Efficacy of a long-pulsed 1064-nm Nd:YAG laser in acute scar redness

Background The initial redness of the scar on a postoperative suture site is a natural phenomenon that fades over time. However, with a long period of redness, patients complain about cosmetic discomfort, and the possibility of pigmentation changes is induced. We investigated the use of a long-pulse...

Full description

Bibliographic Details
Main Authors: Youngwoong Choi, Jeong Min Ji, Ki Pyo Sung, Choong Hyeon Kim
Format: Article
Language:English
Published: Korean Society for Aesthetic Plastic Surgery 2023-07-01
Series:Archives of Aesthetic Plastic Surgery
Subjects:
Online Access:http://e-aaps.org/upload/pdf/aaps-2023-00843.pdf
_version_ 1797755750451249152
author Youngwoong Choi
Jeong Min Ji
Ki Pyo Sung
Choong Hyeon Kim
author_facet Youngwoong Choi
Jeong Min Ji
Ki Pyo Sung
Choong Hyeon Kim
author_sort Youngwoong Choi
collection DOAJ
description Background The initial redness of the scar on a postoperative suture site is a natural phenomenon that fades over time. However, with a long period of redness, patients complain about cosmetic discomfort, and the possibility of pigmentation changes is induced. We investigated the use of a long-pulsed 1064 nm Nd:YAG laser as a noninvasive treatment for improving the redness of these scars. Methods A retrospective chart review was conducted on 36 patients who underwent excision of a nevus on the face. Fourteen patients received laser treatment and another 22 patients used only scar management ointment. Patients were followed up 1 week after the sutures were removed. The photographic images taken at the time of suture removal and 2 months later were reviewed. The evaluation was performed on a 7-point scale by adding the Japan Scar Workshop (JSW) scar scale’s redness and erythema scores. Results The average initial JSW scar scale score of the treatment group was 4.6, and that of the nontreatment group was 4.2. When the re-evaluation was performed 2 months later, the score of the treatment group decreased to 2.2 and that of the nontreatment group decreased to 3.1. The difference in the JSW scar scale between the treatment group and the nontreatment group according to laser performance was statistically significant (P=0.03). Conclusions The treatment method with a long-pulsed 1064 nm Nd:YAG laser that is less invasive and has a quick effect can be a good alternative for improving this initial scar redness.
first_indexed 2024-03-12T17:51:41Z
format Article
id doaj.art-8cfe63d4dec5486599e8f8b87f682b29
institution Directory Open Access Journal
issn 2234-0831
2288-9337
language English
last_indexed 2024-03-12T17:51:41Z
publishDate 2023-07-01
publisher Korean Society for Aesthetic Plastic Surgery
record_format Article
series Archives of Aesthetic Plastic Surgery
spelling doaj.art-8cfe63d4dec5486599e8f8b87f682b292023-08-03T06:11:19ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372023-07-0129315315710.14730/aaps.2023.00843812Efficacy of a long-pulsed 1064-nm Nd:YAG laser in acute scar rednessYoungwoong Choi0Jeong Min Ji1Ki Pyo Sung2Choong Hyeon Kim Department of Plastic and Reconstructive Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Plastic and Reconstructive Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Plastic and Reconstructive Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, KoreaBackground The initial redness of the scar on a postoperative suture site is a natural phenomenon that fades over time. However, with a long period of redness, patients complain about cosmetic discomfort, and the possibility of pigmentation changes is induced. We investigated the use of a long-pulsed 1064 nm Nd:YAG laser as a noninvasive treatment for improving the redness of these scars. Methods A retrospective chart review was conducted on 36 patients who underwent excision of a nevus on the face. Fourteen patients received laser treatment and another 22 patients used only scar management ointment. Patients were followed up 1 week after the sutures were removed. The photographic images taken at the time of suture removal and 2 months later were reviewed. The evaluation was performed on a 7-point scale by adding the Japan Scar Workshop (JSW) scar scale’s redness and erythema scores. Results The average initial JSW scar scale score of the treatment group was 4.6, and that of the nontreatment group was 4.2. When the re-evaluation was performed 2 months later, the score of the treatment group decreased to 2.2 and that of the nontreatment group decreased to 3.1. The difference in the JSW scar scale between the treatment group and the nontreatment group according to laser performance was statistically significant (P=0.03). Conclusions The treatment method with a long-pulsed 1064 nm Nd:YAG laser that is less invasive and has a quick effect can be a good alternative for improving this initial scar redness.http://e-aaps.org/upload/pdf/aaps-2023-00843.pdfcicatrixlaserswound healing
spellingShingle Youngwoong Choi
Jeong Min Ji
Ki Pyo Sung
Choong Hyeon Kim
Efficacy of a long-pulsed 1064-nm Nd:YAG laser in acute scar redness
Archives of Aesthetic Plastic Surgery
cicatrix
lasers
wound healing
title Efficacy of a long-pulsed 1064-nm Nd:YAG laser in acute scar redness
title_full Efficacy of a long-pulsed 1064-nm Nd:YAG laser in acute scar redness
title_fullStr Efficacy of a long-pulsed 1064-nm Nd:YAG laser in acute scar redness
title_full_unstemmed Efficacy of a long-pulsed 1064-nm Nd:YAG laser in acute scar redness
title_short Efficacy of a long-pulsed 1064-nm Nd:YAG laser in acute scar redness
title_sort efficacy of a long pulsed 1064 nm nd yag laser in acute scar redness
topic cicatrix
lasers
wound healing
url http://e-aaps.org/upload/pdf/aaps-2023-00843.pdf
work_keys_str_mv AT youngwoongchoi efficacyofalongpulsed1064nmndyaglaserinacutescarredness
AT jeongminji efficacyofalongpulsed1064nmndyaglaserinacutescarredness
AT kipyosung efficacyofalongpulsed1064nmndyaglaserinacutescarredness
AT choonghyeonkim efficacyofalongpulsed1064nmndyaglaserinacutescarredness