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Laser Therapy for Scars

  • Timothy A. Durso
  • Nathanial R. Miletta
  • Bart O. Iddins
  • Matthias B. DonelanEmail author
Chapter

Abstract

Over the last 30 years, laser therapy has emerged as an effective primary and adjuvant treatment modality for scars. Laser therapy facilitates the selective destruction of discrete structures within the skin, as well as microscopic, spatially selective injuries to scars that result in both local and distant tissue remodeling. This remodeling process capitalizes on the patient’s native tissue reservoirs to facilitate a process of normalization leading to improved scar function, aesthetics, and a reduction in scar-associated symptoms. This chapter will review the basic principles of laser therapy for scars, as well as an evidence-based therapeutic approach for specific scar characteristics. It is critical that any physician managing scars be familiar with these invaluable tools for scar optimization.

Keywords

Laser therapy Scars Vascular laser Ablative fractional laser Non-ablative fractional laser 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Timothy A. Durso
    • 1
    • 2
  • Nathanial R. Miletta
    • 1
    • 2
  • Bart O. Iddins
    • 1
    • 2
    • 3
  • Matthias B. Donelan
    • 4
    • 5
    • 6
    Email author
  1. 1.Laser Surgery and Scar CenterSan Antonio Military Health SystemSan AntonioUSA
  2. 2.Uniformed Services University of the Health SciencesBethesdaUSA
  3. 3.Oak Ridge National LaboratoryOak RidgeUSA
  4. 4.Shriners Hospital for Children—BostonBostonUSA
  5. 5.Massachusetts General HospitalBostonUSA
  6. 6.Harvard Medical SchoolBostonUSA

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