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Early fractional carbon dioxide laser intervention for postsurgical scars in skin of color

Authors Ibrahim SM, Saudi WM, Abozeid MF, Elsaie ML

Received 19 June 2018

Accepted for publication 26 June 2018

Published 4 January 2019 Volume 2019:12 Pages 29—34

DOI https://doi.org/10.2147/CCID.S177622

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 3

Editor who approved publication: Dr Jeffrey Weinberg


Shady M Ibrahim,1 Wael M Saudi,2 Mohamed F Abozeid,3 Mohamed L Elsaie4

1Department of Dermatology, Al Azhar University, Cairo, Egypt; 2Department of Dermatology, Misr University for Science & Technology, 6th of October City, Egypt; 3Department of Plastic surgery, Cairo University, Giza, Egypt; 4Department of Dermatology, National Research Centre, Cairo, Egypt

Background: Fractional CO2 laser is one of the most effective treatment options used to resurface scars.
Objective: To evaluate the efficacy and safety of early treatment of postsurgical scar by fractional ablative CO2 laser.
Methods: A total of 27 Egyptian patients with recent postoperative scars were enrolled in this study. Three sessions of fractional CO2 laser with a 1-month interval were started 4 weeks after surgery. Vancouver Scar Scale (VSS) was used as an assessment tool at 1 and 3 months after the final treatment. Patients reported their satisfaction using a subjective 4-point scale.
Results: Results demonstrated a statistically significant overall average improvement of the VSS (5.33±1.33) before compared with (2.55±1.06) 3 months after the last laser treatment (P≤0.001). Among the individual parameters in the VSS, the most significant improvements were found in pigmentation, height, and pliability. Patient’s subjective satisfaction scores showed a significant greater degree of satisfaction after laser treatment.
Conclusion: Fractional ablative CO2 laser is an effective and safe treatment modality for surgical scars in the early postsurgical period.

Keywords: scar, fractional, CO2 laser

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