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Treatment Algorithm for Acne Scars
Published in Antonella Tosti, Maria Pia De Padova, Gabriella Fabbrocini, Kenneth R. Beer, Acne Scars, 2018
Daniele Innocenzi, Ilaria Proietti, Concetta Potenza, Patrick M. Zito, Kenneth R. Beer
Topical silicone-gel sheeting alone or with intralesional steroids are the only evidence-based, recommendable forms of treatment to control the quality of a scar. The advantages and disadvantages of both are well known. Signorini and Clementoni [94] first verified the efficacy of a new topical self-drying spreadable silicone gel (Dermatix®, Valeant Pharmaceuticals, Milan, Italy) in a prospective trial involving a group of 160 patients. Considering the effective results obtained and the good patient compliance, the authors rated this concept of treatment as the first choice for preventing hypertrophy of recent scars (such as hypertrophic and keloidal post-acne scarring).
Efficacy of fractional carbon dioxide laser therapy for burn scars: a meta-analysis
Published in Journal of Dermatological Treatment, 2021
Cong Zhang, Kai Yin, Yu-ming Shen
Surgery aims at relieving tension and improving range of motions in contracted scars, but outcomes are dependent on anatomical site and are also affected by treatment delay, additional morbidity, and recurrence (7). Scar excision is usually followed by primary closure which may involve tissue expansion or with flaps or grafts, but these techniques have high failure and recurrence rates besides significant complications (8). Among the nonsurgical treatment options, aggressive physical therapy, pressure therapy, silicone gel sheeting, cryotherapy, corticosteroid therapy, and laser treatments can be used depending on the nature of scar (9). Laser technology has gained much attraction in dermatology. Three main groups of lasers usually used to improve scars are the pulsed dye lasers, Q-switched neodymium: yttrium aluminum garnet (Nd: YAG) lasers, and ablative and non-ablative fractional lasers (10).
Intense pulsed light vs silicone gel sheet in the management of hypertrophic scars: an interventional comparative trial in the Indian population
Published in Journal of Cosmetic and Laser Therapy, 2019
Preethitha Babu, Friji Meethale Thiruvoth, Ravi Kumar Chittoria
Laser treatment for scars has emerged over the past 30 years with the aim of providing a painless, noninvasive and effective treatment option. For the management of hypertrophic scars, both ablative and non-ablative lasers have been used such as Pulsed dye lasers (PDL), Er: YAG lasers and CO2 lasers. The most commonly used ablative lasers are the PDL lasers with a wavelength of 585 to 595nm which are known to have an improvement ranging from 57% to 83% on the texture of the scar (8). Intense Pulsed Light (IPL) was introduced into medical practice initially for the management of hyperpigmented or vascular lesions, hair removal, photorejuvenation and treatment of sun damaged skin. However, pilot studies conducted by various authors have enabled it to be used for scar management with promising results (9). All of the available research on the use of IPL for hypertrophic scar management has been carried out in the Western population, with no reports being available on its effectiveness on the Indian population who tend to have darker skin types. This trial was thus carried out with the aim of studying the effect of IPL therapy on hypertrophic scars in South Indians and comparing it with a conventional treatment modality such as Silicone gel sheeting (SGS).