Fractional carbon dioxide laser: Optimizing treatment outcomes for pigmented atrophic acne scars in skin of color

22Citations
Citations of this article
39Readers
Mendeley users who have this article in their library.
Get full text

Abstract

Dark skin type has high propensity to acne scarring and is often complicated by persistent erythema or pigmentation at the base. Fractional lasers are available for the longest period and are able to improve most atrophic acne scars. Often pigmented scar bases and dark skin types limit the use of aggressive laser parameters. Long pulse mode is preferred over short pulse to prevent epidermal damage; low fluence is chosen versus high fluence and low density versus high density. Repeated treatments are needed to minimize complications and optimize results; all these must be achieved through a controlled stage of inflammation. Interventional priming with chemical peels and laser toning before ablative fractional carbon dioxide laser helps to reduce photodamage, recent tan, and pigment at scar base, thus minimizing the risk of post-inflammatory hyperpigmentation. Multiple recent literature evidence validates the combinations to optimize outcomes in atrophic acne scars as discussed in this review article.

Cite

CITATION STYLE

APA

Arsiwala, S., & Desai, S. (2019). Fractional carbon dioxide laser: Optimizing treatment outcomes for pigmented atrophic acne scars in skin of color. In Journal of Cutaneous and Aesthetic Surgery (Vol. 12, pp. 85–94). Wolters Kluwer Medknow Publications. https://doi.org/10.4103/JCAS.JCAS_171_18

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free