Revision of Full‐Thickness Skin Grafts Using the Carbon Dioxide Laser

Abstract

The occasional hypertrophic scarring that occurs with full-thickness skin grafting can be effectively revised using the carbon dioxide laser. This technique can be precisely performed due to the limited zone of destruction produced by this wavelength of laser energy when it has contact with living, soft tissue. Additionally, the hemostasis provided by this instrument allows excellent visibility and provides maximum opportunity for proper control. The technique utilized in this procedure will be presented.

Laser corrective surgery with fractional carbon dioxide laser following full-thickness skin grafts

“…The first successful use of unfractionated CO 2 laser in the revision of FTSGs was reported in 1988, whereby Wheeland found efficacious results of the CO 2 laser to revise hypertrophic scarring in FTSG. [ 9 ] The CO 2 laser treatment was shown to be useful in treating scar contractures secondary to split-thickness skin grafts in the forearms of three patients, who reported improved range of movement up to 15 months posttreatment. [ 10 ]…”

Scalpel Sculpturing Techniques for Graft Revision and Dermatologic Surgery

“…The main detraction to this technique is the special handle, with its limited maneuverability. The CO 2 laser may also be used to improve the appearance of scars following skin grafting 12 . The cost and setup time are detracting features.…”

“…The COz laser may also be used to improve the appearance of scars following skin grafting. 12 The cost and setup time are detracting features.…”

Surgical scar revision: An overview

“…[484950] Raised edges of the scar can be ablated using an erbium:YAG laser. Carbon dioxide laser induces collagen remodelling and wound contraction by 20-60%.…”