Laser Scar Management Technique

Overview

Journal Laser Ther

Date 2014 Feb 11

PMID 24511202

Citations 3

Authors

Takafumi Ohshiro

Toshio Ohshiro

Katsumi Sasaki

Affiliations

Soon will be listed here.

Abstract

Background And Aims: Scars are common and cause functional problems and psychological morbidity. Recent advances in optical technologies have produced various laser systems capable of revising the appearance of scars from various etiologies to optimize their appearance.

Methods: Laser treatment can commence as early as the time of the initial injury and as late as several years after the injury. Several optical technologies are currently available and combined laser/light treatments are required for treatment of scars. Since 2006, we have set up a scar management department in our clinic and more than 2000 patients have been treated by our combined laser irradiation techniques. Herein, we review several available light technologies for treatment of surgical, traumatic, and inflammatory scars, and discuss our combined laser treatment of scars, based upon our clinical experience.

Results And Conclusions: Because scars have a variety of potential aetiologies and take a number of forms, no single approach can consistenty provide good scar treatment and management. The combination of laser and devices is essential, the choice of wavelength and approach being dictated by each patient as an individual.

Citing Articles

Medical Aesthetics - Current Trends and a Review of Its Applications.

Arora G, Arora S Indian Dermatol Online J. 2023; 14(3):309-319.

PMID: 37266088 PMC: 10231726. DOI: 10.4103/idoj.idoj_264_22.

Necrobiosis Lipoidica Affecting the Leg: What Is the Best Treatment in a Patient with Very High Aesthetic Demand?.

Baccarani A, De Maria F, Pappalardo M, Pedone A, De Santis G Plast Reconstr Surg Glob Open. 2020; 8(7):e3000.

PMID: 32802684 PMC: 7413758. DOI: 10.1097/GOX.0000000000003000.

Low versus High Fluence Parameters in the Treatment of Facial Laceration Scars with a 1,550 nm Fractional Erbium-Glass Laser.

Shim H, Jun D, Kim S, Jung S, Kwon H Biomed Res Int. 2015; 2015:825309.

PMID: 26236738 PMC: 4508380. DOI: 10.1155/2015/825309.

References

Kuo Y, Jeng S, Wang F, Chen T, Huang H, Chang P . Flashlamp pulsed dye laser (PDL) suppression of keloid proliferation through down-regulation of TGF-beta1 expression and extracellular matrix expression. Lasers Surg Med. 2004; 34(2):104-8. DOI: 10.1002/lsm.10206. View

Alster T, Williams C . Treatment of keloid sternotomy scars with 585 nm flashlamp-pumped pulsed-dye laser. Lancet. 1995; 345(8959):1198-200. DOI: 10.1016/s0140-6736(95)91989-9. View

Ohshiro T, Fujino T . Laser applications in plastic and reconstructive surgery. Keio J Med. 1993; 42(4):191-5. DOI: 10.2302/kjm.42.191. View

Manuskiatti W, FitzPatrick R, Goldman M . Energy density and numbers of treatment affect response of keloidal and hypertrophic sternotomy scars to the 585-nm flashlamp-pumped pulsed-dye laser. J Am Acad Dermatol. 2001; 45(4):557-65. DOI: 10.1067/mjd.2001.116580. View

Glaich A, Rahman Z, Goldberg L, Friedman P . Fractional resurfacing for the treatment of hypopigmented scars: a pilot study. Dermatol Surg. 2007; 33(3):289-94. DOI: 10.1111/j.1524-4725.2007.33058.x. View

Alster T, Kurban A, Grove G, GROVE M, Tan O . Alteration of argon laser-induced scars by the pulsed dye laser. Lasers Surg Med. 1993; 13(3):368-73. DOI: 10.1002/lsm.1900130314. View

Kuo Y, Wu W, Wang F . Flashlamp pulsed-dye laser suppressed TGF-beta1 expression and proliferation in cultured keloid fibroblasts is mediated by MAPK pathway. Lasers Surg Med. 2007; 39(4):358-64. DOI: 10.1002/lsm.20489. View

Tierney E, Mahmoud B, Srivastava D, Ozog D, Kouba D . Treatment of surgical scars with nonablative fractional laser versus pulsed dye laser: a randomized controlled trial. Dermatol Surg. 2009; 35(8):1172-80. DOI: 10.1111/j.1524-4725.2009.01085.x. View

Alster T, Tanzi E, Lazarus M . The use of fractional laser photothermolysis for the treatment of atrophic scars. Dermatol Surg. 2007; 33(3):295-9. DOI: 10.1111/j.1524-4725.2007.33059.x. View

10.

Kuo Y, Wu W, Jeng S, Wang F, Huang H, Lin C . Suppressed TGF-beta1 expression is correlated with up-regulation of matrix metalloproteinase-13 in keloid regression after flashlamp pulsed-dye laser treatment. Lasers Surg Med. 2005; 36(1):38-42. DOI: 10.1002/lsm.20104. View

11.

Manuskiatti W, Wanitphakdeedecha R, Fitzpatrick R . Effect of pulse width of a 595-nm flashlamp-pumped pulsed dye laser on the treatment response of keloidal and hypertrophic sternotomy scars. Dermatol Surg. 2007; 33(2):152-61. DOI: 10.1111/j.1524-4725.2006.33033.x. View

12.

Manuskiatti W, Fitzpatrick R . Treatment response of keloidal and hypertrophic sternotomy scars: comparison among intralesional corticosteroid, 5-fluorouracil, and 585-nm flashlamp-pumped pulsed-dye laser treatments. Arch Dermatol. 2002; 138(9):1149-55. DOI: 10.1001/archderm.138.9.1149. View

13.

Cervelli V, Gentile P, Spallone D, Nicoli F, Verardi S, Petrocelli M . Ultrapulsed fractional CO2 laser for the treatment of post-traumatic and pathological scars. J Drugs Dermatol. 2010; 9(11):1328-31. View

14.

Kuo Y, Wu W, Jeng S, Huang H, Yang K, Sacks J . Activation of ERK and p38 kinase mediated keloid fibroblast apoptosis after flashlamp pulsed-dye laser treatment. Lasers Surg Med. 2005; 36(1):31-7. DOI: 10.1002/lsm.20129. View

15.

Henderson D, Cromwell T, Mes L . Argon and carbon dioxide laser treatment of hypertrophic and keloid scars. Lasers Surg Med. 1984; 3(4):271-7. DOI: 10.1002/lsm.1900030402. View