Sosyo
Online ISSN : 1884-880X
ISSN-L : 1884-880X
Feature Articles 4 : Treatment to obtain scarless wound healing
Treatment of Hypertrophic and Atrophic Scars Caused by the CO2 Laser Using a Long Pulsed Dye Laser
Shunji Nakano
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2013 Volume 4 Issue 3 Pages 170-177

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Abstract
Post-operative hypertrophic and atrophic scars are commonly seen as the side effects of continuous mode CO2 laser therapy. Prolonged wound healing is known to cause hypertrophic scars and early reepithelialization with poor collagen synthesis in granulation tissue may result in atrophic operative scars. In this study, these scars were treated with a long-pulsed dye laser under consistent laser settings (Vbeam®, Vbeam Perfecta® : wavelength 595 nm, pulse duration 20-30 msec, fluence 6J / cm2, cryogen spray duration 30-40 msec, and delay 20-30 msec). Treatments were repeated every 2-4 weeks until patient satisfaction was obtained. The results suggest that a long-pulsed dye laser is effective for flattening hypertrophic scars and reducing atrophic scars and can improve skin texture.
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© 2013 Japan Society for Surgical Wound Care
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