Laser Management of Scars 9783030529185, 9783030529192

Table of contents :
Preface
Acknowledgements
Contents
Contributors
About the Author
Introduction to Lasers and Their Use in Scar Management
1 Principles of Laser–Tissue Interactions
2 Scar Characteristics Commonly Amenable to Laser Therapy
3 Providing a Laser Scar Service
Further Reading
Pathophysiology of Scarring
1 Wound Healing and Scarring
1.1 Hypertrophic Scars
1.2 Keloid Scars
1.3 Atrophic Scars
References
Decision-Making for Safe and Effective Laser Treatment: The Laser Test Patch
1 Introduction
2 General Principles of Performing a Test Patch [1]
3 Safety and Effectiveness of Test Patching in Relation to Treating Scars
4 Conclusion
References
Laser Strategies for Complex Scars: Experience from Establishing a Supra-Regional Laser Service for Burns and Complex Scarring
1 Introduction
2 Treatment Population
3 The Laser Test Patch
4 Indications for Treatment
5 Pigmentation
5.1 Clinical Examples (Figs. 5, 6, and 7)
5.2 Summary (Pigmentation)
6 Scar Erythema and Telangiectasia
6.1 Summary (Vascular Laser Treatments for Scars)
7 Keloid Scars
7.1 Vascular Lasers for Keloids
7.2 Ablative Lasers for Keloids
7.3 Clinical Examples
8 Hypertrophic Scars and Contour
8.1 Ablative CO2 Laser
8.2 Laser Resurfacing
8.3 Summary: Ablative and Fractional Laser for Scars
9 Laser Depilation for Scar Folliculitis and Heterotopic Hair Growth
10 Acne Scarring
11 Summary
References
Carbon Dioxide Laser Treatment for Scars
1 Introduction
2 Review of the Evidence
2.1 Hypertrophic Scars Including Burn and Surgical Scars
2.2 Atrophic Scars
2.3 Contracted Scars/Range of Motion
3 Early Treatment/Scar Prevention
4 Treatment Methodology
5 General Instructions for Laser Operation
6 Laser Specifications
7 Clinical Examples
7.1 Case #1
7.2 Case #2
7.3 Case #3
8 Discussion
References
Pulsed Dye Laser Treatment for the Treatment of Hypertrophic Burns Scarring
1 Introduction
2 Review of the Evidence
2.1 Pulsed Dye Laser for Hypertrophic Scars
2.2 Early Intervention
2.3 Previous Studies
3 Treatment Methodology
4 Case Example
4.1 Lasers Settings
5 Discussion
References
Further Reading
Long-Pulsed 1064-nm Nd:YAG Laser Treatment for Keloids and Hypertrophic Scars
1 Introduction
2 Laser Therapies for Keloids and Hypertrophic Scars
3 Indications and Limitations of Long-Pulsed 1064-nm Nd:YAG Laser for Keloids and Hypertrophic Scars
4 Treatment Settings of Long-Pulsed 1064-nm Nd:YAG Laser for Keloids and Hypertrophic Scars
5 Follow-Up of Keloids and Hypertrophic Scars
References
Intense Pulsed Light (IPL) Monotherapy for Scars
1 Background
2 Keloid and Hypertrophic Scarring
3 The Use of IPL Alone
4 IPL Treatment Combined with Intra-Lesional Steroids
5 IPL Treatment Combined with CO2 Laser
6 IPL vs. Other Treatment Modalities
7 Complications Reported with IPL
8 Conclusion
References
Nd:YAG Laser and Intense Pulsed Light (IPL) in the Treatment of Hypertrophic and Keloid Scar
1 Introduction
2 Intense Pulsed Light
3 Nd:YAG
4 Treatment Methodology/Regimen
5 Clinical Examples
6 Discussion
References
Laser Management of Acne Scars
1 Introduction
2 Review of the Evidence
3 Treatment Methodology
3.1 Non-laser–Based Treatments
3.2 Laser-Based Treatments
3.3 Ablative Lasers
3.4 Non-ablative Lasers
4 Clinical Examples
4.1 Ice-Pick Acne Scars
4.2 Rolling Acne Scars
4.3 Hypertrophic Acne Scars
5 Discussion
References
Strategies for Keloid and Hypertrophic Scars with Lasers
1 Introduction
2 Examining the Evidence
2.1 Pulsed Dye Laser (PDL)
2.2 Nd:YAG
2.3 Ablative Lasers: Carbon Dioxide (CO2) Laser and Er:YAG
3 Treatment Methodology
4 Clinical Examples
5 Discussion
References
‘Acid Attack’ Scars: Strategy for Scars from Assaults Using Corrosive Substances
1 Scar Folliculitis and Hair Removal
2 Erythema and Hypertrophic Scars
3 Pigmentation
4 Keloid Scars
5 Atrophic Scars
Further Reading
Photodynamic Therapy for the Treatment of Scars
1 Keloid Ex Vivo Studies
2 Hypertrophic Ex Vivo Studies
3 Evidence for PDT in Keloid Scarring
4 Evidence for PDT in Hypertrophic Scarring
5 Conclusion
References
1550-nm Erbium:Glass and 1927-nm Thulium Non-Ablative Fractional Lasers for the Treatment of Burn Scars
1 Introduction
2 Review of the Evidence
3 Treatment Methodology
4 Clinical Examples
5 Discussion
References
Laser Depilation in Scar and Burn Management: Scar Folliculitis, Heterotopic Hair Growth, and Keloids
1 Heterotopic Hair Growth
1.1 Pseudo-Folliculitis and Scar Folliculitis
1.2 Which Laser?
2 Keloid Scars
2.1 Clinical Examples
3 Summary
References
Informed Consent for Laser Therapy in Scar Management
1 Introduction
2 Legal and Ethical Issues Relevant to Consent
3 Obtaining Consent in Laser Scar Management
4 Informed Consent in the Laser Treatment of Cutaneous Scarring
4.1 Burns and Blisters
5 Consent Pitfalls
6 Conclusion
Further Reading
Legal Cases
Complications Including Scarring Caused by Lasers
1 Treatment of Scars Caused by Lasers
Further Reading