Objectives: About scar treatment, ablative laser treatment is one of effective non-surgical procedures. There are two approaches. One is fully ablative and another is fractional ablative procedure. Which is better to get good result? It’s very difficult to answer. We cannot erase scar perfectly. Therefore, we should compare the detail of each procedure.
Introduction: Surgical treatments of scars are sometimes very difficult to get satisfactory results. Scar revision operation using the scalpel is the standard treatment of them, however the result shows that scar is still visible. Furthermore, there is no way to erase the multiple scars widespread.
In such scar management, fractional carbon dioxide laser became the most promising new method for safe and nonsurgical improvement. Fractional carbon dioxide laser resurfacing produces tissue contraction, collagen synthesis, and dermal remodeling. However fully ablation procedure is still also one of the effectiv
Materials / method: Carbon dioxide laser devices with or without fractional handpiece are used for scar treatments. The reasons of scar formation are ; accident, surgery, or self-harming .
Results: Patients’ satisfaction level is very high, and we found measurable change by clinical photos.
Conclusion: Fractional carbon dioxide laser resurfacing is considered as the one of option for scar managements. With proper technique, results can be achieved with a low risk. However, depending on the reason of scar, we should perform more aggressive procedure for patients’ satisfaction. The goal of the treatment is different. Some patients wish to improve scar appearance slightly, and other wish to replace scars to other scars like burn scar to conceal their past.
We should care the patients’ mental condition.
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