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23 hours ago

Scar Team

There has always been a concern that aggressive resurfacing techniques in darker skin can result in complications such as permanently altered pigmentation. Ibrahim and colleagues in the literature this month report that three carbon dioxide treatments started one month after surgery and spaced monthly produced an improvement in the patients' scar ratings using the Vancouver Scar Scale. There appeared to be no complications in terms of pigmentation - pigmentation improved - and height and pliability of scars also improved. However, it is noted that the overall improvement in scars was not great and it is likely that to avoid hyperpigmentation, relatively low energy settings were used. Moreover, the follow up for patients was not particularly long. Studies of this type really need to review patients for a couple of years to ensure that the effects are durable. However, this study has demonstrated that some scar improvement is possible in darker skin with the CO2 laser and less powerful settings. ...

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