Fractional
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              CO
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            laser to improve noticeable scars after skin cancer surgery: An appraisal by the patients, laypersons, and experts

Wyss, Nina; Graf, Nicole; Hafner, Juerg; Imhof, Laurence

doi:10.1111/dth.14999

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…A related study using CO 2 fractional laser to control scar growth after skin cancer surgery found that the CO 2 fractional laser was effective in controlling scar thickness and flexibility. 15 Furthermore, studies have shown that the use of tension-reducing devices such as tension-reducing tape 16 and tension reducers 17 , 18 are also clinically effective in inhibiting postoperative scar growth. These devices not only reduce the thickness of the scar, but also the width of the scar.…”

Section: Discussionmentioning

confidence: 99%

Clinical Observation of Sequential Laser Therapy Combined with Tension Reducer for Postoperative Tension Incision Scar Growth

Xie¹

2023

CCID

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Objective To investigate the clinical effectiveness of laser and secure wound-closure system (Tension reducer) in the treatment of postoperative scarring after tension incision. Methods A retrospectively observational study was conducted. Twenty-six patients who underwent surgical treatment in our department between June 2017 and December 2021 were selected, and those treated with laser and tension reducer were treated as a combined treatment group, and those treated with laser were treated as a conventional treatment group. Fifteen patients in the conventional group were treated with the pulsed dye laser and CO 2 fractional laser at 1–2 month intervals. Eleven people in the combined treatment group were treated with the laser in addition to a tension reducer for 3–6 months. The scar width, scar thickness, scar hardness, pruritus score, modified Vancouver scar scale and complication rates between the two treatment modalities were compared between the two groups at 6 months postoperatively. Results The scar thickness, scar hardness and modified Vancouver scar scale of 1.25 (0.14, 1.90) mm, 31.80 (21.00, 37.20) HA, (6.00 ± 2.17) in patients in the combined treatment group were less than those of patients in the conventional treatment group of 5.50 (4.00, 11.50) mm, 42.60 (32.50, 47.00) HA, (8.25±1.91), (Z=2.883, 2.718, t=2.904, p<0.05). The scar width and pruritus score in the combined treatment group, were 8.00 (5.00, 18.00) mm and 0 (0, 1) respectively, while the scar score and pruritus score in the conventional treatment group, were 5.50 (4.00, 11.50) mm respectively, with no statistically significant difference between the two groups. The complication rate was 55% in the combined treatment group and no adverse reactions occurred in the control group. Conclusion Sequential laser combined with tension reducer treatment can effectively inhibit the proliferation of postoperative tension incision scar.

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Section: Discussionmentioning

confidence: 99%

Clinical Observation of Sequential Laser Therapy Combined with Tension Reducer for Postoperative Tension Incision Scar Growth

Xie¹

2023

CCID

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Fractional CO ₂ laser to improve noticeable scars after skin cancer surgery: An appraisal by the patients, laypersons, and experts

Wyss

Graf²,

Hafner

et al. 2021

Dermatologic Therapy

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Ablative fractionated carbon dioxide (fCO 2 ) laser may be a useful tool to improve noticeable scars after skin cancer surgery. Therefore we evaluated 40 patients who have been treated with fCO 2 laser for facial scars after skin cancer surgery. This retrospective study is based on blinded evaluation of pre-and postoperative photographs. Patients (n = 40), laypersons (n = 5) and experts (n = 5) evaluated the esthetics and the Vancouver scar scale as primary endpoints. Secondary endpoints included patient satisfaction and treatment safety. Patients, laypersons and experts consistently assessed a significant improvement of scar quality and appearance after fCO 2 laser treatment, which was paralleled by high patient satisfaction. In conclusion, ablative fCO 2 laser is effective in improving noticeable postsurgical scars. Patients are highly satisfied with post-laser results.

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The efficacy of single treatment of fractionated CO2 laser to improve scars in rhinoplasty

Anil R,

Sarah Van

2023

Int J Dermatol Clin Res

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Background: The formation of scars is fairly inevitable after open rhinoplasty and alar base procedures. Oftentimes, patients exhibit insecurities or discomfort at the appearance of these scars. CO2 laser resurfacing has been proposed as an effective treatment to minimize the appearance of surgical scars. Objective: To demonstrate the effectiveness of fractionated CO2 laser in the minimization of the appearance of surgical scars. Methods: Retrospective analysis of a rhinoplasty surgeon’s database as well as blinded grading of 54 consecutive alar wedge scars using Vancouver Scar Scales. Results: No complications were seen with the use of fractionated CO2 lasers as a treatment on rhinoplasty scars. No difference was seen in scar appearance, including scar height, vascularity, pliability, and scar height after one treatment of CO2 laser. Conclusion: A single treatment of fractionated CO2 laser does not improve scars. Multiple sessions of fractionated CO2 laser could be a more effective treatment for the appearance of surgical scars.

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Fractional CO ₂ laser to improve noticeable scars after skin cancer surgery: An appraisal by the patients, laypersons, and experts

Cited by 3 publications

References 15 publications

Clinical Observation of Sequential Laser Therapy Combined with Tension Reducer for Postoperative Tension Incision Scar Growth

Clinical Observation of Sequential Laser Therapy Combined with Tension Reducer for Postoperative Tension Incision Scar Growth

Fractional CO ₂ laser to improve noticeable scars after skin cancer surgery: An appraisal by the patients, laypersons, and experts

The efficacy of single treatment of fractionated CO2 laser to improve scars in rhinoplasty

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Fractional CO 2 laser to improve noticeable scars after skin cancer surgery: An appraisal by the patients, laypersons, and experts

Cited by 3 publications

References 15 publications

Clinical Observation of Sequential Laser Therapy Combined with Tension Reducer for Postoperative Tension Incision Scar Growth

Clinical Observation of Sequential Laser Therapy Combined with Tension Reducer for Postoperative Tension Incision Scar Growth

Fractional CO 2 laser to improve noticeable scars after skin cancer surgery: An appraisal by the patients, laypersons, and experts

The efficacy of single treatment of fractionated CO2 laser to improve scars in rhinoplasty

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Product

Resources

About

Fractional CO ₂ laser to improve noticeable scars after skin cancer surgery: An appraisal by the patients, laypersons, and experts

Fractional CO ₂ laser to improve noticeable scars after skin cancer surgery: An appraisal by the patients, laypersons, and experts