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Blog: Ablative Fractional Resurfacing Improves Scar Mobility
The laser therapy has been shown to increase the pliability of the scars of wounded soldiers.

Ablative fractional resurfacing can significantly improve functioning in patients with mobility limiting scars, according to the experience of dermatologists that have treated soldiers returning from combat with the physical scars of war.

Image © Elsevier 2012
Dr. Kenneth A. Arndt discusses treating scars with ablative fractional resurfacing.  

When you think of ablative fractional resurfacing, you probably think of photo-damaged skin and acne scars, said Dr. Kenneth A. Arndt, a clinical professor of dermatology, emeritus, at Harvard.

So why would you use something that tightens skin to treat scars? When ablative fractional resurfacing is used on scars, it actually increases pliability, he said.

He shared the "exciting and interesting" experience of Dr. Nathan Uebelhoer, who is treating traumatic scars in wounded soldiers with ablative fractional resurfacing at the Naval Medical Center in San Diego. "As you can imagine combat related scars can be challenging. They can be disfiguring; they're restrictive; they're bound down, they can't move."

According to Dr. Arndt, who presented the early research at the Hawaii Dermatology Seminar sponsored by Skin Disease Education Foundation, combat scars can also be atrophic, hypertrophic, hyperemic, hyper- and hypopigmented, or a combination.

Ablative fractional resurfacing resulted in an increased range of motion in scar contractures, enhanced scar pliability, mobility, and durability, and  facilitated wound healing, he said. The overall functionality and cosmesis in the soldiers was improved with the laser therapy.

According to Dr. Uebelhoer's reported experience, within minutes to days of treatment the soldiers showed photomechanical fenestration of the scar sheet. Within days to months, collagen remodeling was seen, as well as a response in contractures "best thought of as induction of remodeling rather than simple thermally induced collagen contraction," Dr. Arndt reported at the meeting.

Ablative fractional resurfacing could be life changing for soldiers and patients that can't straighten out their arms, hands, and even legs because of scarring.

Dr. Arndt disclosed having no relevant conflicts of interest. SDEF and this news organization are owned by Elsevier.

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The laser therapy has been shown to increase the pliability of the scars of wounded soldiers.
The laser therapy has been shown to increase the pliability of the scars of wounded soldiers.

Ablative fractional resurfacing can significantly improve functioning in patients with mobility limiting scars, according to the experience of dermatologists that have treated soldiers returning from combat with the physical scars of war.

Image © Elsevier 2012
Dr. Kenneth A. Arndt discusses treating scars with ablative fractional resurfacing.  

When you think of ablative fractional resurfacing, you probably think of photo-damaged skin and acne scars, said Dr. Kenneth A. Arndt, a clinical professor of dermatology, emeritus, at Harvard.

So why would you use something that tightens skin to treat scars? When ablative fractional resurfacing is used on scars, it actually increases pliability, he said.

He shared the "exciting and interesting" experience of Dr. Nathan Uebelhoer, who is treating traumatic scars in wounded soldiers with ablative fractional resurfacing at the Naval Medical Center in San Diego. "As you can imagine combat related scars can be challenging. They can be disfiguring; they're restrictive; they're bound down, they can't move."

According to Dr. Arndt, who presented the early research at the Hawaii Dermatology Seminar sponsored by Skin Disease Education Foundation, combat scars can also be atrophic, hypertrophic, hyperemic, hyper- and hypopigmented, or a combination.

Ablative fractional resurfacing resulted in an increased range of motion in scar contractures, enhanced scar pliability, mobility, and durability, and  facilitated wound healing, he said. The overall functionality and cosmesis in the soldiers was improved with the laser therapy.

According to Dr. Uebelhoer's reported experience, within minutes to days of treatment the soldiers showed photomechanical fenestration of the scar sheet. Within days to months, collagen remodeling was seen, as well as a response in contractures "best thought of as induction of remodeling rather than simple thermally induced collagen contraction," Dr. Arndt reported at the meeting.

Ablative fractional resurfacing could be life changing for soldiers and patients that can't straighten out their arms, hands, and even legs because of scarring.

Dr. Arndt disclosed having no relevant conflicts of interest. SDEF and this news organization are owned by Elsevier.

Ablative fractional resurfacing can significantly improve functioning in patients with mobility limiting scars, according to the experience of dermatologists that have treated soldiers returning from combat with the physical scars of war.

Image © Elsevier 2012
Dr. Kenneth A. Arndt discusses treating scars with ablative fractional resurfacing.  

When you think of ablative fractional resurfacing, you probably think of photo-damaged skin and acne scars, said Dr. Kenneth A. Arndt, a clinical professor of dermatology, emeritus, at Harvard.

So why would you use something that tightens skin to treat scars? When ablative fractional resurfacing is used on scars, it actually increases pliability, he said.

He shared the "exciting and interesting" experience of Dr. Nathan Uebelhoer, who is treating traumatic scars in wounded soldiers with ablative fractional resurfacing at the Naval Medical Center in San Diego. "As you can imagine combat related scars can be challenging. They can be disfiguring; they're restrictive; they're bound down, they can't move."

According to Dr. Arndt, who presented the early research at the Hawaii Dermatology Seminar sponsored by Skin Disease Education Foundation, combat scars can also be atrophic, hypertrophic, hyperemic, hyper- and hypopigmented, or a combination.

Ablative fractional resurfacing resulted in an increased range of motion in scar contractures, enhanced scar pliability, mobility, and durability, and  facilitated wound healing, he said. The overall functionality and cosmesis in the soldiers was improved with the laser therapy.

According to Dr. Uebelhoer's reported experience, within minutes to days of treatment the soldiers showed photomechanical fenestration of the scar sheet. Within days to months, collagen remodeling was seen, as well as a response in contractures "best thought of as induction of remodeling rather than simple thermally induced collagen contraction," Dr. Arndt reported at the meeting.

Ablative fractional resurfacing could be life changing for soldiers and patients that can't straighten out their arms, hands, and even legs because of scarring.

Dr. Arndt disclosed having no relevant conflicts of interest. SDEF and this news organization are owned by Elsevier.

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