Efficiency of Early Sequential Laser Treatment for Facial Linear Scars in Cross-Sectional Regions

IF 2.5 4区医学 Q2 DERMATOLOGY Journal of Cosmetic Dermatology Pub Date : 2025-02-13 DOI:10.1111/jocd.70053

Lei Guo, Ping Xue, Xing Fan, Yue Yin, Wenjie Dou, Tong Li, Qing Yang

{"title":"Efficiency of Early Sequential Laser Treatment for Facial Linear Scars in Cross-Sectional Regions","authors":"Lei Guo, Ping Xue, Xing Fan, Yue Yin, Wenjie Dou, Tong Li, Qing Yang","doi":"10.1111/jocd.70053","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Long linear scars in cross-sectional regions can adversely affect facial aesthetics and functionality, leading to substantial psychological distress. Early intervention with carbon dioxide ablative fractional laser (CO<sub>2</sub>-AFL) and 595-nm pulsed dye laser (PDL) has shown promise in mitigating post-surgical scarring. However, the effectiveness of this treatment for extensive facial scars across different areas remains unclear.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We reviewed medical records of 39 patients with long scars from facial trauma between January 2022 and October 2023. Treatment commenced with two sessions of PDL and three sessions of CO<sub>2</sub>-AFL 1 week post-suture removal. Outcomes were assessed using Antera 3D imaging and the Patient and Observer Scar Assessment Scale (POSAS 3.0). Quality of life improvements were measured using the Short Form-36 Health Survey (SF-36).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>All patients completed five sessions of laser treatment. Significant reductions were noted in Patient and Observer scores on the POSAS (<i>p</i> < 0.05). Antera 3D analysis revealed substantial improvements in average roughness, depression depth, and elevation depth across facial regions. The significance of improvements in color variation, texture elevation span, melanin hyperconcentration, and hemoglobin hyperconcentration varied by area. Patients also showed significant improvements in SF-36 scores for physical role limitations, social functioning, and emotional well-being compared to pre-treatment levels (<i>p</i> < 0.05).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Early sequential treatment with PDL and CO<sub>2</sub>-AFL effectively improves long scars in various facial areas.</p>\n </section>\n </div>","PeriodicalId":15546,"journal":{"name":"Journal of Cosmetic Dermatology","volume":"24 2","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jocd.70053","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cosmetic Dermatology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jocd.70053","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DERMATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Long linear scars in cross-sectional regions can adversely affect facial aesthetics and functionality, leading to substantial psychological distress. Early intervention with carbon dioxide ablative fractional laser (CO₂-AFL) and 595-nm pulsed dye laser (PDL) has shown promise in mitigating post-surgical scarring. However, the effectiveness of this treatment for extensive facial scars across different areas remains unclear.

Methods

We reviewed medical records of 39 patients with long scars from facial trauma between January 2022 and October 2023. Treatment commenced with two sessions of PDL and three sessions of CO₂-AFL 1 week post-suture removal. Outcomes were assessed using Antera 3D imaging and the Patient and Observer Scar Assessment Scale (POSAS 3.0). Quality of life improvements were measured using the Short Form-36 Health Survey (SF-36).

Results

All patients completed five sessions of laser treatment. Significant reductions were noted in Patient and Observer scores on the POSAS (p < 0.05). Antera 3D analysis revealed substantial improvements in average roughness, depression depth, and elevation depth across facial regions. The significance of improvements in color variation, texture elevation span, melanin hyperconcentration, and hemoglobin hyperconcentration varied by area. Patients also showed significant improvements in SF-36 scores for physical role limitations, social functioning, and emotional well-being compared to pre-treatment levels (p < 0.05).

Conclusions

Early sequential treatment with PDL and CO₂-AFL effectively improves long scars in various facial areas.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

面部横断面线性疤痕早期序贯激光治疗的效率

横断区域的长线形疤痕会对面部美学和功能产生不利影响，导致严重的心理困扰。二氧化碳烧蚀分数激光（CO2-AFL）和595 nm脉冲染料激光（PDL）的早期干预在减轻术后疤痕方面显示出希望。然而，这种治疗面部不同区域大面积疤痕的有效性尚不清楚。方法回顾性分析2022年1月至2023年10月39例面部创伤长疤痕患者的病历。治疗开始于2次PDL和3次CO2-AFL，拆除缝线后1周。采用Antera 3D成像和患者和观察者疤痕评估量表（POSAS 3.0）评估结果。使用SF-36健康问卷（Short Form-36 Health Survey, SF-36）测量生活质量的改善。结果所有患者均完成5个疗程的激光治疗。患者和观察者的POSAS评分显著降低（p < 0.05）。Antera 3D分析显示，面部区域的平均粗糙度、凹陷深度和仰角深度都有了实质性的改善。颜色变化、纹理高程、黑色素和血红蛋白升高的改善意义因地区而异。与治疗前水平相比，患者在身体角色限制、社会功能和情绪健康方面的SF-36评分也有显著改善（p < 0.05）。结论PDL联合CO2-AFL早期序治疗可有效改善面部各部位长疤痕。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of Cosmetic Dermatology DERMATOLOGY-

CiteScore

4.30

自引率

13.00%

发文量

818

审稿时长

>12 weeks

期刊介绍： The Journal of Cosmetic Dermatology publishes high quality, peer-reviewed articles on all aspects of cosmetic dermatology with the aim to foster the highest standards of patient care in cosmetic dermatology. Published quarterly, the Journal of Cosmetic Dermatology facilitates continuing professional development and provides a forum for the exchange of scientific research and innovative techniques. The scope of coverage includes, but will not be limited to: healthy skin; skin maintenance; ageing skin; photodamage and photoprotection; rejuvenation; biochemistry, endocrinology and neuroimmunology of healthy skin; imaging; skin measurement; quality of life; skin types; sensitive skin; rosacea and acne; sebum; sweat; fat; phlebology; hair conservation, restoration and removal; nails and nail surgery; pigment; psychological and medicolegal issues; retinoids; cosmetic chemistry; dermopharmacy; cosmeceuticals; toiletries; striae; cellulite; cosmetic dermatological surgery; blepharoplasty; liposuction; surgical complications; botulinum; fillers, peels and dermabrasion; local and tumescent anaesthesia; electrosurgery; lasers, including laser physics, laser research and safety, vascular lasers, pigment lasers, hair removal lasers, tattoo removal lasers, resurfacing lasers, dermal remodelling lasers and laser complications.