Fractional Carbon Dioxide Laser in Treatment of Acne Scars
DOI:
https://doi.org/10.3889/oamjms.2016.004Keywords:
Acne scars, aesthetic dermatology, carbon dioxide laser systems, subjective evaluation of adverse effects by the therapy, scale of satisfaction by the treatmentAbstract
BACKGROUND: Scars appear as a result of skin damage during the process of the skin healing. There are two types of acne scars, depending on whether there is a loss or accumulation of collagen: atrophic and hypertrophic. In 80-90% it comes to scars with loss of collagen compared to smaller number of hypertrophic scars and keloids.
AIM: The aim of the study was to determine efficiency and safety of fractional carbon dioxide laser in the treatment of acne scars.
MATERIAL AND METHODS: The study was carried out in Acibadem Sistina Clinical Hospital, Skopje at the Department of Dermatovenerology, with a total of 40 patients treated with fractional carbon dioxide laser (Lutronic eCO2). The study included patients with residual acne scars of a different type.
RESULTS: Comedogenic and papular acne in our material were proportionately presented in 50% of cases, while the other half were the more severe clinical forms of acne - pustular inflammatory acne and nodulocystic acne that leave residual lesions in the form of second, third and fourth grade of scars.
CONCLUSION: The experiences of our work confirm the world experiences that the best result with this method is achieved in dotted ice pick or V-shaped acne scars.Downloads
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Fabbrocini G, Annunziata MC, D'Arco V, et al. Acne Scars: Pathogenesis, Classification and Treatment. Dermatology Research and Practice. 2010; 2010:893080.
http://dx.doi.org/10.1155/2010/893080 DOI: https://doi.org/10.1155/2010/893080
PMid:20981308 PMCid:PMC2958495
Goodman GJ, Baron JA. The management of postacne scarring. Dermatol Surg. 2007;33(10):1175-88. DOI: https://doi.org/10.1111/j.1524-4725.2007.33252.x
PMid:17903150
Bagatin E, dos Santos Guadanhim LR, Yarak S, Kamamoto CS, de Almeida FA. Dermabrasion for acne scars during treatment with oral isotretinoin. Dermatol Surg. 2010;36(4):483-9.
http://dx.doi.org/10.1111/j.1524-4725.2010.01474.x DOI: https://doi.org/10.1111/j.1524-4725.2010.01474.x
PMid:20180836
Handog EB, Datuin MSL, Singzon IA. Chemical Peels for Acne and Acne Scars in Asians: Evidence Based Review. Journal of Cutaneous and Aesthetic Surgery. 2012;5(4):239-246.
http://dx.doi.org/10.4103/0974-2077.104911 DOI: https://doi.org/10.4103/0974-2077.104911
PMid:23378705 PMCid:PMC3560163
Cho SB, Lee SJ, Kang Jm et al. The efficasy and safety of 10600nm-carbondioxide fractional laser for acne scars in Asian patients. Dermatol Surg. 2209;35(12):1955-1961.
http://dx.doi.org/10.1111/j.1524-4725.2009.01316.x DOI: https://doi.org/10.1111/j.1524-4725.2009.01316.x
PMid:19708872
Anderson RR, Parrish JA. Selective phototermolysis: precise microsurgery by selective absorption of pulsed radiation. Science. 1983;22:524-7.
http://dx.doi.org/10.1126/science.6836297 DOI: https://doi.org/10.1126/science.6836297
Smith KJ, Skelton HG, Graham JS, Hurst G and Hackley Jr BE. Increased smooth muscle actin, factor XIIIa, and vimentin-positive cells in the papillary dermis of carbon dioxide laser-debrided porcine skin. Dermatologic surgery. 1997;23(10):891-895.
http://dx.doi.org/10.1111/j.1524-4725.1997.tb00742.x DOI: https://doi.org/10.1111/j.1524-4725.1997.tb00742.x
PMid:9357497
Graber EM, Tanzi EL, and Alster TS. Side effects and complications of fractional laser photothermolysis: experience with 961 treatments. Dermatologic Surgery. 2008;34(3):301–305.
http://dx.doi.org/10.1097/00042728-200803000-00003
Chan HHL, Manstein D, Yu CS, Shek S, Kono T, and Wei WI. The prevalence and risk factors of post-inflammatory hyperpigmentation after fractional resurfacing in Asians. Lasers in Surgery and Medicine. 2007;39(5):381–385.
http://dx.doi.org/10.1002/lsm.20512 DOI: https://doi.org/10.1002/lsm.20512
PMid:17518354
Fife DJ, Fitzpatrick RE, Zachary CB. Complications of fractional CO2 laser resurfacing: four cases. Lasers in Surgery and Medicine. 2009; 41(3):179–184.
http://dx.doi.org/10.1002/lsm.20753 DOI: https://doi.org/10.1002/lsm.20753
PMid:19291745
Avram MM, Tope WD, Yu T, Szachowicz E, and Nelson JS. Hypertrophic scarring of the neck following ablative fractional carbon dioxide laser resurfacing. Lasers in Surgery and Medicine. 2009; 41(3):185–188.
http://dx.doi.org/10.1002/lsm.20755 DOI: https://doi.org/10.1002/lsm.20755
PMid:19291746 PMCid:PMC2747732
Hasegawa T, Matsukura T, Mizuno Y, Suga Y, Ogawa H, and Ikeda S. Clinical trial of a laser device called fractional photothermolysis system for acne scars. Journal of Dermatology. 2006; 33(9):623–627.
http://dx.doi.org/10.1111/j.1346-8138.2006.00143.x DOI: https://doi.org/10.1111/j.1346-8138.2006.00143.x
PMid:16958807
Graber EM, Tanzi EL, and Alster TS. Side effects and complications of fractional laser photothermolysis: experience with 961 treatments. Dermatologic Surgery. 2008;34(3):301–305. DOI: https://doi.org/10.1111/j.1524-4725.2007.34062.x
http://dx.doi.org/10.1097/00042728-200803000-00003 DOI: https://doi.org/10.1097/00042728-200803000-00003
Alster TS, Tanzi EL, and Lazarus M. The use of fractional laser photothermolysis for the treatment of atrophic scars. Dermatologic Surgery. 2007;33(3):295–299. DOI: https://doi.org/10.1097/00042728-200703000-00006
PMid:17338686
Chapas AM, Brightman L, Sukal S. et al. Successful treatment of acneiform scarring with CO2 ablative fractional resurfacing. Lasers in Surgery and Medicine. 2008;40(6):381–386.
http://dx.doi.org/10.1002/lsm.20659 DOI: https://doi.org/10.1002/lsm.20659
PMid:18649382
Waibel J, Beer K, Narurkar V, Alster T. Preliminary observations on fractional ablative resurfacing devices: clinical impressions. Journal of Drugs in Dermatology, vol.8, no.5, pp.481–485, 2009.
PMid:19537372
Hantash BM, Bedi VP, Chan KF, Zachary CB. Ex vivo histological characterization of a novel ablative fractional resurfacing device. Lasers in Surgery and Medicine. 2007;39(2):87–95.
http://dx.doi.org/10.1002/lsm.20405 DOI: https://doi.org/10.1002/lsm.20405
PMid:17115384
Hantash BM, Bedi VP, Kapadia B. et al. In vivo histological evaluation of a novel ablative fractional resurfacing device. Lasers in Surgery and Medicine. 2007;39(2):96–107.
http://dx.doi.org/10.1002/lsm.20468 DOI: https://doi.org/10.1002/lsm.20468
PMid:17311274
Choudhary S, McLeod M, Meshkov L, Nouri K. Lasers in the treatment of acne scars. Expert Rev Dermatol. 2011;6(1):45-60.
http://dx.doi.org/10.1586/edm.10.65 DOI: https://doi.org/10.1586/edm.10.65
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