Fractional Carbon Dioxide Laser in Patients with Skin Phototypes III to VI and Facial Burn Sequelae: 1-Year Follow-Up

Plastic and Reconstructive Surgery
Alessandra Grassi SallesRolf Gemperli

Abstract

Fractional carbon dioxide laser treatment in postburn scars is safe and effective, but high rates of hypochromia (35 percent) have been described in patients with skin phototypes V and VI after 2 months. The authors evaluated the efficacy and safety of fractional carbon dioxide laser treatment of burn scars in skin phototypes III to VI after 1 year, focusing on the incidence of hypochromia. A case series of 20 patients had skin phototypes III to VI with facial burn sequelae. They underwent three sessions of fractional laser. Laser fluence was increased in patients with no hypochromia and reepithelialization time of less than 15 days. Scars were evaluated after 2 months and 1 year by a five-item scale: color, hydration, surface irregularities, volume, and distensibility. The mean time for reepithelialization was 13.3 days (range, 2 to 40 days). The average final score of the scale increased from 4.4 before treatment to 7.33 after 1 year for physicians, and from 5.35 to 7.5 for patients. There was also an increase in the subjective score, which patients used to assess their skin. Two months after treatment, 60 percent of patients presented with punctate hypochromia. After 1 year, only 15 percent of patients still had mild hypochr...Continue Reading

References

May 31, 2006·Aesthetic Plastic Surgery·Alessandra Grassi SallesMarcus Castro Ferreira
Feb 29, 2008·Lasers in Surgery and Medicine·David J GoldbergRobert Phelps
Sep 3, 2010·Plastic and Reconstructive Surgery·Donna M PerryArdeshir Bayat
Sep 10, 2010·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Luca ScrimaliRosario Emanuele Perrotta
Jun 30, 2011·The British Journal of Dermatology·C VrijmanA Wolkerstorfer
Jul 31, 2012·Plastic and Reconstructive Surgery·Michael Bezuhly, Joel S Fish
Mar 6, 2013·Lasers in Surgery and Medicine·Jill S WaibelPeter R Shumaker
Apr 2, 2013·Annals of Plastic Surgery·Charles Scott HultmanBruce A Cairns
Nov 28, 2013·Plastic and Reconstructive Surgery·Rui JinQingfeng Li
Nov 27, 2014·Plastic and Reconstructive Surgery. Global Open·Alessandra Grassi SallesMarcus Castro Ferreira
Aug 16, 2016·Aesthetic Plastic Surgery·Sang-Jun LeeHwa Jung Ryu

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Citations

Dec 24, 2019·The Journal of Dermatological Treatment·Cong ZhangYu-Ming Shen
Feb 19, 2021·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Lamia Hamouda ElgarhyNoha Nabil Dogheim
Nov 18, 2020·Burns : Journal of the International Society for Burn Injuries·Jung Hwan LeeMyung Chul Lee

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