E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars

Abdul Hakeem Mohammad Saeed, Salaiman Ayed Alsaiari.

Abstract
Background: Acne is a common condition with prevalence as high as 80% among adolescents and often it causes atrophic scars. Laser resurfacing is an effective treatment for acne scars. However, post-treatment adverse effects are often induced. Fractional laser photothermolysis has been designed to create microscopic thermal wounds to achieve skin rejuvenation without significant side effects.

Objectives: The aim of this study is to assess the efficacy and safety level of fractional CO2 laser in atrophic acne scars treatment.

Materials and Methods: Forty patients between 18 and 40 years of both sexes with atrophic acne scars seen in the Department of Dermatology at Najran University Hospital in Najran, Saudi Arabia, were treated with 46 sessions of fractional CO2 laser resurfacing. The result was evaluated objectively at each follow-up visit and 3 months after the last laser session using a quartile grading scale. Patient improvements were classified as excellent when the improvement was >50% in scar outcome and appearance of skin, good if 2550% response, and poor when the response <25%. Patient satisfaction and side effects were monitored and recorded for up to 3 months after the last laser session.

Results: All patients were with moderate-to-severe atrophic scars. There were 16 patients with predominantly rolling scar, nine patients with predominantly pitting scar, and 15 patients with mixture scars. The cheek was the most commonly affected site (95%). At the time of final assessment, an excellent response was observed in 14 patients (37.5%) while 16 (40%) and 10 patients (25%) demonstrated a good and poor response, respectively. Rolling scar responds better to the treatment than other types of acne scar (P = 00). Side effects were transient and mild, and 62.5% of patients were very satisfied or only satisfied with the treatment.

Conclusions: Fractional CO2 laser resurfacing as monotherapy appeared to be a safe and effective option for atrophic acne scar treatment especially rolling scars with minimal adverse effects.

Key words: Acne Scars; Pitting Scar; Rolling Scars; Fractional CO2 Laser Resurfacing


 
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Pubmed Style

Saeed AHM, Alsaiari SA. The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars. Int J Med Sci Public Health. 2018; 7(8): 630-637. doi:10.5455/ijmsph.2018.0412829042018


Web Style

Saeed AHM, Alsaiari SA. The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars. http://www.ijmsph.com/?mno=296267 [Access: December 17, 2018]. doi:10.5455/ijmsph.2018.0412829042018


AMA (American Medical Association) Style

Saeed AHM, Alsaiari SA. The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars. Int J Med Sci Public Health. 2018; 7(8): 630-637. doi:10.5455/ijmsph.2018.0412829042018



Vancouver/ICMJE Style

Saeed AHM, Alsaiari SA. The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars. Int J Med Sci Public Health. (2018), [cited December 17, 2018]; 7(8): 630-637. doi:10.5455/ijmsph.2018.0412829042018



Harvard Style

Saeed, A. H. M. & Alsaiari, . S. A. (2018) The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars. Int J Med Sci Public Health, 7 (8), 630-637. doi:10.5455/ijmsph.2018.0412829042018



Turabian Style

Saeed, Abdul Hakeem Mohammad, and Salaiman Ayed Alsaiari. 2018. The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars. International Journal of Medical Science and Public Health, 7 (8), 630-637. doi:10.5455/ijmsph.2018.0412829042018



Chicago Style

Saeed, Abdul Hakeem Mohammad, and Salaiman Ayed Alsaiari. "The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars." International Journal of Medical Science and Public Health 7 (2018), 630-637. doi:10.5455/ijmsph.2018.0412829042018



MLA (The Modern Language Association) Style

Saeed, Abdul Hakeem Mohammad, and Salaiman Ayed Alsaiari. "The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars." International Journal of Medical Science and Public Health 7.8 (2018), 630-637. Print. doi:10.5455/ijmsph.2018.0412829042018



APA (American Psychological Association) Style

Saeed, A. H. M. & Alsaiari, . S. A. (2018) The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars. International Journal of Medical Science and Public Health, 7 (8), 630-637. doi:10.5455/ijmsph.2018.0412829042018





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