Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea.
Abstract
Hypertrophic scars and keloids are difficult to treat. Currently numerous treatment modalities are available, but results are often hard to predict. We used the 585 nm flashlamp-pumped dye laser based on the principle that selective thermolysis of the increased vasculature in a scar may prevent scar hypertrophy through decrease in cellular function/nutrition within the scar. We treated 41 patients with hypertrophic or keloidal scars of more than 6 months duration. The number of treatments per person ranged from 1 to 8 (mean 3.7) and patients were treated every four weeks. Duration of follow-up ranged from 6 to 24 months. There was a significant improvement in appearance, texture and symptoms such as pain and pruritis. No recurrence or worsening of the scar was reported.