Early postoperative treatment of surgical scars using a fractional carbon dioxide laser: A split-scar, evaluator-blinded study

Sang Hee Lee, Zhenlong Zheng, Mi Ryung Roh

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background Although focus has recently been directed toward the early treatment of surgical scars, the optimal time at which to initiate treatment with fractional laser and its effect on scar remodeling remains controversial. Objectives To assess the safety and efficacy of treating surgical scars using an ablative carbon dioxide (CO2) fractional laser during the early postoperative period. Materials and Methods We performed a prospective, split-scar, evaluator-blinded study on 16 postoperative scars of 15 patients. Patients began treatment 3 weeks after surgery and were treated in two sessions of CO2 fractional laser therapy on half of the scar at 2-week intervals. All patients were followed for 3 months after the final treatment session. Results Three months after the last treatment, a greater decrease in Vancouver Scar Scale score was noted in the treated half of the scars, especially in terms of texture and thickness. Patients also expressed a significantly greater degree of satisfaction with the treated side as assessed using a subjective 4-point scale. Only one patient experienced any adverse effect, which was the development of hypertrophy, on the treated and untreated side of the scar. Conclusion CO2 fractional laser is an effective treatment modality for surgical scars in the early postoperative period.

Original languageEnglish
Pages (from-to)1190-1196
Number of pages7
JournalDermatologic Surgery
Volume39
Issue number8
DOIs
Publication statusPublished - 2013 Aug 1

Fingerprint

Gas Lasers
Cicatrix
Therapeutics
Postoperative Period
Laser Therapy
Carbon Dioxide
Hypertrophy
Lasers
Safety

All Science Journal Classification (ASJC) codes

  • Surgery
  • Dermatology

Cite this

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title = "Early postoperative treatment of surgical scars using a fractional carbon dioxide laser: A split-scar, evaluator-blinded study",
abstract = "Background Although focus has recently been directed toward the early treatment of surgical scars, the optimal time at which to initiate treatment with fractional laser and its effect on scar remodeling remains controversial. Objectives To assess the safety and efficacy of treating surgical scars using an ablative carbon dioxide (CO2) fractional laser during the early postoperative period. Materials and Methods We performed a prospective, split-scar, evaluator-blinded study on 16 postoperative scars of 15 patients. Patients began treatment 3 weeks after surgery and were treated in two sessions of CO2 fractional laser therapy on half of the scar at 2-week intervals. All patients were followed for 3 months after the final treatment session. Results Three months after the last treatment, a greater decrease in Vancouver Scar Scale score was noted in the treated half of the scars, especially in terms of texture and thickness. Patients also expressed a significantly greater degree of satisfaction with the treated side as assessed using a subjective 4-point scale. Only one patient experienced any adverse effect, which was the development of hypertrophy, on the treated and untreated side of the scar. Conclusion CO2 fractional laser is an effective treatment modality for surgical scars in the early postoperative period.",
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Early postoperative treatment of surgical scars using a fractional carbon dioxide laser : A split-scar, evaluator-blinded study. / Lee, Sang Hee; Zheng, Zhenlong; Roh, Mi Ryung.

In: Dermatologic Surgery, Vol. 39, No. 8, 01.08.2013, p. 1190-1196.

Research output: Contribution to journalArticle

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N2 - Background Although focus has recently been directed toward the early treatment of surgical scars, the optimal time at which to initiate treatment with fractional laser and its effect on scar remodeling remains controversial. Objectives To assess the safety and efficacy of treating surgical scars using an ablative carbon dioxide (CO2) fractional laser during the early postoperative period. Materials and Methods We performed a prospective, split-scar, evaluator-blinded study on 16 postoperative scars of 15 patients. Patients began treatment 3 weeks after surgery and were treated in two sessions of CO2 fractional laser therapy on half of the scar at 2-week intervals. All patients were followed for 3 months after the final treatment session. Results Three months after the last treatment, a greater decrease in Vancouver Scar Scale score was noted in the treated half of the scars, especially in terms of texture and thickness. Patients also expressed a significantly greater degree of satisfaction with the treated side as assessed using a subjective 4-point scale. Only one patient experienced any adverse effect, which was the development of hypertrophy, on the treated and untreated side of the scar. Conclusion CO2 fractional laser is an effective treatment modality for surgical scars in the early postoperative period.

AB - Background Although focus has recently been directed toward the early treatment of surgical scars, the optimal time at which to initiate treatment with fractional laser and its effect on scar remodeling remains controversial. Objectives To assess the safety and efficacy of treating surgical scars using an ablative carbon dioxide (CO2) fractional laser during the early postoperative period. Materials and Methods We performed a prospective, split-scar, evaluator-blinded study on 16 postoperative scars of 15 patients. Patients began treatment 3 weeks after surgery and were treated in two sessions of CO2 fractional laser therapy on half of the scar at 2-week intervals. All patients were followed for 3 months after the final treatment session. Results Three months after the last treatment, a greater decrease in Vancouver Scar Scale score was noted in the treated half of the scars, especially in terms of texture and thickness. Patients also expressed a significantly greater degree of satisfaction with the treated side as assessed using a subjective 4-point scale. Only one patient experienced any adverse effect, which was the development of hypertrophy, on the treated and untreated side of the scar. Conclusion CO2 fractional laser is an effective treatment modality for surgical scars in the early postoperative period.

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