Device-based cosmetology: rehabilitation of post-traumatic scars
目标: To describe the clinical and imaging outcomes of morphology-guided multimodal rehabilitation of post-traumatic facial scars.
介绍: Post-traumatic facial scars may exhibit heterogeneous structural and vascular features, with normotrophic, atrophic, and hypertrophic areas and varying degrees of redness coexisting within the same scar. This heterogeneity provides a rationale for selecting energy-based modalities according to the dominant scar components.
材料 / 方法: Patients with post-traumatic facial scars underwent combinations of IPL, 1064-nm Nd:YAG laser, fractional radiofrequency microneedling, and fractional CO₂ laser, selected according to scar morphology and dominant structural and vascular components. Outcomes were assessed by clinical examination, ultrasound imaging with Doppler assessment, and 3D stereophotogrammetric imaging
结果: Clinical assessment demonstrated remodeling of hypertrophic and atrophic scar components toward a more normotrophic appearance, accompanied by overall aesthetic improvement and improvement in vascular features. Ultrasound imaging demonstrated a more homogeneous scar structure, reduced edema and fibrotic changes, and reduced vascular flow on Doppler assessment. 3D stereophotogrammetric imaging documented a reduction in scar redness.
总结: These observations suggest that morphology-guided multimodal scar rehabilitation may allow different structural and vascular features of post-traumatic facial scars to be addressed within an individualized protocol. Clinical and imaging findings demonstrated remodeling toward a more normotrophic appearance together with improvement in vascular features
