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2016, Number 4

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Dermatología Cosmética, Médica y Quirúrgica 2016; 14 (4)

Laser Resurfacing and Hyaluronic Acid for the Treatment of a Facial Scar Secondary to an Oncologic Surgery

Hernández BA, Gómez SLV, Galimberti DR, Galimberti GN
Full text How to cite this article

Language: Spanish
References: 15
Page: 284 - 288
PDF size: 159.46 Kb.


Key words:

fractional CO2 laser, hyaluronic acid fillers, Mohs micrographic surgery, postsurgical sequelae.

ABSTRACT

Mohs micrographic surgery is the most adequate surgical technique in the treatment of malignant skin tumors located on the face and scalp. It allows the complete exeresis of the lesion and the analysis of one hundred percent of the margins, with a reduction of local recurrence; however the procedure may generate functional as well as aesthetic damage; in order to enhance postsurgical sequelae there has been used diverse treatments including the application of silicon patches, topical corticosteroids, dermal fillers or the use of ablative lasers.
We report a case of a 62 years old female that after the exeresis of squamous cell carcinoma in the inferior lip with Mohs micrographic surgery, presents a scar with an esthetic sequel and feeding limitation; she received combined treatment with fractional carbon dioxide (CO2) laser and hyaluronic acid fillers with excellent results.


REFERENCES

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  2. Kim DH, Ryu HJ, Choi JE et al. A comparison of the scar prevention effect between carbon dioxide fractional laser and pulsed dye laser in surgical scars, Dermatol Surg 2014; 40: 973-8.

  3. Vrijman C, Van Drooge AM, Limpens J et al. Laser and intense pulsed light therapy for the treatment of hypertrophic scars: a systematic review, Br J Dermatol 2011; 165: 934-42.

  4. Sobanko JF, Vachiramon V, Rattanaumpawan P y Miller CJ. Early postoperative single treatment ablative fractional lasing of Mohs micrographic surgery facial scars: a split-scar, evaluator-blinded study, Lasers Surg Med 2015; 47(1): 1-5.

  5. Manstein D, Herron GS, Sink RK, et al. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury, Laser Surg Med 2004; 34: 426-38.

  6. Kasper DA, Cohen JL, Saxena A y Morganroth GS, Fillers for postsurgical depressed scars after skin cancer reconstruction, J drugs dermatol 2008; 7(5): 486-7.

  7. Flores IC y Moreno González JL. Materiales de relleno en dermatología, dcmq 2011; 9(4): 275-83.

  8. Wang F, Garza LA, Kang S et al. Stimulation of de novo collagen production caused by cross-linked hyaluronic acid dermal filler injections in photodamaged human skin, Arch Dermatol 2007; 143: 155-63.

  9. Lin JY, Warger WC, Izikson L et al. A prospective, randomized controlled trial on the efficacy of fractional photothermolysis on scar remodeling, Lasers Surg Med 2011; 43: 265-72.

  10. Hantash BM, Bedi VP, Sudireddy V et al. Laser-induced transepidermal elimination of dermal content by fractional photothermolysis, J Biomed Opt 2006; 11(4): 041115.

  11. Hantash BM, Bedi VP, Struck SK y Chan KF. Immunohistochemical evaluation of the heat shock response to nonablative fractional resurfacing, J Biomed Opt 2010; 15(6): 068002.

  12. Verhaeghe E, Ongenae K, Dierckxsens L et al. Nonablative fractional laser resurfacing for the treatment of scars and grafts after Mohs micrographic surgery: a randomized controlled trial, J Eur Acad Dermatol Venereol 2013; 27: 997-1002.

  13. Hedelund L, Moreau KE, Beyer DM et al. Fractional nonablative 1540-nm laser resurfacing of atrophic acne scars. A randomized controlled trial with blinded response evaluation, Lasers Med Sci 2010; 25: 749-54.

  14. Van de Kar AL, Corion LU, Smeulders MJ et al. Reliable and feasible evaluation of linear scars by the patient and observer scar assessment scale, Plast reconstr surg 2005; 116(2): 514-22.

  15. Hélou J, Maatouk MR, Obeid G y Stephan F. Efficacy and safety of 10,600-nm carbon dioxide fractional laser on facial skin with previous volume injections, J Cutan Aesthet Surg 2013; 6: 30-2.




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Dermatología Cosmética, Médica y Quirúrgica. 2016;14