Laser scar revision: A review

@article{Khatri2011LaserSR,
  title={Laser scar revision: A review},
  author={Khalil A. Khatri and Danielle Mahoney and Melissa McCartney},
  journal={Journal of Cosmetic and Laser Therapy},
  year={2011},
  volume={13},
  pages={54 - 62}
}
Abstract Surgery, burns, wounds, and inflammatory processes can lead to the development of a variety of different scars. Scars are categorized as hypertrophic, keloid, atrophic and acne scars. Different treatments are utilized for each scar type. The evolution of scar treatment has led to the advancement of lasers for the improvement of all scar types. Non-ablative lasers such as the pulsed dye laser have been shown to be effective in the treatment of hypertrophic and erythematous scars… 
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TLDR
PDL is currently the laser of choice for the treatment of scars and in an uncontrolled study they found that early laser therapy was safe and effective, and the exact mechanism by which PDL exerts antiscarring effect remains unclear.
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TLDR
The senior author's experience over twenty years in treating scars with a range of treatments in conjunction with lasers is reviewed, which work best in combination with other treatments as described.
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TLDR
Pulsed dye laser was more effective in color of scar compared with AFL, which showed marked improvement in the contour of scar, and overall improvement was not statistically different in the Vancouver Scar Scale.
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TLDR
A brief review of the basic wound healing, while focusing on medicine’s latest understanding of the development and treatment of keloids and hypertrophic scars is made.
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TLDR
Assessment of the efficacy of 585-nm PDL in the treatment of hypertrophic and keloid scars compared with conventional treatment modalities shows that treatment with PDL may be superior to conventional modalities in improving overall scar appearance, but results were comparable when scar parameters were evaluated separately.
Pulsed dye laser versus long-pulsed Nd:YAG laser in the treatment of hypertrophic scars and keloid: A comparative randomized split-scar trial
TLDR
PDL and long-pulsed Nd:YAG laser treatments for keloid and hypertrophic scar provide significant improvement with insignificant difference between both modalities.
Therapeutic combinations for scars : fractional lasers associated to microneedling and drug delivery
TLDR
The associated treatment showed good results in the concurrent management of atrophic and hypertrophic scars in the thoracic region area.
The Effectiveness of Ablative Fractional Carbon Dioxide Laser with Autologous Platelet Rich Plasma Combined Resurfacing for Hypertrophic Scar of the Shoulder
TLDR
The outcomes of combining fractional CO2 laser therapy in combination with PRP to reduce a hypertrophic scar are described.
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References

SHOWING 1-10 OF 48 REFERENCES
Ablative fractional laser resurfacing for the treatment of a third-degree burn.
TLDR
The first report of fractional ablative laser for the treatment of a scar resulting from a third-degree burn in the literature is reported, which may indicate a progessive treatment option for many patients who have been disfigured by these types of thermal injuries.
Laser Treatment of Scars
  • M. Goldman, R. Fitzpatrick
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 1995
TLDR
The flashlamp‐pumped pulsed dye laser is a useful adjuvant in the treatment of erythematous, hypertrophic scars and is described a novel technique for their resolution.
Treatment of Surgical Scars with Nonablative Fractional Laser Versus Pulsed Dye Laser: A Randomized Controlled Trial
TLDR
Comparisons of the efficacy of nonablative fractional laser (NAFL) and the V‐beam pulsed dye laser (PDL) for improvement of surgical scars support the use of NAFL as a highly effective treatment modality for surgical scars, with greater improvement in scar appearance than with PDL.
Laser Scar Revision: Comparison of CO2 Laser Vaporization with and without Simultaneous Pulsed Dye Laser Treatment
TLDR
Concomitant use of the high‐energy, pulsed CO2 and PDL laser systems was superior to CO2 laser vaporization alone for revision of nonerythematous hypertrophic scars, indicating the vascular specificity of the 585‐nm PDL has been linked to improvement in hypertrophic scar tissue.
Improvement of Erythematous and Hypertrophic Scars by the 585-nm Flashlamp-pumped Pulsed Dye Laser
  • T. Alster
  • Medicine
    Annals of plastic surgery
  • 1994
Fourteen patients with erythematous and/or hypertrophic scars resulting from remote surgical excision or trauma were evaluated and subsequently treated with one to two flashlamp-pumped pulsed dye
Hypertrophic Scars and Keloids—A Review of Their Pathophysiology, Risk Factors, and Therapeutic Management
TLDR
The growing understanding of the molecular processes of normal and abnormal wound healing is promising for discovery of novel approaches for the management of hypertrophic scars and keloids.
Improvement of facial acne scars by the 585 nm flashlamp-pumped pulsed dye laser.
The Use of Fractional Laser Photothermolysis for the Treatment of Atrophic Scars
  • T. Alster, E. Tanzi, M. Lazarus
  • Medicine
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
  • 2007
TLDR
Atrophic scars can be effectively and safely reduced with 1,550-nm erbium-doped fiber laser treatment, and improvement scores increased proportionately with each successive laser session.
Fractional Photothermolysis for the Treatment of Hypertrophic Scars: Clinical Experience of Eight Cases
TLDR
Hypertrophic scars can be effectively and safely improved with 1,550‐nm erbium‐doped fiber laser treatment, and improvement in pigmentation occurred in all hyperpigmented scars.
Acne scarring: a classification system and review of treatment options.
TLDR
A descriptive, simple, universally applicable acne scar classification system that includes 3 scar types: icepick, rolling, and boxcar is proposed that enables the physician to more precisely identify scar subtypes.
...
1
2
3
4
5
...