Which Type of Atrophic Acne Scar (Ice-pick, Boxcar, or Rolling) Responds to Nonablative Fractional Laser Therapy?

Sardana, Kabir; Manjhi, Mukesh; Garg, Vijay Kumar; Sagar, Vivek

doi:10.1111/dsu.12428

Cited by 51 publications

(37 citation statements)

References 62 publications

(407 reference statements)

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“…[2728293031] All other studies have made a generalised or a sweeping statement on the results obtained without taking into account the differences in the response between the morphological scar types.…”

Section: Discussionmentioning

confidence: 99%

Fractional CO ₂ laser resurfacing as monotherapy in the treatment of atrophic facial acne scars

Majid¹,

Imran²

2014

J Cutan Aesthet Surg

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Background:While laser resurfacing remains the most effective treatment option for atrophic acne scars, the high incidence of post-treatment adverse effects limits its use. Fractional laser photothermolysis attempts to overcome these limitations of laser resurfacing by creating microscopic zones of injury to the dermis with skip areas in between.Aim:The aim of the present study is to assess the efficacy and safety of fractional CO2 laser resurfacing in atrophic facial acne scars.Materials and Methods:Sixty patients with moderate to severe atrophic facial acne scars were treated with 3-4 sessions of fractional CO2 laser resurfacing at 6-week intervals. The therapeutic response to treatment was assessed at each follow up visit and then finally 6 months after the last laser session using a quartile grading scale. Response to treatment was labelled as ‘excellent’ if there was >50% improvement in scar appearance and texture of skin on the grading scale while 25-50% response and <25% improvement were labelled as ‘good’ and ‘poor’ response, respectively. The overall satisfaction of the patients and any adverse reactions to the treatment were also noted.Results:Most of the patients showed a combination of different morphological types of acne scars. At the time of final assessment 6 months after the last laser session, an excellent response was observed in 26 patients (43.3%) while 15 (25%) and 19 patients (31.7%) demonstrated a good and poor response respectively. Rolling and superficial boxcar scars responded the best while pitted scars responded the least to fractional laser monotherapy. The commonest reported adverse effect was transient erythema and crusting lasting for an average of 3-4 and 4-6 days, respectively while three patients developed post-inflammatory pigmentation lasting for 8-12 weeks.Conclusions:Fractional laser resurfacing as monotherapy is effective in treating acne scars especially rolling and superficial boxcar scars with minimal adverse effects.

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Section: Discussionmentioning

confidence: 99%

Fractional CO ₂ laser resurfacing as monotherapy in the treatment of atrophic facial acne scars

Majid¹,

Imran²

2014

J Cutan Aesthet Surg

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“…At baseline, the mean severity of both groups was 5.86. There was no significant difference between treatment regimens, as severity scores reduced to 1.82 in the 1 month interval group and to 1.56 in the 3 months group (P > 0.05) [58].…”

Section: Ablative Fractional Lasersmentioning

confidence: 77%

“…After six treatment sessions, boxcar scars showed the best response with 52.9% improvement in appearance, this was followed by 43.1% and 25.9% mean improvement for rolling and icepick scars, respectively. There were statistically significant improvements in boxcar scars as early as after the fourth treatment session . In another trial, 10 patients (FST I–IV) received 3 months treatments on one randomly assigned side of the face.…”

Section: Non‐ablative Fractional Lasersmentioning

confidence: 97%

“…Sardana et al prospectively examined the 1540 nm fractional laser in 35 Asian patients with acne scars and stratified results by scar type . After six treatment sessions, boxcar scars showed the best response with 52.9% improvement in appearance, this was followed by 43.1% and 25.9% mean improvement for rolling and icepick scars, respectively.…”

Section: Non‐ablative Fractional Lasersmentioning

confidence: 99%

“…As a result, post-procedure erythema, edema, bleeding, crusting, infection, and scarring are less of a concern than with ablative fractional lasers (Fig. 2) [58]. However, like other non-ablative lasers, multiple treatment sessions are necessary.…”

Section: Non-ablative Fractional Lasers Fractional 1550 Nm Erbium-domentioning

confidence: 99%

See 2 more Smart Citations

Acne scarring: A review of available therapeutic lasers

2015

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Use of a Picosecond Pulse Duration Laser With Specialized Optic for Treatment of Facial Acne Scarring

et al. 2015

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Which Type of Atrophic Acne Scar (Ice-pick, Boxcar, or Rolling) Responds to Nonablative Fractional Laser Therapy?

Abstract: Using an objective evaluation tool, an erbium-doped glass laser was found to improve atrophic acne scars, markedly so for boxcar and rolling scars. The VAS score overestimated improvement because of its subjective nature.

Cited by 51 publications

References 62 publications

Fractional CO ₂ laser resurfacing as monotherapy in the treatment of atrophic facial acne scars

Fractional CO ₂ laser resurfacing as monotherapy in the treatment of atrophic facial acne scars

Acne scarring: A review of available therapeutic lasers

Use of a Picosecond Pulse Duration Laser With Specialized Optic for Treatment of Facial Acne Scarring

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Which Type of Atrophic Acne Scar (Ice-pick, Boxcar, or Rolling) Responds to Nonablative Fractional Laser Therapy?

Abstract: Using an objective evaluation tool, an erbium-doped glass laser was found to improve atrophic acne scars, markedly so for boxcar and rolling scars. The VAS score overestimated improvement because of its subjective nature.

Cited by 51 publications

References 62 publications

Fractional CO 2 laser resurfacing as monotherapy in the treatment of atrophic facial acne scars

Fractional CO 2 laser resurfacing as monotherapy in the treatment of atrophic facial acne scars

Acne scarring: A review of available therapeutic lasers

Use of a Picosecond Pulse Duration Laser With Specialized Optic for Treatment of Facial Acne Scarring

Contact Info

Product

Resources

About

Fractional CO ₂ laser resurfacing as monotherapy in the treatment of atrophic facial acne scars

Fractional CO ₂ laser resurfacing as monotherapy in the treatment of atrophic facial acne scars