Non-Ablative 1550 nm Erbium-Glass and Ablative 10,600 nm Carbon Dioxide Fractional Lasers for Various Types of Scars in Asian People: Evaluation of 100 Patients

Cho, Suhyun; Jung, Jin Young; Shin, Jung U; Lee, Ju Hee

doi:10.1089/pho.2013.3608

Cited by 15 publications

(19 citation statements)

References 19 publications

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“…The study was conducted on 13 patients and the patients were also quoted as being 'satisfied' following the laser session treatments. Three months after the last laser session in a study conducted by Cho et al, 15 the clinical assessment of the participants in the study showed mean improvements in all groups of both lasers, treatments did not show statistically significant differences between fractional non-ablative 1550-nm erbium glass laser and fractional ablative CO2 laser (P = 0.249). In consistence with our study, Cho et al 7 demonstrated that the mean improvements were higher with fractional 10 600 nm CO 2 laser than fractional non-ablative 1550-nm erbium-glass but with a non-significant difference between both treatments (P = 0.158).…”

Section: Discussionmentioning

confidence: 71%

Ablative Fractional 10 600 nm Carbon Dioxide Laser Versus Non-ablative Fractional 1540 nm Erbium-Glass Laser in Egyptian Post-acne Scar patients

2017

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Introduction: Non-ablative fractional erbium-doped glass 1540 nm and fractional ablative 10600 nm carbon dioxide lasers are regarded as effective modalities for treating acne atrophic scars. In this study, we aimed to compare the effectiveness of fractional CO2 laser and fractional nonablative 1540 nm erbium doped glass laser in treating post acne atrophic scars in Egyptian patients. Methods: Fifty-eight patients complaining of moderate and severe acne atrophic scars were randomly divided into 2 groups of 29 patients each. Both groups were subjected to 4 treatment sessions with 3 weeks interval and were followed up for 3 months. In group A, enrolled patients received CO2 laser, while in group B, patients were treated with 1540 nm erbium glass fractional laser. Results: Clinical assessment revealed that the mean grades of progress and improvement were higher with fractional 10600 nm CO2 laser but with non-significant difference between both treatments (P = 0.1). The overall patients' satisfaction with both lasers were not significantly different (P = 0.44). Conclusion: Both fractional ablative CO2 and fractional non-ablative erbium glass lasers are good modalities for treating acne scars with a high efficacy and safety profile and good patient satisfaction. The fractional ablative laser showed higher efficacy while non-ablative laser offered less pain and shorter downtime.

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Section: Discussionmentioning

confidence: 71%

Ablative Fractional 10 600 nm Carbon Dioxide Laser Versus Non-ablative Fractional 1540 nm Erbium-Glass Laser in Egyptian Post-acne Scar patients

2017

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“…Only two comparative studies in Asian populations have been performed with non‐ablative fractional photothermolysis. The first compared a fractionated 1,550‐nm erbium glass laser (Fraxel SR, Solta Medical) with a fractionated 10,600‐nm CO 2 laser (Ultrapulse, Lumenis, Yokneam, Israel) in a split face trial involving eight patients . Healing time was significantly longer after CO 2 laser and there was a trend toward increased efficacy which did not reach statistical significance.…”

Section: Non‐ablative Fractional Therapymentioning

confidence: 99%

Fractional resurfacing in the Asian patient: Current state of the art

Wat

Chan

2016

Lasers Surg Med

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Taking into account the unique characteristics and cosmetic concerns of the Asian population, fractional resurfacing can be considered a safe and effective option for the treatment of atrophic and hypertrophic scarring, and photorejuvenation in ethnic skin types. Select cases of melasma may be treated with fractionated non-ablative devices, but utilized with caution. The predominant complication associated with fractional resurfacing for these conditions is post-inflammatory hyperpigmentation (PIH) and rebound worsening of melasma. A greater number of treatments at lower density settings and wider treatment intervals typically produce the lowest risks of PIH without compromising treatment efficacy. Lasers Surg. Med. 49:45-59, 2017. © 2016 Wiley Periodicals, Inc.

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“…However, there was a limitation in increasing the energy, because a few patients who were treated with higher energy in a preliminary study received deep second‐degree burns . There were no complications in comparative studies when treated with a lower energy setting (lower than 50 mJ/spot) . In addition, some studies showed that NAFL at high energy settings can cause adverse effects, such as hyperpigmentation, or scar worsening .…”

Section: Discussionmentioning

confidence: 99%

“…Because of increasing demands for scar treatments and the limitations of previous treatment methods, various types of laser treatments have been introduced. Recently, non‐ablative fractional lasers (NAFL) have been used for scar management, and they have shown promising results . The NAFL creates small columns of coagulation in skin, while keeping surrounding tissues intact.…”

Section: Introductionmentioning

confidence: 99%

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Combination therapy using non‐ablative fractional laser and intralesional triamcinolone injection for hypertrophic scars and keloids treatment

Shin

Cho

Park

et al. 2019

International Wound Journal

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Combinations of various treatment modalities were shown to be more effective than monotherapy when treating hypertrophic scars and keloids. This study was conducted to assess the effectiveness of combination therapy with non‐ablative fractional laser and intralesional steroid injection. From May 2015 to June 2017, a total of 38 patients with hypertrophic scars or keloids were evaluated. The control group of 21 patients received steroid injection alone, and 17 patients (the combined group) received 1550‐nm erbium‐glass fractional laser treatment and steroid injection simultaneously. The mean number of treatment sessions was statistically fewer in the combined group than in the control group (6.95 vs 5.47, P = .042). There was a significant difference in the patient's scale in the combined group (14.62 vs 22.82, P = .005); however, the observer's scale was not significantly different (17.92 vs 20.55, P = .549). The recurrence rate was 38.1% (8/21) in the control group and 35.3% (6/17) in the combined groups and showed no significant difference (P = .859). However, the mean remission period was statistically longer in the combined group (3.00 months vs 4.17 months, P = .042). Combination therapy with non‐ablative fractional laser and intralesional steroid injection showed better results for the treatment of hypertrophic scars and keloids with fewer treatment sessions, better patient satisfaction, and longer remission periods.

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Non-Ablative 1550 nm Erbium-Glass and Ablative 10,600 nm Carbon Dioxide Fractional Lasers for Various Types of Scars in Asian People: Evaluation of 100 Patients

Abstract: FPS and CO2 FS were both effective and safe for the treatment of scars, and can also be used together safely as a combination treatment. The proper laser device and proper treatment time should be decided considering various factors.

Cited by 15 publications

References 19 publications

Ablative Fractional 10 600 nm Carbon Dioxide Laser Versus Non-ablative Fractional 1540 nm Erbium-Glass Laser in Egyptian Post-acne Scar patients

Ablative Fractional 10 600 nm Carbon Dioxide Laser Versus Non-ablative Fractional 1540 nm Erbium-Glass Laser in Egyptian Post-acne Scar patients

Fractional resurfacing in the Asian patient: Current state of the art

Combination therapy using non‐ablative fractional laser and intralesional triamcinolone injection for hypertrophic scars and keloids treatment

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