585-nm Pulsed Dye Laser in the Treatment of Surgical Scars Starting on the Suture Removal Day

Nouri, Keyvan; Jimenez, Gloria; Harrison-Balestra, Catherine; Elgart, George W.

doi:10.1046/j.1524-4725.2003.29014.x

Cited by 125 publications

(144 citation statements)

References 28 publications

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“…Studies on early laser intervention indicate promising response in a range of scarcharacteristics, including improved pliability, smoother surface and reduced scar thickness. 7 A variety of termina-Case Report tion lasers can be used for scar treatment, ablative fractional lasers are an effective treatment modality for facial scars after reconstruction of skin cancer defects. 8 Natural wound healing is divided into three overlapping phases, beginning with the inflammation phase (0-4 days), shifting towards the proliferation phase (4-21 days) and progressing to the remodeling or maturation phase (>21 days) lasting up to 24 months.…”

Section: Discussionmentioning

confidence: 99%

Enhancement of Contour Using Laser Scar Treatment in the One-Stage Nasal Ala Reconstruction with Nasolabial Fold Flap

Lee

Park

2018

Medical Lasers

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Postoperative scarring around the nasolabial area and alar rim poses very high cosmetic concerns, leading to patient dissatisfaction. Several strategies, like laser therapy, have been developed to improve its clinical aspects. However, to date, little is known about when in the early wound healing phases laser exposure would have the most optimal results. This paper introduces a remarkable case of effectively treating a 32-year-old male patient with scarring on the alar rim and nasolabial fold using early active laser treatment. We started carbon dioxide (CO 2 ) laser therapy early in the second month after surgery. In the course of laser treatment, we performed a combined treatment using an ablative fractional CO 2 laser device and the combination of pulsed-dye laser and neodymium: yttrium-aluminum-garnet laser. A total of 7 sessions of CO 2 laser therapy and 3 sessions of cynergy laser therapy were performed, and the patient was followed-up for evaluation. These early laser treatments resulted in both patient and clinical satisfaction. In this case, we confirmed that early treatment with CO 2 laser and cynergy laser can have a positive effect on scarring of the alar rim and nasolabial fold. Key words

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Section: Discussionmentioning

confidence: 99%

Enhancement of Contour Using Laser Scar Treatment in the One-Stage Nasal Ala Reconstruction with Nasolabial Fold Flap

Lee

Park

2018

Medical Lasers

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“…It was only later proposed for scar management with the rationale that increased vascularity is observed both clinically and histologically among hypertrophic scars [5][6][7]. Many pioneering studies on PDL therapy has been focused on incisional scars [8][9][10][11][12][13][14][15][16]. While the results have been generally positive, several centers have found less than enthusiastic results [17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Quantitative Assessment of Pulse Dye Laser Therapy in the Management of Hypertrophic Burn Scars

Tucker¹,

B??R??²,

Stanley³

et al. 2015

Ann Clin Lab Res

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Background: Several studies have reported the utility of Pulse Dye Laser (PDL) therapy in the management of hypertrophic burn scars. Among the potential benefits including improvement in pruritis, pain, stiffness and surface irregularities, its effect on erythema reduction has been most frequently reported. However, few studies have used quantitative methods to document the degree of erythema reduction in hypertrophic burn scars.

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“…Estudios clínicos recientes evidencian que aplicar la luz láser, durante el curso del proceso cicatricial, además de mejorar el aspecto final del tejido previene las complicaciones propias de la cicatrización (5)(6)(7)(8)(9).…”

Section: Introductionunclassified

Ventajas de la cicatrización cutánea asistida por láser (LASH)

Mordon

Trelles²

2011

Cir. plást. iberolatinoam.

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ResumenLa fase final de toda cirugía es la sutura y su cicatriz correspondiente y, frecuentemente, ésta es la única secuela visible de una intervención. La técnica LASH (cicatrización cutánea asistida por láser), estimula los mecanismos de reparación de la piel por efecto térmico, condicionando la calidad de la cicatrización.Estudios experimentales en ratones comparando los resultados obtenidos en heridas quirúrgicas radiadas con laser diodo 810 nm tras ser suturadas, con los obtenidos en igual tipo de heridas suturadas de manera convencional, han demostrado que se consiguen cicatrices mucho menos visibles cuando se practica el tratamiento con láser.La histología confirma, comparativamente, una notable aceleración del proceso cicatricial con modificación del TGFß (Transforming Growth Factor-Beta) directamente implicado en la reparación tisular, en los animales en los que la sutura fue asistida por láser. Igualmente, el análisis tensiométrico demostró mayor resistencia a la acción de estiramiento mecánico en estas heridas.Estudios clínicos en pacientes sometidos a dermolipectomia, reducción mamaria y estiramiento facial, demuestran que al tratar con LASH una parte o una de las líneas de sutura, los análisis realizados tanto por los pacientes como por cirujanos independientes a los 8 días, 3 meses y un año, evidencian resultados más favorables para la técnica láser, Las dosis eficaces determinadas para las fluencias láser están entre 80 y 120 J/cm 2 .La técnica LASH es simple de efectuar, reproducible, rápida y ofrece una clara evidencia de que es posible reducir considerablemente la cicatriz, logrando que ésta sea de mejor calidad y más estética.Palabras clave Cicatrización, Láser.Cicatrización asistida, LASH. Código numérico 153-1545 AbstractSuture is the final stage of surgery and as a consequence, a scar is frequently the only visible effect after an operation. LASH technique ( Laser Assisted Scar Healing) produces thermal effects to stimulate mechanisms for tissue repair that will determine the quality of the scar.In the experimental phase, rats were irradiated with 810 nm diode-laser after surgical wounds were sutured, and then, compared to another group of rats with the same type of wounds which were sutured with conventional techniques. The results were that those rats treated with laser had less visible scars.Histology comparatively confirmed a notable acceleration in the scarring process with modification of the TGFß (Transforming Growth Factor-Beta), which is directly involved in tissue repair in those rats treated with laser. The tensiometric analysis also demonstrated a better resistance to mechanical stress of wounds.Clinically, in dermolipectomy patients, breast reductions and facial lifts, in which part of the sutures were treated with LASH, at 8 days, 3 months and 1 year controls, evaluated by independent surgeons to the study and by patients, statistical results were more favourable for patients treated with LASH technique. The effective doses determined for treatment were laser fluencies between...

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585-nm Pulsed Dye Laser in the Treatment of Surgical Scars Starting on the Suture Removal Day

Abstract: The 585-nm PDL is effective and safe in improving the quality and cosmetic appearance of surgical scars in skin types I-IV starting on the day of suture removal.

Cited by 125 publications

References 28 publications

Enhancement of Contour Using Laser Scar Treatment in the One-Stage Nasal Ala Reconstruction with Nasolabial Fold Flap

Enhancement of Contour Using Laser Scar Treatment in the One-Stage Nasal Ala Reconstruction with Nasolabial Fold Flap

Quantitative Assessment of Pulse Dye Laser Therapy in the Management of Hypertrophic Burn Scars

Ventajas de la cicatrización cutánea asistida por láser (LASH)

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