Synergistic Sequential Emission of Fractional 1540 nm and 10 600 Lasers for Abdominal Postsurgical Scar Management: A Clinical Case Report

Abstract

Rare coexistence of disease or pathology Background:Abdominal scars can develop following abdominoplasty interventions and can cause severe functional and aesthetic disabilities. Surgery is almost no longer necessary thanks to the accessibility of more recent and sophisticated technology like lasers. Many ablative and non-ablative photothermolysis technologies and equipment have been developed, giving patients and medical professionals more alternatives but also complicating the system to be utilized and the methods to maximize the outcomes. The aim of the current study was to evaluate the volumetric action of 1540 wavelength and the efficacy and safety of the synergic sequential application of a new fractional ablative 10 600 nm CO 2 and non-ablative 1540 nm lasers on abdominal postsurgical scar management. Case Report:We treated a female patient with an abdominal suprapubic scar following abdominoplasty. The patient underwent 3 treatment sessions (with a frequency of 1 session every 50 days) with 1 pass over the entire suprapubic area using 10 600 nm CO 2 fractional laser emission and 1540 fractional laser emission in simultaneous modality. A photographic evaluation was made to monitor the effect of the treatment on the aesthetic appearance of the patient's suprapubic scar. After 6 months, the photographic assessment showed a significant improvement in scar texture and color. No patient pain or adverse effects were detected. Conclusions:This case report describes the possibility of effectively treating abdominal suprapubic scars following abdominoplasty surgery with simultaneous and combined irradiation of 10 600 nm and 1540 nm wavelengths.

Striae distensae treatment: evaluating laser efficacy and safety

“…While there is currently no accepted gold standard, fractional ablative and non‐ablative lasers are among the most popular options 1,9 . The combination of both techniques in one system offers the superior efficacy of ablative treatment, along with the faster healing time and minimal discomfort associated with non‐ablative methods, and has proven beneficial for a variety of skin conditions 7,8,10,11 . In conclusion, findings from this study demonstrate the potential of the hybrid fractional laser system as a safe and effective method to achieve satisfactory aesthetic results with minimal downtime, making it a promising treatment approach for SD.…”

“…More recent studies have reported positive results with hybrid laser platforms, which combine both ablative and non‐ablative lasers in a single protocol, for a variety of skin conditions. In a case report, Fiorentini and Fusco 10 demonstrated the efficacy of a hybrid fractional laser system with ablative (10,600 nm) and non‐ablative (1,540 nm) wavelengths for the treatment of a postoperative abdominal scar. Sixty days after the last treatment session, the photographic assessment showed a significant improvement in scar texture and color, with no reported pain or adverse effects.…”

Efficacy and Safety of Carbon Dioxide Laser System in the Treatment of Scalp Sebaceous Adenoma With the Use of a New Scanner Unit

“…The CO 2 laser therapy is common successfully used for cutaneous disorder associated with cosmetic problems, such as sebaceous gland hyperplasia [ 9 ] nevus sebaceous [ 10 ] eccrine hidrocystomas [ 11 ], and common dermatosis like the severe Favre-Racouchot syndrome [ 12 ]. Recent studies also demonstrated the efficacy of this system in the management of burn and postsurgical scars [ 13 , 14 ].…”

An Innovative Dual-Wavelength Laser Technique for Atrophic Acne Scar Management: A Pilot Study

“…Several published studies have already demonstrated that the sequential action of CO 2 and infrared wavelengths-specifically the synergistic sequential emission of fractional 10,600 and 1540 nm wavelengths-extends and enhances the thermal effect. This guarantees longer healing durations for the fractionated emission modes, which increases cell turnover and stimulates deeper into the tissue, resulting in more effective therapies for tissue remodeling [9][10][11][12][13][14][15][16].…”