Laser Scar Revision

Atrophic, hypertrophic, keloid, and acne scars treatments

Scars result from a chaotic wound healing response leaving behind fibrotic tissue due to irregular collagen formation. There are different types of scars including atrophic, hypertrophic, contracture and keloid scars. Available scar revision therapies depend on the type of scar, and range from topical creams for mild scarring, to grafting in the case of large, traumatic scars. Laser scar revision is an effective method for treating a wide range of scars that improves skin texture and pigment as well as functional aspects.
For acne and some surgical scars (see also AcneScars Treatment), fractional skin resurfacing can effectively treat textural and pigment concerns. IPL can also be used to decrease pigmentation and vascular effects. Scars caused by burns and other traumatic injuries are more complicated in nature and can negatively affect the quality of life due to disfigurement, pain, bleeding, pruritis (itching) and restricted range of motion. Fraction ablative laser resurfacing has been proven to effectively treat such scars and provide consistent and significant functional improvement as well as measurable cosmetic benefits.

What is SCAARFX ?

A new aesthetic mode in UltraPulse
A new paradigm in CO2 lasers.
 A new treatment affecting lesions up to 4 mm deep.

 

S ynergistic

C oagulation and

A blation for

A dvanced

R esurfacing

 

 

 Deepest impact with SCAR FX mode
 Up to 35mm depth in a single pulse
 Exceptional Ablation/coagulation Ration
 Shortest Pulse Duration
 Deep skin Resurfacing
 Perioral skin Resurfacing
 Periorbital skin Resurfacing,
 Scar Revision
 Dyschromia
 Rhinophyma

 

RESULTS THAT MATTER

 

Laser Genesis™

Skin rejuvenation for all skin type
Laser Genesis is a unique microsecond procedure developed by Cutera for use on all skin types. Laser Genesis improves pore size and texture, targets diffuse erythema and poikiloderma, improves fine lines and reduces scars. Laser Genesis uses high-power microsecond pulses at high repetition rates to safely heat the papillary and reticular dermis, stimulating collagen and reducing diffuse microvascular redness.

 

Practice benefits:

  No downtime
  Year-round procedure
  Minimal discomfort
  No disposables
  Safe for all skin types

Treatment for Diffuse Redness

Rosacea
Skin type II, Caucasian, Female
Photo shows improvement of rosacea as well as skin texture. This case is a typical example of a rosacea treatment using Laser Genesis. Hemoglobin absorption in the upper vascular plexus results in a reduction of diuse redness.
Treatment Protocol
Spot size: 5 mm
Pulse width: 0.3 ms
Fluence: 13 J/cm2
# of shots: 7,000 shots
# of treatments: 6 Tx 2 weeks apart

Treatment of Rosacea

Rosacea
Skin type II, Caucasian, Female
The patient had 3 treatments with 0.3 ms 14 J/cm2. Photo shows improvement of rosacea as well as skin texture. Hemoglobin absorption in the upper vascular plexus results in a reduction of diffuse redness.
Treatment Protocol
Spot size: 5 mm
Pulse width: 0.3 ms
Fluence: 14 J/cm2
# of treatments: 3 Tx

Treatment of Fine Wrinkles

Periorbital Wrinkles
Skin type II, Caucasian, Female
The patient had 3 treatments at 3-4 week intervals. Photos show a clear improvement of periorbital wrinkles. High repetition rate and large spot size deliver signicant heat to the upper dermis. Gradual and controlled bulk heating increase circulation and stimulate new collagen growth.
Treatment Protocol
Spot size: 5 mm
Pulse width: 0.3 ms
Fluence: 13 J/cm2
# of shots: 7,000 shots (Treated with check)
# of treatments: 3 Tx 4 weeks apart

Clinical Resolution of Thyroid Scar

Thyroid Scar
Skin type II, Caucasian, Female

 

Treatment Protocol
Fluence: 14-15 J/cm2
Pulse duration: 0.3 ms
Total # of shots: 500-1,000 shots/Tx
Interval: 4-6 weeks
# of treatments: 3 Tx
During Tx: Cooling device or ice pack for skin comfort

 

Clinical Resolution of Scar

Traumatic Scar on Chin
Skin type IV, Japanese, Male
Treatment Protocol
Fluence: 11-14 J/cm2
Pulse duration: 0.3 ms
Total # of shots: 400-500 shots/Tx
Interval: 2-4 weeks
# of treatments: 7 Tx
During Tx: Cooling device or ice pack for skin comfort

Clinical Resolution of Keloid

Keloid on Chest
Skin type IV, Japanese, 63-year-old, Female
The patient had PDL Tx 1 year post-Laser Genesis Tx began
Treatment Protocol
Fluence: 14 J/cm2
# of shots per cm2: 500-1000 / cm2
Total # of shots: 10,000
Interval: 2-3 weeks
# of treatments: 7 Tx
During Tx: Cooling device or ice pack for skin comfort
Post TX: Apply steroid ointment for 2 – 3 days

Clinical Resolution of Hypertrophic Scar

Hypertrophic Scar
Skin type IV, Japanese, 26-year-old, Male
Treatment Progress
The patient presented with a hypertrophic scar following a burn by laser hair removal procedures. After 5 treatments, the hypertrophic scar lesion disappeared completely.
Treatment Protocol
Fluence: 14 J/cm2
Total # of shots: 150 shots
Interval: 2-3 weeks
# of treatments: 7 Tx
During Tx: Cooling device or ice pack for skin comfort
Post TX: Apply steroid ointment for 2 – 3 days

Clinical Resolution of Atrophic Scar

Atrophic Scar
Skin type IV, Japanese, 34-year-old, Female
Patient History: Pre Treatment
 The hypertrophic scar formed three months post dermatobroma surgery.
 Internal medicine (Rizaben) and Denison tape were applied to improve scar appearance.
Patient History: Post Treatment
 August 2006 Laser Genesis treatment began.
 The thickness of hypertrophic scar, redness and itching was reduced.
Treatment Protocol
Fluence: 14-15 J/cm2
# of shots per cm2: 500-1000 / cm2
Total # of shots: 10,000
Interval: 1 Month
During Tx: Cooling device or ice pack for skin comfort
Post TX: Apply steroid ointment for 2 – 3 days

Clinical Resolution of Hypertrophic Scar

Hypertrophic Scar
Skin type IV, Japanese, 33-year-old, Female
Treatment Progress
The patient was burned during infancy and underwent several scar contractional plastic surgeries. The patient is currently undergoing sequential Laser Genesis treatments and has experienced a reduction in erythema, thickness and itchiness.
Treatment Protocol
Fluence: 14 J/cm2
# of shots per cm2: 500-1000 / cm2
Total # of shots: 10,000
Interval: 2 -3 weeks
# of treatments: 14 Tx
During Tx: Cooling device or ice pack for skin comfort
Post TX: Apply steroid ointment for 2 – 3 days

Clinical Resolution of Mohs Surgery Scar

Basal Cell Carcinoma Mohs Surgery Scar
Skin Type II, Caucasian, Female
Treatment Protocol
Fluence: 14 J/cm2
Pulse duration: 0.3 ms
# of shots per cm2: 500-1000 / cm2
Total # of shots: 600 shots/Tx
Interval: 4 Months
# of treatments: 1 Tx
During Tx: Cooling device or ice pack for skin comfort

 

Clinical Resolution of Keloid

Keloid
Skin type IV, Japanese, 26-year-old, Female
Patient History: Pre Treatment
2003 – Resection and electron irradiation; keloid reoccurred
2004 – Pulsed dye laser & Kenalog (steroid) injection; keloid continued to grow
Patient History: Post Treatment
2006 to 2007 – Laser Genesis treatment
 Keloid partially returned to normal skin
 Patient continuing Laser Genesis treatment
Treatment Protocol
Fluence: 14 J/cm2
# of shots per cm2: 500-1000 / cm2
Total # of shots: 10,000
Treatments of 2 -3 week interval for 10 months
During Tx: Cooling device or ice pack for skin comfort
Post Tx: Apply steroid ointment for 2 – 3 days

Clinical Resolution of Burn Scar

Burn Scar on Face
Skin type IV, Japanese, Female
Treatment Protocol
Fluence: 15 J/cm2
Pulse duration: 0.3 ms
Total # of shots: 5500 shots/Tx
Interval: 3 weeks
# of treatments: 7 Tx
During Tx: Cooling device or ice pack for skin comfort

Melasma Improvement

Epidermal Melasma
Skin type IV, Japanese, Mid – 40’s, Female
Patient History: Pre Treatment
 A long history of melasma
 Treated with 0.1% Tretinoin and 4% Hydroquinone, but stopped due to an allergic reaction
 Switched to Tranexamic Acid (Cyklokapron in the U. S. and Transamin in Asia)
Patient History: Post Treatment
 Laser Genesis treatment began after 6 months of Tranexamic Acid.
 Melasma symptom improved after Laser Genesis treatment
Treatment Protocol
Fluence: 13 -15 J/cm2
# of shots: 12,000 shots
Interval: 1 month
# of treatments: 2 Tx

Clinical Resolution of Chicken Pox Scar

Chicken Pox Scar
Skin type V, Male
Treatment Protocol
Laser Genesis
Fluence: 14 J/cm2
Total # of shots: 10,000
Interval: 3 – 4 weeks
# of treatments: 6 Tx
Microdermabrasion*
Interval: 7 – 10 days
* A minimum of 3 days was left between the laser procedure and the previous or the subsequent MDA.