177 results match your criteria: "Laser Revision of Scars"
Management of Keloids and Hypertrophic Scars.
Am Fam Physician
December 2024
Full Circle Health, Boise, Idaho.
Keloid and hypertrophic scars are a result of aberrant wound healing responses within the reticular dermis. They are thought to be secondary to the formation of a disorganized extracellular matrix due to excessive fibroproliferative collagen response. Prevention of these scars focuses on avoiding elective or cosmetic procedures such as piercings in patients at high risk, reducing tension across the lesion, and decreasing the inflammatory response.
View Article and Find Full Text PDFThe Fractured Insurance Landscape of Laser Therapy for Scar Revision.
J Burn Care Res
September 2024
Department of Plastic & Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Article Synopsis
- Fractional laser therapy is effective for improving skin texture and quality of life for patients with traumatic scars, but there are concerns about its declining insurance coverage.
- A study examined policies from 60 major American health insurers and found only a minority (18.3%) covered scar revision with laser therapy, while 13.8% of claims from one institution were denied.
- Over the study period from 2017 to 2022, there was a 14.5% annual decrease in the likelihood of getting reimbursement for this treatment, highlighting the need for better strategies to maintain patient access.
A Comparative Analysis of the Advances in Scar Reduction: Techniques, Technologies, and Efficacy in Plastic Surgery.
Cureus
August 2024
Orthopedic Surgery, Holy Cross Hospital, Fort Lauderdale, USA.
Article Synopsis
- This study analyzes current methods and treatments for improving scar management, focusing on how scars differ from healthy skin due to the formation of fibroblasts and structured collagen bundles.
- It classifies scars into hypertrophic and keloids, emphasizing the need for standardized assessment tools like the Vancouver Scar Scale for effective scar evaluation.
- The review covers a range of scar management techniques, from traditional methods to advanced therapies like microneedling and platelet-rich plasma, and highlights the potential of botulinum toxin A in scar treatment while calling for more research to optimize these approaches.
Addressing Burn Hypertrophic Scar Symptoms Earlier: Laser Scar Revision May Begin as Early as 3-6 Months After Injury.
Lasers Surg Med
September 2024
Firefighters' Burn and Surgical Research Laboratory, MedStar Health Research Institute, Washington, DC, USA.
Objectives: Fractional ablative CO laser (FLSR) is used to treat hypertrophic scars (HTSs) resulting from burn injuries, which are characterized by factors, such as erythema, contracture, thickness, and symptoms of pain and itch. Traditionally, waiting a year after injury for scar maturation before starting laser treatment has been recommended; however, the potential benefits of earlier intervention have gained popularity. Still, the optimal timing for beginning laser intervention in patients with HTSs remains uncertain.
View Article and Find Full Text PDFNavigating Scar Care: An Evaluation of Scar Treatment Patient Education Materials.
J Burn Care Res
September 2024
Division of Plastic and Reconstructive Surgery, Keck School of Medicine, Los Angeles, CA 90033, USA.
Article Synopsis
- A study assessing online patient education materials (PEMs) for scar management found that they generally lack readability and actionable content, with only moderate understandability ratings.
- The most common interventions discussed were surgical and laser techniques, while simpler, noninvasive methods like scar massage and sun protection received minimal attention.
- Recommendations for improvement include simplifying language, adding visual aids, and providing clear checklists to enhance patient comprehension and encourage proactive scar management.
Laser Applications in Wound and Scar Management Post-Mohs Micrographic Surgery: A Systematic Review.
J Cutan Med Surg
August 2024
Laserderm, Ottawa, ON, Canada.
Article Synopsis
- - Mohs micrographic surgery (MMS) can cause complications like scarring and delayed healing, especially on the face, neck, and chest, prompting a study on laser treatments post-surgery for better recovery and scar reduction.
- - A systematic review of 2,147 studies identified 17 relevant studies that showed lasers are effective for various applications related to wound healing and scar improvement with minimal adverse effects.
- - Overall, laser treatment after MMS is considered safe, well-tolerated, and less invasive than surgery, resulting in high patient satisfaction rates.
Trapdoor Deformity Correction Post Nasal Bilobed Flaps for Basal Cell Carcinoma Reconstruction With Multiple Laser Modalities.
Ann Plast Surg
January 2024
From the Department of Education.
Article Synopsis
- Bilobed flaps are the preferred reconstruction method for nasal basal cell carcinoma (BCC) excision defects smaller than 15 mm, but they can lead to trapdoor deformity post-surgery.
- A case study of a 44-year-old woman revealed that after developing a trapdoor deformity following bilobed flap reconstruction, her scar was effectively improved using various laser treatments over several weeks.
- The study highlights that while BCC is usually treatable, concerns about the cosmetic outcome can arise, and factors like skin thickness and surgical technique may contribute to the risk of deformities like trapdoor scars.
Botulinium toxin applications in the lower face and neck: A comprehensive review.
J Cosmet Dermatol
April 2024
Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Article Synopsis
- Botulinum toxin, traditionally used for the upper and middle face, is now being explored for cosmetic and medical applications in the lower face and neck areas.
- A literature review highlighted its effectiveness for various issues like facial contouring, scars, and drooping lips while also discussing potential concerns and side effects.
- Despite a generally low incidence of side effects and their self-limiting nature, there's a need for updated regulations and further research on the best practices for dosage and injection methods.
Insights on in-office scar revision and resurfacing procedures.
World J Otorhinolaryngol Head Neck Surg
September 2023
Article Synopsis
- The review explores the range of facial plastic surgery procedures that can be safely performed in an office setting, such as chemical peels and scar revision techniques.
- Methods involved a literature review through PubMed to assess relevant outpatient facial plastic procedures and compile current practices in the field.
- The findings indicate several effective scar revision techniques, dermabrasion for elevated scars, and various lasers and chemical peels for facial rejuvenation, all manageable with proper patient counseling.
Outcomes of Holmium Laser, Cryoablation, and Budesonide Inhalation for Treating Severe Central Airway Stenosis in Infants.
J Invest Surg
December 2023
Department of Respiratory Medicine, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Article Synopsis
- This study examines the safety and effectiveness of holmium laser treatment combined with cryoablation and budesonide inhalation in infants suffering from severe central airway stenosis (CAS).
- The research included 28 infants, evaluating their treatment outcomes and determining success based on improvements in airway blockage and stability after one year.
- Results show a high success rate for treatments, especially for web-like stenosis, with no significant complications noted during follow-up, suggesting this approach is a viable option for managing CAS in infants.
Cosmetic therapies for Chinese patients with acne taking concomitant or recent intake of oral isotretinoin: A retrospective study.
J Cosmet Dermatol
November 2023
Department of Dermatology, Peking University First Hospital, Beijing, China.
Article Synopsis
- The study questions the standard recommendation to wait 6 months after stopping isotretinoin before starting cosmetic treatments for acne, suggesting earlier interventions may be beneficial for patients.
- Researchers analyzed the safety and effectiveness of various skin procedures like chemical peels and laser treatments on 511 patients currently on or who recently used isotretinoin, noting the positive outcomes from 1352 treatments performed.
- Results indicate it is safe to conduct skin procedures during or within 6 months post-isotretinoin treatment without increasing the risk of serious side effects, highlighting a need to revise current treatment guidelines.
Treatment of burn hypertrophic scar with fractional ablative laser-assisted drug delivery can decrease levels of hyperpigmentation.
Lasers Surg Med
July 2023
Firefighters' Burn and Surgical Research Laboratory, MedStar Health Research Institute, Washington, District of Columbia, USA.
Article Synopsis
- Laser treatments, specifically CO fractional ablative laser scar revision, have been studied for their effectiveness in reducing hyperpigmentation in scars across different skin types using both qualitative (POSAS and VSS) and quantitative (melanin index) measures.
- A cohort of 63 patients, all of whom had multiple laser sessions, was analyzed to assess changes in pigmentation and other demographic variables like age, gender, and ethnicity.
- Preliminary results indicate most patients experienced a decrease in hyperpigmentation, but detailed outcomes and statistics will need further investigation to fully understand treatment effectiveness.
Acquired nasopharyngeal stenosis after radiation treatment for nasopharyngeal carcinoma.
Am J Otolaryngol
May 2023
Department of Otolaryngology-Head & Neck Surgery, Tufts Medical Center, Boston, MA, United States of America; Tufts University School of Medicine, Boston, MA, United States of America.
Article Synopsis
- Nasopharyngeal stenosis (NPS) is a serious complication that can happen after radiation treatment for nasopharyngeal carcinoma, and this review discusses the latest management strategies and patient outcomes.
- A review of 14 studies found 59 patients with NPS, with most (51) successfully treated through endoscopic excision; fewer had success with balloon dilation.
- Primary excision of scar tissue is identified as the most effective treatment, showing lower revision rates compared to balloon dilation (62% vs. 17%).
Laser Treatment of Hypertrophic Scar in a Porcine Model Induces Change to Epidermal Histoarchitecture That Correlates to Improved Epidermal Barrier Function.
J Burn Care Res
July 2023
Firefighters' Burn and Surgical Research Laboratory, MedStar Health Research Institute, Washington, DC, USA.
Article Synopsis
- The study investigates how fractional ablative CO2 laser scar revision (FLSR) affects hypertrophic scars (HTS) by examining changes in skin structure and gene expression in experimental Duroc pigs.
- Researchers performed four weekly FLSR treatments on injured pigs and monitored skin healing using noninvasive probes and biopsies to assess epidermal thickness and other factors.
- Results showed that FLSR significantly improved barrier function and increased epidermal thickness and rete ridge ratios, particularly with immediate treatment, while control groups showed no such improvements.
Scar revision coverage via crime victim assistance and compensation services.
J Am Acad Dermatol
January 2023
University of Connecticut School of Medicine, Farmington, Connecticut; Department of Dermatology, UConn Health, Farmington, Connecticut; Department of Dermatology, University of Florida, Gainesville, Florida. Electronic address:
Article Synopsis
- The study highlights a serious complication of sterile keratolysis after a presbyopia inlay was implanted in a 55-year-old man following LASIK surgery to correct hyperopia.
- The patient experienced significant issues, including severe scarring and flattening of the cornea, which required the inlay to be surgically removed just two months post-surgery, despite initial good visual acuity results.
- The case emphasizes the risks associated with synthetic corneal inlays, particularly their potential to cause corneal haze, and documents the long-term medical management needed for visual rehabilitation.
Combination of 1064 nm Long-Pulsed and Q-Switched Nd:YAG Laser for Facial Hypertrophic Scar and Hyperpigmentation Following Burn Injury.
Int Med Case Rep J
January 2022
Department of Plastic Surgery and Reconstruction, Faculty of Medicine, Universitas Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
Article Synopsis
- Burn injuries can lead to serious complications like hypertrophic scars and post-inflammatory hyperpigmentation (PIH), impacting healing and quality of life.
- A 20-year-old man with these issues was treated using a combination of long-pulsed and Q-switched Nd:YAG laser therapies, resulting in significant clinical improvement after five sessions without major side effects.
- This dual laser approach effectively reduces scar thickness and improves skin tone, presenting a viable treatment option for managing post-burn scars and hyperpigmentation.
Safety and efficacy of fractional radiofrequency for the treatment and reduction of acne scarring: A prospective study.
Lasers Surg Med
January 2022
Ameriderm Research, Leavitt Medical Associates of Florida, Port Orange, Florida, USA.
Article Synopsis
- This clinical trial aimed to evaluate the effectiveness and safety of fractional radiofrequency (FRF) for treating moderate to severe acne scarring across various skin types, using two different energy delivery applicator tips.
- After three treatments spaced 4 weeks apart, results showed a significant improvement in acne scarring, as judged by blinded evaluators, with a p-value of 0.009 on the Global Aesthetic Improvement Scale.
- Patients expressed high satisfaction with the treatment, averaging a score of 3.27 out of 4, reported mild pain levels during the procedure, and 91% would recommend the treatment to others.
A Single-Institution Experience With Standardized Objective and Subjective Scar Evaluation While Undergoing Fractional Ablative Carbon Dioxide Laser Treatment.
J Burn Care Res
January 2022
Burn Center, MedStar Washington Hospital Center, District of Columbia, USA.
Article Synopsis
- Laser treatment for burn scars has become more common, but there is no established standardized method for evaluating scars prior to and after treatment.
- In a study involving 29 patients who underwent multiple sessions of fractional ablative carbon dioxide laser treatment, all showed improvement in their scars, especially in terms of range of motion and assessment scores.
- The findings suggest that laser therapy is effective across various scar ages and skin types, with patients experiencing noticeable improvements even after the first session, aiding in patient-provider discussions regarding treatment expectations.
Clinical Outcomes Following the Early Application of Multimodal Scar Programs for Facial Incisional Wounds.
Aesthetic Plast Surg
August 2021
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.
Article Synopsis
- - The study evaluated the effectiveness of scar prevention and early intervention programs for patients with facial lacerations, focusing on both a standard scar prevention program and a multimodality scar management program.
- - A total of 46 patients participated, with outcomes assessed through various scar assessment scales at 3 and 6 months post-treatment.
- - Results showed that the multimodality treatment led to significantly better scar outcomes compared to the standard program, indicating a more effective approach to scar management.
The Effectiveness of Early Combined CO2 Ablative Fractional Laser and 595-nm Pulsed Dye Laser Treatment After Scar Revision.
J Craniofac Surg
June 2021
TwoM Aesthetic Plastic Surgery Clinics, Seoul, Republic of Korea.
Article Synopsis
- * A study tested the effectiveness of using two types of lasers—carbon dioxide ablative fractional laser and pulsed dye laser—starting two weeks after scar revision in 14 patients.
- * Results showed significant improvement in scar appearance, as measured by the Vancouver Scar Scale, with no serious side effects reported, indicating the safety of this combined treatment approach.
Electrochemical Therapy of In Vivo Rabbit Cutaneous Tissue.
Laryngoscope
July 2021
Beckman Laser Institute & Medical Clinic, University of California, Irvine, California, U.S.A.
Article Synopsis
- The study investigates how electrochemical therapy affects the acid-base balance and tissue structure in rabbit skin, observing both immediate and long-term impacts.
- Using varying voltages applied via electrodes, researchers monitored wound healing and tissue changes, noting inflammation and collagen fiber arrangement.
- Results suggest that while lower voltages showed minor changes, higher voltages resulted in more significant tissue alterations, indicating potential for this therapy to enhance scar and keloid treatment in the future.
Use of Autologous Adipose-Derived Stromal Vascular Fractions in Revision Rhinoplasty for Severe Contractures in Asian Patients.
Plast Reconstr Surg
March 2021
From the Fresh Facial Aesthetic Surgery and ENT Clinic; Yonsei E1 Plastic Surgery Clinic; Maylin Clinic; Yonsei Seran Dermatology and Laser Clinic; and the Department of Plastic and Reconstructive Surgery, Yonsei University, College of Medicine.
Article Synopsis
- Autologous adipose-derived stromal vascular fraction treatments have beneficial effects like reducing inflammation and promoting tissue regeneration, making them useful for treating severely scarred noses.
- In a study involving 40 patients undergoing revision septorhinoplasty, those who received adipose-derived stromal vascular fraction injections showed significant improvements in nasal dimensions and angles compared to those treated with saline.
- The findings suggest that using adipose-derived stromal vascular fraction as an adjunct treatment significantly enhances surgical outcomes for patients with contracted noses, with minimal side effects.
Paradigms in Complex Facial Scar Management.
Semin Plast Surg
November 2020
Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas.
Article Synopsis
- Scar formation occurs as part of the healing process after soft tissue injuries, particularly affecting the reticular dermis, and can lead to significant psychological and social challenges, especially in the head and neck areas.
- To reduce excessive scar formation post-surgery or trauma, careful handling of soft tissues and skilled reconstructive techniques are essential for surgeons.
- The article discusses both non-surgical and surgical methods to prevent and treat scarring, focusing on improving outcomes for patients with disfiguring scars.