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 symptoms 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.