Objectives: · Learn what techniques to combine when facing atrophic scars.

Introduction: The most typical cause of atrophic scarring is acne, so they are extremely common and are normally set in the face. There are different types of acne atrophic scars (e.g., rolling, boxcar and ice-pick types) and each of them have specific histological features that make some treatments to be more effective and indicated.

Materials / method: We will make a review of the literature to provide guidelines to treat atrophic acne scars.

Results: Theoretical discussion about what treatments to use when treating atrophic acne scars showing our experience and proposals.

Conclusion: Each type of acne scar shows better therapeutical response to specific techniques. With the support of scientific references, we have discusses what methods to use when facing acne scars.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: The aim of this study is to systematically review and evaluate clinical evidence for early laser intervention introduced in inflammation, proliferation or remodeling phases of wound healing with first treatment performed <3 months after wounding.

Introduction: Surgical procedures will inevitable leave a scar. For many patients their surgical scar may pose itching, pain, restriction of movement and disfiguration. Within recent years the ability of laser treatment to affect wound healing and subsequently minimize scar formation has been investigated.

Materials / method: We searched PubMed using relevant key words. Titles, abstracts and articles were sorted according to inclusion and exclusion criteria. Methodological quality was evaluated according to Cochrane Collaborations risk-of-bias assessment guideline by two independent authors.

Results: Twenty-five articles met the inclusion criteria. In general, laser treated wounds and scars showed benefit from laser intervention, though not always reaching significance. Significant scar improvements were found in: 3 of 4 studies using laser treatment in inflammation phase, in 6 of 16 studies with laser initiated in the proliferation phase and in 2 of 5 studies in the remodeling phase. Methodological quality included high risk-of- bias in terms of randomization and allocation concealment, but low risk-of-bias with regard to blinding of outcome assessment and lost to follow-up.

Conclusion: Laser intervention to reduce scar formation. Studies with longer follow-up and higher quality are needed.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Current approaches use subjective semi-quantitative or cumbersome objective methodologies to assess physical characteristics of hypertrophic and keloid scars

Introduction: This pilot study aimed to evaluate the accuracy and feasibility of a new stereoscopic optical and high-resolution three-dimensional (3D) imaging system, for objectively measuring changes in above surface scar volume following various interventions.

Materials / method: Feasibility of the system was assessed by monitoring the above surface scar volume of five scars in two patients for five successive months. Above surface scar volume and Vancouver Scar Scale (VSS) scores and the investigator and patient volume improvement assessment scores were assessed before and twelve weeks after last intervention.

Results: Scar volume measured by the imaging system correlated significantly with the gold standard (actual weight). The greatest volume reduction followed a combination of cryotherapy and intralesional triamcinolone acetonide and 5-fluorouracil injections in Patient 1, and a combination of pulse dye laser and intralesional triamcinolone acetonide injections in Patient 2.

Conclusion: The new stereoscopic optical system is a valid, accurate and practical objective method for assessing scar volume and for monitoring treatment response. It is more sensitive and accurate than semi-quantitative objective scales. Further studies with a higher number of patients and scars are required to increase the measurement validity of the system

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
Yes
Please specify entities (individual, company, society): sensus

Were you provided with any honoraria, payment or other compensation for your work on this study?
Yes
Please specify entities (individual, company, society): sensus, research

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability