Early Chemabrasion for Acne Scars After Treatment with Oral Isotretinoin

Picosse, Fabíola Rosa; Yarak, Samira; Cabral, Nádia Canale; Bagatin, Ediléia

doi:10.1111/j.1524-4725.2012.02460.x

Cited by 37 publications

(29 citation statements)

References 28 publications

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“…Laser light penetration is decreased in more darkly pigmented skin. Higher fluences and longer wavelengths are required to produce similar clinical effects in darker skin types but should be administered with care to prevent side‐effects caused by higher absorption of the pigmented epidermis . In darker phototypes we recommend the combined use of chilled contact gel, ice, sapphire chilled tip, cryogen spray delivered by dynamic cooling device or external air cooling to preserve the epidermis and prevent pigmentary complications.…”

Section: Treatment Principlesmentioning

confidence: 99%

“…30,33,34 We recommend against avoidance of laser treatment in patients who are on or have recently stopped using oral isotretinoin (GRADE 2C). [35][36][37]…”

Section: Qualification Of Providers Of Laser And/or Ipl Treatmentmentioning

confidence: 99%

“…6 Recent clinical studies showed that invasive acne scar treatments and laser procedures in patients on oral isotretinoin bring no additional risks and that the drug does not delay wound healing. [35][36][37] Disease-related measurements and reporting standards 30,34 Recommendation 4: We recommend the use of clinical (depending on the disorder treated) and photographic outcome measurements to evaluate the primary outcome of laser/IPL procedures (GRADE 1A).…”

Section: Medical History and Clinical Examinationmentioning

confidence: 99%

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Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Adamič¹,

Pavlović

Rubin

et al. 2015

Acad Dermatol Venereol

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Aim Lasers and non-coherent intense pulse light sources (IPLS) are based on the principle of selective photothermolysis and can be used for the treatment of many vascular skin lesions. A variety of lasers has been developed for the treatment of congenital and acquired vascular lesions which incorporate these concepts into their design. Although laser and light sources are very popular due to their non-invasive nature, caution should be considered by practitioners and patients to avoid permanent side-effects. The aim of these guidelines is to give evidence-based recommendations for the use of lasers and IPLS in the treatment of vascular lesions. Results Lasers and IPLS are very useful and sometimes the only available method to treat various vascular lesions. It is of a paramount importance that the type of laser or IPLS and their specific parameters are adapted to the indication but also that the treating physician is familiar with the device to be used. The crucial issue in treating vascular lesions is to recognize the immediate end-point after laser treatment. This is the single most important factor to ensure both the efficacy of the treatment and avoidance of serious side-effects. Methods Conflicts of interestNone declared. Funding sourceNone.Since the publication of previous European Society of Laser Dermatology (ESLD) guidelines in 2007, there have been significant advances in the field of laser treatment of common vascular lesions.1 These guidelines have been updated by the Consensus Panel under the auspices of the ESLD. Methodology, search strategy and recommendation formulation are described in Appendix II. A brief overview of vascular lasersStandard vascular lasers include pulsed dye lasers (585 and 595 nm), and KTP-lasers (532 nm), followed by longer wavelength lasers such as alexandrite lasers (755 nm), diode lasers (800-900 nm) and millisecond Nd:YAG lasers (1064 nm). New developments include a non-uniform pulse sequence or a dual-wavelength modality (combined dual wavelength 595 and 1064 nm-pulsed dye and Nd:YAG laser) and microsecond Nd: YAG lasers. [2][3][4][5][6] Even fractional photothermolysis has begun to be used for selected vascular lesions. Lasers' and intense pulse light sources (IPLS) effects are based on the principle of selective photothermolysis. In general, they deliver a precisely graded aliquot of energy to a defined area of the skin in a reproducible, standardized manner that almost always involves addition or evacuation of heat. The greatestThe first two authors have contributed equally to the manuscript.

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Section: Treatment Principlesmentioning

confidence: 99%

“…30,33,34 We recommend against avoidance of laser treatment in patients who are on or have recently stopped using oral isotretinoin (GRADE 2C). [35][36][37]…”

Section: Qualification Of Providers Of Laser And/or Ipl Treatmentmentioning

confidence: 99%

Section: Medical History and Clinical Examinationmentioning

confidence: 99%

See 1 more Smart Citation

Guidelines of care for vascular lasers and intense pulse light sources from the European Society for Laser Dermatology

Adamič¹,

Pavlović

Rubin

et al. 2015

Acad Dermatol Venereol

View full text Add to dashboard Cite

show abstract

“…Picosse et al 11 performed a prospective cohort study involving 10 patients (four women, six men), assessing outcomes after chemical peels and dermabrasion for acne scarring. All of the patients had completed treatment with isotretinoin for their acne 1-3 months previously, with a minimum accumulated dose of 122 mg kg À1 per patient.…”

Section: Cohort Studiesmentioning

confidence: 99%

Should isotretinoin be stopped prior to surgery? A Critically Appraised Topic

Wootton

Cartwright²,

Manning

et al. 2014

Br J Dermatol

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“…Recently, it has been shown that laser treatment performed during or within a few months of surgical procedures significantly improves the appearance and texture of surgical scars. [12][13][14][15][16][17] The authors' aim was to evaluate the safety of ablative CO 2 fractional laser treatment of the facial area in patients with atrophic acne scars who were undergoing or had recently completed isotretinoin therapy, and to examine subsequent healing. Although clinical complications can result from fractionated laser treatment, ablative skin resurfacing with a carbon dioxide (CO 2 ) fractional laser is among the procedures that yield satisfactory results.…”

mentioning

confidence: 99%