Facial Plast Surg 2001; 17(4): 253-262
DOI: 10.1055/s-2001-18830
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Scar Revision Via Resurfacing

Dewayne T. Bradley, Stephen S. Park
  • Department of Otolaryngology/Head and Neck Surgery, Division of Facial Plastic Surgery, University of Virginia, Charlottesville, VA
Further Information

Publication History

Publication Date:
05 December 2001 (online)

ABSTRACT

Numerous techniques exist to treat noticeable facial scars. Techniques range from surgical excision to resurfacing. In this review of dermabrasion and laser resurfacing, we address the clinical considerations, techniques, adjuncts, and peri-operative management of scar resurfacing. Dermabrasion offers the advantage of being a tried-and-true technique familiar to surgeons. Recent advances in laser technology have resulted in the increased use of pulsed-dye lasers (PDLs), erbium:yttrium-aluminum-garnet (YAG) lasers, and CO2 lasers. PDLs are effective for hypertrophic scars and show lower rates of recurrence compared with erbium:YAG and CO2 lasers. In contrast, erbium:YAG and CO2 lasers are well suited to treating atrophic and acne scars. Chemical peels play a minor role in scar resurfacing and function primarily as an adjunct. Scar resurfacing is an integral part of scar camouflage and is often used in conjunction with excision and irregularization techniques.

REFERENCES

  • 1 Gilbert S, McBurney E. Use of valacyclovir for herpes simplex virus-1 (HSV-1) prophylaxis after facial resurfacing: a randomized clinical trial of dosing regimens.  Dermatol Surg . 2000;  26 50-54
  • 2 Roenigk H H, Pinski J B, Robinson J K, Hanke C W. Acne, retinoids, and dermabrasion.  J Dermatol Surg Oncol . 1985;  11 396-398
  • 3 Katz B E, Mac Farlane F D. Atypical facial scarring after isotretinoin therapy in a patient with previous dermabrasion.  J Am Acad Dermatol . 1994;  30 852-823
  • 4 Rubenstein R, Roenigk H H, Stegman S J, Hanke C W. Atypical keloids after dermabrasion of patients taking isotretinoin.  J Am Acad Dermatol . 1986;  15 280-285
  • 5 Ho C, Nguyen Q, Lowe N J, Griffin M E, Lask G. Laser resurfacing in pigmented skin.  Dermatol Surg . 1995;  21 1035-1037
  • 6 Hung V C, Lee J Y, Zitelli J A, Hebda P A. Topical tretinoin and epithelial wound healing.  Arch Dermatol . 1989;  125 65-69
  • 7 Hevia O, Nemeth A J, Taylor J R. Tretinoin accelerates healing after trichloroacetic acid chemical peel.  Arch Dermatol . 1991;  127 678-682
  • 8 Hanke C W, O'Brian J J, Solow E B. Laboratory evaluation of skin refrigerants used in dermabrasion.  J Dermatol Surg Oncol . 1985;  11 45-49
  • 9 Thomas J R, Roller J. Cutaneous Facial Surgery.  New York: Thieme Medical Publishers; 1992
  • 10 Orentreich N, Orentreich D S. Dermabrasion. As a complement to dermatology.  Clin Plast Surg . 1998;  25 63-80
  • 11 Arambula H, Sierra-Martinez E, Gonzalez-Aguirre N E. Frozen human epidermal allogeneic cultures promote rapid healing of facial dermabrasion wounds.  Dermatol Surg . 1999;  25 708-712
  • 12 Achauer B M. Lasers in plastic surgery: current practice.  Plast Reconstr Surg . 1997;  99 1442-1450
  • 13 Alster T S. Laser treatment of hypertrophic scars, keloids, and striae.  Dermatol Clin . 1997;  15 419-429
  • 14 Alster T S, Nanni C A. Pulsed dye laser treatment of hypertrophic burn scars.  Plast Reconstr Surg . 1998;  102 2190-2195
  • 15 Alster T S, Williams C M. Treatment of keloid sternotomy scars with 585 nm flashlamp-pumped pulsed-dye laser.  Lancet . 1995;  345 1198-1200
  • 16 Alster T S, Apfelberg D B. Cosmetic Laser Surgery: A Practitioner's Guide, 2nd ed. New York: Wiley-Liss 1999
  • 17 Bernstein L J, Kauvar A N, Grossman M C, Geronemus R G. Scar resurfacing with high-energy, short-pulsed and flashscanning carbon dioxide lasers.  Dermatol Surg . 1998;  24 101-107
  • 18 Rubach B W, Schoenrock L D. Histological and clinical evaluation of facial resurfacing using a carbon dioxide laser with the computer pattern generator.  Arch Otolaryngol Head Neck Surg . 1997;  123 929-934
  • 19 Nehal K S, Levine V J, Ross B, Ashinoff R. Comparison of high-energy pulsed carbon dioxide laser resurfacing and dermabrasion in the revision of surgical scars.  Dermatol Surg . 1998;  24 647-650
  • 20 Ayhan S, Baran C N, Yavuzer R, Latifoglu O, Cenetoglu S, Baran N K. Combined chemical peeling and dermabrasion for deep acne and posttraumatic scars as well as aging face.  Plast Reconstr Surg . 1998;  102 1238-1246
  • 21 Demas P N, Bridenstine J B. Diagnosis and treatment of postoperative complications after skin resurfacing.  J Oral Maxillofac Surg . 1999;  57 837-841
  • 22 Ship A G, Weiss P R. Pigmentation after dermabrasion: an avoidable complication.  Plast Reconstr Surg . 1985;  75 528-532
  • 23 Rendon-Pellerano M I, Lentini J, Eaglstein W E, Kirsner R S, Hanft K, Pardo R J. Laser resurfacing: usual and unusual complications.  Dermatol Surg . 1999;  25 360-366
  • 24 Bernstein L J, Kauvar A N, Grossman M C, Geronemus R G. The short- and long-term side effects of carbon dioxide laser resurfacing.  Dermatol Surg . 1997;  23 519-525
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