The treatment of burn scar–induced contracture with the pinhole method and collagen induction therapy: a case report

The Efficacy and Safety of 10,600-nm Carbon Dioxide Fractional Laser for Acne Scars in Asian Patients

“…The Deep FX mode can deliver laser energy to deeper portions of scar tissue, and we believe that the Deep FX mode, through physical breakage and thermal stimulation, can induce regeneration and realignment of thick and intricate collagen bundles and abnormal fibrous anchoring located in deeper portions of a scar 11,12 . This therapeutic effect is similar to that obtained using the pinhole method, a previously described method of scar treatment using a CO 2 laser 13,14 . The spot size of the Deep FX mode is approximately 0.12 mm, so the total treatment zone is not as large as with the Active FX mode, but a smaller spot size allows for a shorter recovery time.…”

Evaluation of Clinical Results, Histological Architecture, and Collagen Expression Following Treatment of Mature Burn Scars With a Fractional Carbon Dioxide Laser

“…In 2007, a case report described a large burn scar treated using the pinhole method with a carbon dioxide laser, combined with collagen induction therapy using a microneedle therapy system. 11 Following 5 monthly sessions, improvement was seen in color and texture, as well as a decrease in scar contracture. This combined method is believed to cause both thermal and physical damage of scar collagen, resulting in its regeneration and realignment.…”

Ablative Fractional Photothermolysis for the Treatment of Hypertrophic Burn Scars in Adult and Pediatric Patients

“…20 Several studies evaluating multiple patients demonstrated improvements in skin smoothness, self esteem and patient satisfaction. 21,22 The first use of ablative FP was reported by Cho et al 23 Subsequently, Waibel et al first published the use of ablative FP in hypertrophic burn scars using the Lumenis Ultrapulse ® , the same device used at our institution in 2009. 9 Compared with traditional (nonfractionated) ablative lasers, there is a decrease in complications such as infection and persistent erythema.…”