: D Quarato, M Pascali, F Carinci
• Journal: Journal of biological regulators and homeostatic agents (J Biol Regul Homeost Agents) 2018 Jan-Feb Vol. 32 Issue 2 Suppl. 1 Pg. 159-165 ISSN: 0393-974X [Print] Italy
• PMID: 29460536 (Publication Type: Journal Article)

Chemical References

• Erbium
• Collagen

Topics

• Cicatrix
• Collagen
• Combined Modality Therapy
• Erbium
• Humans
• Treatment Outcome