scholarly journals Efficacy and Side Effects of Fractional Carbon Dioxide Laser for Acne Scars, Keloids, and Striae Albae in the Dermatovenereology Clinic of Tertiary Hospital: A Retrospective Study

2021 ◽  
Vol 33 (1) ◽  
pp. 19
Author(s):  
Riezky Januar Pramitha ◽  
Iskandar Zulkarnain ◽  
Evy Ervianti ◽  
Rahmadewi Rahmadewi ◽  
Afif Nurul Hidayati ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Side Effects ◽  
Co2 Laser ◽  
Carbon Dioxide Laser ◽  
Scar Tissue ◽  
Tertiary Hospital ◽  
Fractional Co2 Laser ◽  
Acne Scars ◽  
Laser Treatments ◽  
Carbon Dioxide Co2

Background: Fractional Carbon Dioxide (CO2) LASER has better efficacy compared to conventional LASER in treating scar tissue such as acne scars, keloids, and striae albae. However, a population with darker skin has a higher risk of side effects, especially in post-inflammatory hyperpigmentation. Purpose: To evaluate the efficacy and side effects of fractional CO2 LASER in new patients with acne scars, keloids, and striae albae in the Dermatovenereology outpatient clinic. Methods: Retrospective analysis was done on 42 medical records of patients who met the inclusion criterion, which was those who have undergone fractional CO2 LASER treatments. The efficacy and side effects of the therapy were identified and analyzed using the Statistical Package for Social Sciences (SPSS) version 17 program. Result: A total of 42.9% of patients underwent fractional CO2 LASER treatments for acne scars, while 31% and 26.1% of patients received treatments for keloids and striae albae, respectively. There was a statistically significant decrease in the degree of acne scar (2.72 ± 0.83), keloid height (2.2 ± 0.405), and striae width (0.39 ± 0.02). The statistically significant side effects were hyperpigmentation (59.5%), crustae (26.2%), erythema ≥ for 4 days (19%), and new acne (19%). Conclusion: Fractional CO2 LASER was effective for treating scar tissue (acne scars, keloids, and striae albae) with a higher incidence of side effects in population with darker skin and post-inflammatory hyperpigmentation.

Split face comparative study of microneedling with platelet rich plasma versus Fractional carbon dioxide laser with platelet rich plasma in treatment of atrophic post acne scars

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Mohamed Abd Elnaeem Sallam ◽  
Khaled El Zawahry ◽  
Abdul Rahman Muhammed Ali Mustafa
Keyword(s):  
Carbon Dioxide ◽  
Co2 Laser ◽  
Carbon Dioxide Laser ◽  
Platelet Rich Plasma ◽  
Fractional Co2 Laser ◽  
Acne Scars ◽  
Significant Difference ◽  
Before And After ◽  
The Face ◽  
Fractional Carbon Dioxide Laser

Abstract Background Acne scars, is a challenge for dermatologists, despite having multiple treatment modalities like microneedling, dermabrasion, Fractional CO2 Laser, dermal fillers, etc. However, monotherapy has been hardly satisfactory because of the polymorphism seen with the scars. Objective Comparison between microneedling with platelet rich plasma versus Fractional carbon dioxide laser with platelet rich plasma in treatment of atrophic post acne scars. Patients and methods This study was carried out in department of dermatology, venereology and andrology, in Kobry El-Kobba Military complex during the period (from September 2018 to July 2020 ) on 20 patients of both sexes aged from 20 to 60 years old presenting with Goodman and Baron Grade II, III, IV acne scars . Results The study revealed a statistically significant difference (p = 0.017) between Goodman and Baron scar grades on the right side of the face before and after treatment indicating that microneedling with platelet rich plasma was effective in improving acne scars. Also, there is a statistically significant difference (p = 0.010) between Goodman and Baron scar grades on the left side of the face before and after treatment, indicating that fractional CO2 laser with platelet rich plasma was effective in improving acne scars. Conclusion and recommendation Further controlled and randomized studies are needed to validate our findings in a larger cohort of patients and longer follow up. Also, number of sessions might be more than 3 sessions.

scholarly journals Comparison of the efficacy of Subcision with Fractional Carbon Dioxide Laser versus Subcision with Microneedling Fractional Radiofrequency in the Treatment of Atrophic Post acne Scars

2021 ◽  
pp. 44
Author(s):  
Keyword(s):  
Carbon Dioxide ◽  
Co2 Laser ◽  
Carbon Dioxide Laser ◽  
Response To Treatment ◽  
Percentage Reduction ◽  
Acne Scars ◽  
Group A ◽  
Fractional Carbon Dioxide Laser ◽  
Group B ◽  
Carbon Dioxide Co2

Background: Many interventions have been used to treat post-acne scars, with various degrees of efficacy and adverse reactions. Multimodal approach can achieve better results for improving the physical appearance that even if minor may result in significant distress and reduced quality of life. Objective: To compare the efficacy of subcision with fractional carbon dioxide (CO2) laser and subcision with microneedling fractional radiofrequency (RF) in treating post-acne scars and to study their adverse effects. Methods: In this prospective, interventional clinical study, a total of 64 patients with post-acne scars were enrolled. The patients were randomly allocated into two groups of 32 patients each, in which group A was treated with subcision plus fractional carbon dioxide laser (CO2) and group B was treated with subcision plus microneedling fractional radiofrequency (RF) every 6 weeks for a total of four sittings. An objective score was calculated for each patient using the Goodman and Baron scale to evaluate the outcome every visit during treatment and then 3 months after completion of therapy. Results: In group A, the percentage reduction in the mean objective scores was found to be 64%. In group B, the percentage reduction in mean objective scores was found to be 42%. Most of the changes were seen in the boxcar and rolling types of scars. Conclusions: Subcision and fractional CO2 laser were considered superior over subcision with microneedling fractional (RF) technique for the treatment of post-acne scars. Boxcar and rolling types of scars showed a high response to treatment than icepick scars

scholarly journals Improvement of Microstomia in Scleroderma after Carbon Dioxide Laser Treatment

2016 ◽  
Vol 8 (2) ◽  
pp. 142-150 ◽  
Author(s):  
Imane Bennani ◽  
Raphael Lopez ◽  
Delphine Bonnet ◽  
Gregoire Prevot ◽  
Arnaud Constantin ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Systemic Sclerosis ◽  
Laser Treatment ◽  
Co2 Laser ◽  
Carbon Dioxide Laser ◽  
Treatment Options ◽  
Mouth Opening ◽  
Global Evaluation ◽  
Pulsed Co2 Laser ◽  
Carbon Dioxide Co2

Limited mouth opening (LMO) is a frequent complication of systemic sclerosis (SS). Its management is complex and there are limited treatment options. We report four patients with SS and severe LMO [interincisal distance (IID) <30 mm] treated with pulsed carbon dioxide (CO2) laser. Pulsed CO2 laser treatment of the white lips was performed after all patients had signed a written informed consent in the absence of alternative treatment. Treatment was carried out under locoregional anaesthesia using a Sharplan 30C CO2 laser in the Silk Touch® resurfacing mode. One to three laser sessions were performed at intervals of 8-12 months between sessions. Assessments were performed at 3 and 12 months with measurement of the IID using a ruler, calculation of the Mouth Handicap in Systemic Sclerosis (MHISS) scale and global evaluation by the patients. Adverse events were also reported. In all four patients, an improvement in IID occurred 3 months after the first session with a mean gain of +5 mm (range: 2-7). At 12 months, a mean gain of +8.5 mm (range: 7-10) in IID was observed. The MHISS score decreased by a mean of -14 (range: 11-17). All patients showed improvement of lip flexibility or mouth opening, allowing better phonation and mastication and easier dental care. Adverse effects were transient erythema and/or dyschromia. CO2 laser appears to be effective and well tolerated in the improvement of LMO in SS.

scholarly journals Efficiency of Carbon Dioxide Fractional Laser in Skin Resurfacing

2016 ◽  
Vol 4 (2) ◽  
pp. 271-276 ◽  
Author(s):  
Andrej Petrov
Keyword(s):  
Carbon Dioxide ◽  
Co2 Laser ◽  
Carbon Dioxide Laser ◽  
Platelet Rich Plasma ◽  
Combined Therapy ◽  
Local Therapy ◽  
Control Group ◽  
Fractional Co2 Laser ◽  
Patients Satisfaction ◽  
Significant Difference

AIM: The aim of the study was to confirm the efficiency and safety of the fractional CO2 laser in skin renewal and to check the possibility of having a synergistic effect in patients who besides carbon dioxide laser are treated with PRP (platelet-rich plasma) too.MATERIAL AND METHODS: The first group (Examined Group 1 or EG1) included 107 patients treated with fractional CO2 laser (Lutronic eCO2) as mono-therapy. The second group (Control Group or CG) covered 100 patients treated with neither laser nor plasma in the same period but subjected to local therapy with drugs or other physio-procedures under the existing protocols for treatment of certain diseases. The third group (Examined Group 2 or EG2) treated 25 patients with combined therapy of CO2 laser and PRP in the treatment of facial rejuvenation or treatment of acne scars.RESULTS: Patient’s satisfaction, in general, is significantly greater in both examined groups (EG1 and EG2) (p < 0.001). It was found the significant difference between control and examined group from the treatment in acne scar (Fisher exact two tailed p < 0.001). Patients satisfaction with the treatment effect in rejuvenation of the skin is significant (χ2 = 39.41; df = 4; p < 0.001). But, patients satisfaction from the treatment with HPV on the skin was significantly lower in examined group (treated with laser), p = 0.0002.CONCLUSION: Multifunctional fractional carbon dioxide laser used in treatment of patients with acne and pigmentation from acne, as well as in the treatment of scars from different backgrounds, is an effective and safe method that causes statistically significant better effect of the treatment, greater patients’ satisfaction, minimal side effects and statistically better response to the therapy, according to assessments by the patient and the therapist.

scholarly journals Evaluasi Terapi Laser Fraksional Karbon Dioksida pada Penatalaksanaan Acne Scars

2019 ◽  
Author(s):  
Jasmine Rahmi Hapsari
Keyword(s):  
Carbon Dioxide ◽  
Laser Treatment ◽  
Co2 Laser ◽  
Skin Inflammation ◽  
Treatment Choices ◽  
National Medical ◽  
Acne Scars ◽  
Carbon Dioxide Co2 ◽  
Made In

Acne scars is framed after serious scenes of skin inflammation in high schooler and early grown-up years. A few treatment choices have been utilized for discouraged skin break out scars, for example, punch joining, punch extraction, fractional carbon dioxide (CO2) laser and so on. In addition, Studies demonstrate that laser skin reemerging, for example, CO2 partial can viably treat discouraged skin inflammation scars. Huge advances have been made in the restorative utilization of the laser in the previous couple of decades. Numerous illnesses in the dermatological field are currently signs for laser treatment that meet all requirements for repayment by numerous national medical coverage frameworks. Among laser types, the fractional carbon dioxide (CO2) laser remains a significant framework for the dermatologist

Comparison of the Carbon Dioxide Laser and the Radiofrequency Unit for Feline Onychectomies

2010 ◽  
Vol 46 (6) ◽  
pp. 375-384 ◽  
Author(s):  
Sara M. Burns ◽  
Elizabeth W. Howerth ◽  
Clarence A. Rawlings ◽  
Karen K. Cornell ◽  
MaryAnn G. Radlinsky ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Co2 Laser ◽  
Granulation Tissue ◽  
Tissue Damage ◽  
Carbon Dioxide Laser ◽  
Histopathological Examination ◽  
Reasonable Alternative ◽  
Histopathological Evaluation ◽  
Safety Considerations ◽  
Carbon Dioxide Co2

This study compared the collateral tissue damage and incisional bridging with granulation tissue via histopathological examination following feline onychectomy performed by radiofrequency (RF) and carbon dioxide (CO2) laser. Two cats were euthanized, and their digits were harvested for histopathological evaluation on days 1, 3, and 7 post-onychectomy. Each digit was evaluated for total lesion width, total necrosis width, and degree of edema, hemorrhage, and inflammation. This study found few significant differences in collateral tissue damage between RF and CO2 laser, but more incisional bridging by granulation tissue was noted with RF for feline onychectomies. These results indicate that RF for feline onychectomy is a reasonable alternative to CO2 laser in regard to collateral tissue damage and bridging of the incision by granulation tissue. In addition, RF is not accompanied by the strict safety considerations and initial expense of acquisition of a CO2 laser.

scholarly journals Surface and mineral changes of enamel with different remineralizing agents in conjunction with carbon-dioxide laser

2014 ◽  
Vol 08 (01) ◽  
pp. 118-123 ◽  
Author(s):  
Ajit George Mohan ◽  
A. V. Rajesh Ebenezar ◽  
Mohamed Fayas Ghani ◽  
Leena Martina ◽  
Ashwin Narayanan ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Laser Irradiation ◽  
Co2 Laser ◽  
Carbon Dioxide Laser ◽  
Laser Materials ◽  
Before And After ◽  
Hydroxyapatite Gel ◽  
Carbon Dioxide Co2 ◽  
Topical Fluoride ◽  
Mineral Changes

ABSTRACT Aim: The aim of this study was to evaluate the surface/mineral changes on enamel before and after the application of acidulated phosphate fluoride (APF) gel, fluoride enhanced hydroxyapatite gel and propolis in conjunction with carbon-dioxide (CO2) laser. Materials and Methods: Crowns of 40 human maxillary central incisors were collected and were divided into four groups of 10 each: Topical fluoride application only, topical fluoride application followed by CO2 laser irradiation, CO2 laser irradiation followed by topical fluoride application and CO2 laser irradiation before and after topical fluoride application. The 10 crowns in each group was again sectioned into four equal parts of mesio-incisal, disto-incisal, mesio-cervical and disto-cervical sections rendering 40 samples in each group. Each group was again subdivided into four subgroups: Subgroup C - untreated enamel surface (control). Subgroup A - APF gel application, subgroup R - fluoride enhanced hydroxyapatite gel application and subgroup P - propolis application. The surface morphology of the test samples were analyzed by scanning electron microscopy and mineral changes by energy dispersion X-ray spectrophotometer. Results: Total mineral content is maximum in Group 4A (CO2 laser irradiation before and after APF gel application) and calcium/phosphate ratio is highest in Group 4R (CO2 laser irradiation before and after Remin-Pro application). Group 2A (APF gel application followed by CO2 laser irradiation) has the maximum fluoride retention. Conclusion: Laser irradiation of enamel through a topically applied APF gel is effective in the prophylaxis and management of dental caries.

scholarly journals A Prospective Interventional Study of Xanthelasma Palpebrarum Treated with Ultrapulse Carbon Dioxide Laser

2021 ◽  
Author(s):  
Manjeet Naresh Ramteke ◽  
Usha Naraindas Khemani
Keyword(s):  
Carbon Dioxide ◽  
Co2 Laser ◽  
Carbon Dioxide Laser ◽  
Intraoperative Complications ◽  
Statistical Significance ◽  
P Value ◽  
Interventional Study ◽  
Chi Square ◽  
Xanthelasma Palpebrarum ◽  
Carbon Dioxide Co2

Introduction: Xanthelasma palpebrarum (XP) is the most common of all the xanthomas which presents as asymptomatic, often bilateral, soft, yellow, papules and plaques around the eyelids. Although, the lesions are benign, it is aesthetically upsetting. The surgical laser is the most effective treatment modality to this problem. Aim: To evaluate the efficacy and safety of ultrapulse Carbon dioxide (CO2) laser in XP in Indian patients. Materials and Methods: It is a prospective, interventional study carried out for two years in which 29 patients with 61 XP lesions were part of the study. Ultrapulse CO2 (Fraxis Duo laser; 10,600 nm) laser treatment was done in every patient for a single sitting. Statistical significance was calculated using Chi-square test using Statistical Packages for Social Sciences (SPSS) version 19.0. The p-value of 0.001 was considered statistically significant. Results: A total number of 29 patients with 61 xanthelasma lesions were included in the study, of which 11 were males and 18 were females with an age range of 27-54 years. In the present study XP lesions were completely resolved in majority (54 lesions in 25 patients) of treated patients. No intraoperative complications were observed. Two patients showed hypopigmentation. There was neither scarring nor recurrence seen after six months follow-up. Conclusion: Ultrapulse CO2 laser is a safe and effective option of treatment for xanthelasma. It is considered as less painful procedure with fewer side effects and recurrences in the present study.

scholarly journals Resurfacing of facial acne scars with pulsed carbon dioxide laser: a case series of 10 patients

2020 ◽  
Vol 7 (1) ◽  
pp. 113
Author(s):  
Anil P. Gosavi ◽  
Ravindranath B. Chavan ◽  
Darshana R. Kundale ◽  
Neelam Bhatt
Keyword(s):  
Carbon Dioxide ◽  
Carbon Dioxide Laser ◽  
Acne Vulgaris ◽  
Treatment Options ◽  
Case Series ◽  
Laser Resurfacing ◽  
Acne Scars ◽  
Common Skin ◽  
Carbon Dioxide Co2 ◽  
Facial Acne

<p class="abstract">Acne vulgaris is a common skin disorder affecting 80% of people between 11-30 years of age with many experiencing some degree of scarring. Pulsed wave carbon dioxide (CO2) laser resurfacing is a recent addition in armamentarium of treatment options for acne scars. This study focuses on one of the most common type of acne complication - atrophic scars treated with pulsed wave carbon dioxide laser. To evaluate efficacy of pulsed carbon dioxide laser for treatment of mild to moderate atrophic facial acne scars. 10 subjects (6 male and 4 females, aged 22-35 years) with skin type III-V and atrophic acne scars were treated with 4 sessions of carbon dioxide non-ablative laser resurfacing on 6 weeks interval. 7 out of 10 subjects in our study perceived an excellent to good improvement with 2 patients showing fair improvement and 1 patient with no improvement. Adverse effects were limited to prolonged erythema (two patients), and post-inflammatory hyperpigmentation (three patient). Excellent to good clinical improvement observed in 70% of patients with acne scars. This underscore pulsed carbon dioxide laser’s effectiveness in the treatment of mild to moderate atrophic acne scars.</p>

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