Fibrosis Caused By Ablative Laser

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Fibrosis Caused By Ablative Laser

PostPosted by DCNGA » Mon Jun 11, 2012 7:07 pm

As a background:

fi·bro·sis/fīˈbrōsis/ Noun: The thickening and scarring of connective tissue, usually as a result of injury.

http://www.ncbi.nlm.nih.gov/pubmed/22122738

Dermatol Surg. 2012 Mar;38(3):437-42. doi: 10.1111/j.1524-4725.2011.02230.x. Epub 2011 Nov 28.
Formation of fibrosis after nonablative and ablative fractional laser therapy.
Wind BS, Meesters AA, Kroon MW, Beek JF, van der Veen JP, van der Wal AC, Bos JD, Wolkerstorfer A.
Source Netherlands Institute for Pigment Disorders. b.s.wind@amc.uva.nl

Abstract

BACKGROUND:
Fractional laser therapy (FLT) has become a widely accepted modality for skin rejuvenation and has also been used in various other skin diseases.

OBJECTIVE:
To observe long-term histologic effects of nonablative and ablative FLT in the treatment of pigment disorders.

METHODS:
A randomized controlled observer-blinded study was performed in 18 patients with pigment disorders. Two similar test regions were randomized to receive FLT with intermittent topical bleaching or topical bleaching alone. Patients with ashy dermatosis (AD) and postinflammatory hyperpigmentation (PIH) were treated using nonablative 1,550-nm FLT (15 mJ/microbeam, 14-20% coverage), whereas patients with Becker's nevus (BN) were treated with ablative 10,600-nm FLT (10 mJ/microbeam, 35-45% coverage) for three to five sessions. Biopsies were obtained 3 months after the last treatment.

RESULTS:
At follow-up, dermal fibrosis was observed in four of eight patients treated using ablative FLT and no patients treated using nonablative FLT (p < .05).

CONCLUSIONS:
Assuming that the dermal response is comparable in AD, PIH, and BN, at the given settings, ablative FLT may induce fibrosis, whereas treatment with nonablative FLT does not. Whether formation of fibrosis has to be regarded as dermal remodeling or a subtle subclinical form of scarring should be investigated in future research.
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