Resurfacing of pitted facial acne scars using Er

YAG laser with ablation and coagulation mode

Jeung Tae Jeong, Jae Hong Park, Young Chul Kye

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Although the conventional, short-pulsed erbium: yttrium-aluminum-garnet (Er:YAG) laser provides substantial clinical improvement for pitted, facial acne scars, it shows less effective hemostasis and limited residual thermal effect in the dermis. Recently, dual-mode Er:YAG laser systems with both ablation and coagulation modes have been developed. The purpose of this study was to evaluate the clinical and histologic effects of resurfacing pitted, facial acne scars with a dual-mode Er:YAG laser. Twenty patients with pitted facial acne scars underwent laser resurfacing using a computerized-scanning, dual-mode Er:YAG laser. All patients had Fitzpatrick skin types ranging III-V. Initially, the epidermis was removed in two passes using the ablative settings. This step was followed by two passes in a mixed ablation and coagulation mode, to produce further ablation and controlled, residual thermal damage. A final pass in a ablation mode was used to remove necrotic tissue. Laser overlapping was approximately 30%. The results of laser treatment were evaluated for the degree of clinical improvement, duration of erythema, pigmentary change, and any adverse events at two weeks, one month, and three months. In two patients, skin biopsies were obtained at the following intervals: immediately and two weeks postoperatively for histologic examination. There was a 75% average clinical improvement observed in pitted, facial acne scars after laser treatment. Complete wound healing occurred between six and eight days. On histologic examination, complete re-epithelialization was observed at two weeks. Erythema occurred in all patients after laser treatment and lasted longer than three months in 10 patients (50%). Postinflammatory hyperpigmentation occurred in 12 patients (60%) two to four weeks after laser treatment and lasted longer than three months in one patient (5%). One patient (5%) experienced mild hypopigmention. Mild to moderate, postoperative acne flare-up occurred in seven patients (35%). No other adverse effects were observed. In conclusion, resurfacing with a dual-mode Er:YAG laser is a safe and effective treatment modality for pitted, facial acne scars.

Original languageEnglish
Pages (from-to)130-134
Number of pages5
JournalAesthetic Plastic Surgery
Volume27
Issue number2
DOIs
Publication statusPublished - 2003 May 1

Fingerprint

Laser Coagulation
Solid-State Lasers
Acne Vulgaris
Laser Therapy
Cicatrix
Erbium
Lasers
Erythema
Hot Temperature
Re-Epithelialization
Therapeutics
Skin
Hyperpigmentation
Dermis
Hemostasis
Epidermis
Wound Healing
Biopsy

Keywords

  • Acne scar
  • Dual-mode Er:YAG laser
  • Laser resurfacing

ASJC Scopus subject areas

  • Surgery

Cite this

Resurfacing of pitted facial acne scars using Er : YAG laser with ablation and coagulation mode. / Jeong, Jeung Tae; Park, Jae Hong; Kye, Young Chul.

In: Aesthetic Plastic Surgery, Vol. 27, No. 2, 01.05.2003, p. 130-134.

Research output: Contribution to journalArticle

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abstract = "Although the conventional, short-pulsed erbium: yttrium-aluminum-garnet (Er:YAG) laser provides substantial clinical improvement for pitted, facial acne scars, it shows less effective hemostasis and limited residual thermal effect in the dermis. Recently, dual-mode Er:YAG laser systems with both ablation and coagulation modes have been developed. The purpose of this study was to evaluate the clinical and histologic effects of resurfacing pitted, facial acne scars with a dual-mode Er:YAG laser. Twenty patients with pitted facial acne scars underwent laser resurfacing using a computerized-scanning, dual-mode Er:YAG laser. All patients had Fitzpatrick skin types ranging III-V. Initially, the epidermis was removed in two passes using the ablative settings. This step was followed by two passes in a mixed ablation and coagulation mode, to produce further ablation and controlled, residual thermal damage. A final pass in a ablation mode was used to remove necrotic tissue. Laser overlapping was approximately 30{\%}. The results of laser treatment were evaluated for the degree of clinical improvement, duration of erythema, pigmentary change, and any adverse events at two weeks, one month, and three months. In two patients, skin biopsies were obtained at the following intervals: immediately and two weeks postoperatively for histologic examination. There was a 75{\%} average clinical improvement observed in pitted, facial acne scars after laser treatment. Complete wound healing occurred between six and eight days. On histologic examination, complete re-epithelialization was observed at two weeks. Erythema occurred in all patients after laser treatment and lasted longer than three months in 10 patients (50{\%}). Postinflammatory hyperpigmentation occurred in 12 patients (60{\%}) two to four weeks after laser treatment and lasted longer than three months in one patient (5{\%}). One patient (5{\%}) experienced mild hypopigmention. Mild to moderate, postoperative acne flare-up occurred in seven patients (35{\%}). No other adverse effects were observed. In conclusion, resurfacing with a dual-mode Er:YAG laser is a safe and effective treatment modality for pitted, facial acne scars.",
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