Successful Use of the Microsecond 1,064-nm Nd

Laser Applications in Wound and Scar Management Post-Mohs Micrographic Surgery: A Systematic Review

“…Two case series with a total of 14 patients by Ezra et al, in 2016 and 2014, described the use of microsecond neodymium-doped yttrium aluminum garnet laser (Nd:YAG; 1064 nm) for management of ectropion and eclabium, secondary to scar contractures post-MMS. 23 , 24 Of 14 patients who underwent microsecond Nd:YAG laser treatment, 1 patient showed improvement of ectropion and 7 experienced complete resolution of ectropion or eclabium, demonstrating a 50% overall success rate. 23 , 24 Regarding the frequency of treatments, 1 to 3 treatments at 1- to 2-month intervals were reported to have good clinical outcomes for patients.…”

“… 23 , 24 Of 14 patients who underwent microsecond Nd:YAG laser treatment, 1 patient showed improvement of ectropion and 7 experienced complete resolution of ectropion or eclabium, demonstrating a 50% overall success rate. 23 , 24 Regarding the frequency of treatments, 1 to 3 treatments at 1- to 2-month intervals were reported to have good clinical outcomes for patients. While transient erythema was noted 1 to 2 hours post-treatment, no recurrence nor adverse events were noted.…”

“…While transient erythema was noted 1 to 2 hours post-treatment, no recurrence nor adverse events were noted. 23 , 24 …”

“…While transient erythema was noted 1 to 2 hours post-treatment, no recurrence nor adverse events were noted. 23,24 Textural Scar Changes Nine articles reviewed laser applications for textural scar changes. Studies by Chen et al, Ezra et al, Kunishige et al, and Cohen report treating hypertrophic scars with PDL, microsecond Nd:YAG laser, NAFL, and AFL with Er:YAG (2940 nm), respectively.…”