THE EFFICACY AND SAFETY OF ABLATIVE FRACTIONAL CARBON DIOXIDE LASER FOR TREATMENT OF ACNE SCARS
DOI:
https://doi.org/10.17656/jsmc.10021Keywords:
Acne scars, Ablative Fractional Carbone-dioxide LaserAbstract
Background
Acne is a prevalent condition in every society and often results in scarring. Prevention is the optimal method to avoid these scars; however; even with the best efforts, scars will certainly arise. Ablative Fractional Carbon –dioxide laser have recently introduced a good option by using principles of Fractional Photothermolysis which produces a tiny microscopic wound surrounded by undamaged tissue.
Objective
To determine efficacy and safety of ablative fractional CO2 laser for treatment of acne scars.
Methods
Fifteen patients with skin type III, IV, with moderate to severe facial acne scars (according to Goodman and Baron grading system of acne scarring), enrolled in this study were all treated with Ablative Fractional Carbon-dioxide Laser every 4-8 weeks for three consecutive sessions. All subjects were assessed by photographs before treatment and one month after the last session. Post treatment side effects were assessed after each session and one month after the last session.
Results
Post treatment side effects were mild to moderate and transient. Post treatment hyperpigmentation was not permanent. All patients who had moderate and severe scars before treatment changed to mild and moderate scars after completing the last session with decrease in the number and the size of the scars and these changes were statistically significant (P value = 0.002).
Conclusion
Ablative Fractional Carbon-dioxide Laser shown to be safe and effective treatment modality for moderate and severe acne scars.
References
Jacob CI, Dover JS, Kaminer MS. Acne scarring: a classification system and review of treatment options. J Am Acad Dermaol 2001; 45:109-17. DOI: https://doi.org/10.1067/mjd.2001.113451
Cunliffe WJ, Simpson NB. Disorders of the sebaceous glands. In: Champiopn RH, Burton JL, Burns DA, Robinson JK, Rigel DS, Amonette, et al., eds. Rook /Wilkinson/ Ebling Textbook of Dermatology. Oxford: Blackwell Science, 1998:1927-84.
Tsau SS, Dover JS, Arndt KA, Long CS, Miller AJ, Lee H-T et al. Scar management: keloid, hypertrophic, atrophic, and acne scars. Semin Cutan Med Surg 2002:21; 46-75. DOI: https://doi.org/10.1053/sder.2002.31153
Walia S, Alster TS. Prolonged clinincal and histologic effectcs from CO2 laser resurfacing of atrophic acne scars. Dermatol Surg 1999; 25:926-30. DOI: https://doi.org/10.1046/j.1524-4725.1999.99115.x
Goodman GJ. Management of post-acne scarring: what are the options for treatment? Am J Clin Dermatol 2000; 1:3-17. DOI: https://doi.org/10.2165/00128071-200001010-00001
Goldberg DJ Er: YAG resurfacing: what is its role? Aesthetic Surg J 1998; 18:255-60. DOI: https://doi.org/10.1016/S1090-820X(98)70053-6
Goodman GJ, Jennifer A. Baron. Postacne scarring: A review of its pathophysiology and treatment. Dermatol Surg 2000; 26:857-71. DOI: https://doi.org/10.1046/j.1524-4725.2000.99232.x
Alster TS, west TB. Resurfacing of atrophic facial acne scars with a high –energy pulsed carbon dioxide laser. Dermatol Surg 1996; 22 (2); 151-154. DOI: https://doi.org/10.1111/j.1524-4725.1996.tb00497.x
Nanni CA, Alster TS .Complication of carbon dioxide laser resurfacing an evaluation of 500 patients. Dermatol Surg 1998; 24 (3):315-320. DOI: https://doi.org/10.1111/j.1524-4725.1998.tb04161.x
Geroneous RG. Fractional photothermolysis: current and future applications .Lasers Surg Med 2006; 38(3):169-176. DOI: https://doi.org/10.1002/lsm.20310
Behroozan DS , Goldberg LH ,Dai T , Friedman PM. Fractional photothermolysis for the treatment of poikiloderma of Civatte Dermatol Surg 2006 ; 32:298-301. DOI: https://doi.org/10.1111/j.1524-4725.2006.32061.x
Alser TS, Tanzi EL, Lazarus M. The use of fractional laser photothermolysis for the treatment of atrophic scars. Dermatol Surg 2007; 33(3):295-299. DOI: https://doi.org/10.1111/j.1524-4725.2007.33059.x
Efficacy and safety of CO2 ablative fractional resurfacing device for treatment atrophic acne scars in Asians JAAD 2010; 63 (2). DOI: https://doi.org/10.1016/j.jaad.2009.08.051
Sukal Sa , Geronemus RG. Fractional photo thermolysis. J Drug Dermatol 2008; 7:118-122.
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