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Factors affecting the outcome of fractional carbon dioxide laser resurfacing of various types of scars in skin of color

Journal of Cosmetic Dermatology Dec 26, 2021

Maninder K, Richa R, Dinesh AP, et al. - Findings demonstrate efficacy of fractional carbon dioxide laser for non-acne facial and extra facial scars in the skin of color. More satisfactory results could be achieved through early intervention.

  • This retrospective study included 42 patients with 67 scars, including post-traumatic (43), post-burn (15), post-surgical (5), and post-folliculitis (5) scars, treated during 2019–2020, to evaluate the efficacy of fractional ablative carbon dioxide laser in treatment of various types of scars other than acne scars.

  • By PGA and IGA (patient and investigator global assessment), 45.4% and 32.7% of improvement was achieved, respectively.

  • Scars with >50% improvement were noted in 13.43% of the scars with IGA and 41.78% with PGA.

  • Better outcomes were seen for early scars, scars without hyperpigmentation, lighter skin type, post-traumatic scars.

  • No significant difference was seen for other parameters such as atrophic vs hypertrophic, facial vs extra facial, linear vs non-linear, or the number of sessions.

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