TY - JOUR
T1 - A Review of Laser Therapies for the Treatment of Scarring and Vascular Anomalies
AU - Nunez, Johanna H.
AU - Strong, Amy L.
AU - Comish, Paul
AU - Hespe, Geoffrey E.
AU - Harvey, Jalen
AU - Sorkin, Michael
AU - Levi, Benjamin
N1 - Publisher Copyright:
© Copyright 2023, Copyright 2023 by Mary Ann Liebert, Inc., publishers 2023.
PY - 2023/2
Y1 - 2023/2
N2 - Significance: Laser use has become part of the gold standard of treatment as an effective adjuvant in multimodal therapy for pathologic scarring caused by burns, trauma, acne, and surgery, as well as vascular anomalies. Understanding indications and applications for laser therapy is essential for physicians to improve patient outcomes. Recent Advances: Since the 1980s, the medical use of lasers has continuously evolved with improvements in technology. Novel lasers and fractionated technologies are currently being studied in the hopes to improve treatment efficacy, while reducing complications. Recent advancements include acne treatment with novel picosecond lasers, new hypertrophic scar therapies with simultaneous laser and intense pulsed light use, and novel systems such as lasers with intralesional optical fiber delivery devices. In addition, optimizing the timing of laser therapy and its use in multimodal treatments continue to advance the field of photothermolysis. Critical Issues: Selecting the correct laser for a given indication is the fundamental decision when choosing a laser balancing effective treatment with minimal complications. This article covers the principles of laser therapy, the preferred lasers used for the treatment of scarring and vascular anomalies, and discusses the current evidence behind these laser choices. Future Directions: To optimize laser therapy, larger randomized control trials and split scar studies are needed. Continued advancement through better randomized controlled studies will help to improve patient outcomes on a broader scale.
AB - Significance: Laser use has become part of the gold standard of treatment as an effective adjuvant in multimodal therapy for pathologic scarring caused by burns, trauma, acne, and surgery, as well as vascular anomalies. Understanding indications and applications for laser therapy is essential for physicians to improve patient outcomes. Recent Advances: Since the 1980s, the medical use of lasers has continuously evolved with improvements in technology. Novel lasers and fractionated technologies are currently being studied in the hopes to improve treatment efficacy, while reducing complications. Recent advancements include acne treatment with novel picosecond lasers, new hypertrophic scar therapies with simultaneous laser and intense pulsed light use, and novel systems such as lasers with intralesional optical fiber delivery devices. In addition, optimizing the timing of laser therapy and its use in multimodal treatments continue to advance the field of photothermolysis. Critical Issues: Selecting the correct laser for a given indication is the fundamental decision when choosing a laser balancing effective treatment with minimal complications. This article covers the principles of laser therapy, the preferred lasers used for the treatment of scarring and vascular anomalies, and discusses the current evidence behind these laser choices. Future Directions: To optimize laser therapy, larger randomized control trials and split scar studies are needed. Continued advancement through better randomized controlled studies will help to improve patient outcomes on a broader scale.
KW - Acne scar
KW - Hypertrophic scar
KW - Keloid
KW - Laser treatment
KW - Vascular anomalies
UR - http://www.scopus.com/inward/record.url?scp=85142402255&partnerID=8YFLogxK
U2 - 10.1089/wound.2021.0045
DO - 10.1089/wound.2021.0045
M3 - Article
C2 - 35951024
AN - SCOPUS:85142402255
SN - 2162-1918
VL - 12
SP - 68
EP - 84
JO - Advances in Wound Care
JF - Advances in Wound Care
IS - 2
ER -