Laser treatment of facial scars

Carniol, Paul J.; Meshkov, Lauren; Grunebaum, Lisa D.

doi:10.1097/moo.0b013e32834896b9

Cited by 11 publications

(10 citation statements)

References 40 publications

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“…Fractional ablative lasers use selective photothermolysis to induce microscopic areas of thermal damage amid normal tissue, and have been studied extensively in the treatment of acne scars [13][14][15][16][17], burn scars [18,19], hypertrophic scars [20,21], and surgical scars [22][23][24][25]. While widely considered safer for scar revision than nonfractional ablative lasers, fractional ablative lasers nevertheless have significantly higher rates of side effects, including prolonged hyperpigmentation, erosions, acneiform eruptions, HSV outbreaks, as well as downtime for healing [13,15].…”

Section: Discussionmentioning

confidence: 99%

“…One interesting finding in our study, though limited by small size, was the apparent relationship between timing of laser treatments and final outcomes. In the literature, many studies report that the first dose of non-ablative laser treatment is given soon after surgery, on the day of suture removal, or even intraoperatively [14,33]. In our data, it is interesting to note that-of the eight subjects who completed the study-the two who attributed negative change to laser treatment had the shortest intervals between surgery date and first laser treatment, with a mean of 9.5 days as compared to 255.5 days for those who attributed positive changes to laser treatment.…”

Section: Future Directions and Limitationsmentioning

confidence: 99%

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Split face evaluation of long‐pulsed non‐ablative 1,064 nm Nd:YAG laser for treatment of direct browplasty scars

et al. 2016

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The 1,064 nm Nd:YAG laser provided significant improvement in scar cosmesis after direct browplasty, as rated by subject self-report, but not by masked observers, and appears to be a useful tool for increasing satisfaction among those dissatisfied with direct browplasty scars. Side effects-including erythema, edema, and discomfort-were transient and universally rated as mild to moderate. Lasers Surg. Med. 48:742-747, 2016. © 2016 Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 99%

Section: Future Directions and Limitationsmentioning

confidence: 99%

Split face evaluation of long‐pulsed non‐ablative 1,064 nm Nd:YAG laser for treatment of direct browplasty scars

et al. 2016

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“…20 Physicians in multiple specialties, including otolaryngology and facial plastic and reconstructive surgery, have also increasingly used lasers for cutaneous conditions, because a multitude of conditions that previously necessitated more invasive operative intervention can now be managed with lasers. 52,53 Laser resurfacing has traditionally encompassed the use of carbon dioxide and erbium:YAG lasers, and recent developments have greatly expanded the timing available to treat unsightly scarring or other lesions, ranging from as early as an initial injury to many years later. 54 Despite the myriad benefits accompanying these trends, there is certainly the potential for complications, including thermal injury and skin discoloration, as noted in our analysis.…”

Section: Discussionmentioning

confidence: 99%

Lasers and Losers in the Eyes of the Law

Svider

Carron

Zuliani

et al. 2014

JAMA Facial Plast Surg

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IMPORTANCE Although some have noted that malpractice litigation may be "plateauing," defensive medical practices are pervasive and make up a considerable proportion of the "indirect" costs medicolegal issues contribute toward our health care system. Accordingly, these trends have spurred considerable interest in characterizing factors that play a role in alleged medical negligence, along with outcomes and awards. OBJECTIVES To conduct a focused examination of malpractice litigation regarding laser procedures in the head and neck and to determine the reasons for initiating litigation as well as outcomes and awards. DESIGN AND SETTING Retrospective analysis of the WestlawNext legal database, encompassing publicly available federal and state court records, to identify malpractice cases involving laser procedures in the head and neck. MAIN OUTCOMES AND MEASURES Outcomes, awards, defendant specialty, and other allegations. RESULTS Most cases (28 [82%]) included in this analysis involved female plaintiffs. Of 34 cases, 19 (56%) were resolved with a defendant verdict. The median indemnity was $150 000, and dermatologists, otolaryngologists, and plastic surgeons were the most commonly named defendants. The most common procedures were performed for age-related changes, acne scarring, hair removal, and vascular lesions, although there were also several rhinologic and airway cases. Of all cases, 25 (74%) involved cutaneous procedures, and common allegations noted included permanent injury (24 cases [71%]), disfigurement/scarring (23 [68%]), inadequate informed consent (17 [50%]), unnecessary/inappropriate procedure (15 [44%]), and burns (11 [32%]). Noncutaneous procedures had higher trending median payments ($600 000 vs $103 000), although this comparison did not reach statistical significance (P = .09). CONCLUSIONS AND RELEVANCE Procedures using lasers represent a potential target for malpractice litigation should an adverse event occur. Although cutaneous/cosmetic procedures were noted among cases included in this analysis, as well as other head and neck interventions, otolaryngologists were more likely to be named as defendants in the latter category. Although cases had modest indemnities compared with prior analyses, the potential for significant amounts was present. Inclusion into the informed consent process of specific factors detailed in this analysis may potentially decrease liability. In addition, physicians and patients should undergo comprehensive discussion regarding expectations as well as contingencies should adverse events occur. LEVEL OF EVIDENCE 4.

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“…Por otro lado, está el laser erbium: yttrium-aluminumgarnet (Er: YAG) con una gran afinidad por el agua, el cual genera menor daño térmico en el tejido, por lo cual produce menos efectos secundarios con recuperación más rápida, pero menor efectividad que el láser CO 2 [30][31][32][33] . Debido al tiempo requerido para la recuperación con los láser ablativos y las efectos secundarios, se introdujo el uso de láser no ablativos, como el Nd-YAG (neodymium: yttrium-aluminium-garnet) de 1.320 nm y 1.064 nm, y el diodo láser de 1.450 nm.…”

Section: Láserunclassified

Cicatrices de acné, un reto terapéutico

Morales¹,

Aristizábal²

2013

rev. asoc. colomb. dermatol. cir. dematol.

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Las cicatrices por acné son una complicación frecuente y con grandes implicaciones sociales y psicológicas en el individuo, por lo cual la atención debe estar dirigida al manejo oportuno y agresivo de las formas graves de acné evitando así, en lo posible, su aparición. Sin embargo, algunos de estos pacientes van a presentar dicha complicación aun con una intervención temprana; esto se debe a una alteración en la cicatrización y a la gravedad y duración del fenómeno inflamatorio. Para su tratamiento se cuenta con diferentes alternativas químicas, físicas y quirúrgicas que podrían ser una buena opción para mejorar la apariencia de la piel.

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Laser treatment of facial scars

Abstract: Recent new laser technology has increased the options for treatment of scars. These have been shown to be beneficial for hypotrophic, incipient, and established scars. The benefits of laser therapy may be due to direct and/or histochemical effects.

Cited by 11 publications

References 40 publications

Split face evaluation of long‐pulsed non‐ablative 1,064 nm Nd:YAG laser for treatment of direct browplasty scars

Split face evaluation of long‐pulsed non‐ablative 1,064 nm Nd:YAG laser for treatment of direct browplasty scars

Lasers and Losers in the Eyes of the Law

Cicatrices de acné, un reto terapéutico

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