The microsecond 1064 nm Nd: YAG laser as an adjunct to improving surgical scars following Mohs micrographic surgery

Navid Ezra, Ashish Arshanapalli, Robert Bednarek, Satoshi Akaishi, Ally-Khan Somani

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background: Scarring following skin surgery is an unavoidable certainty. Scars resulting from Mohs Micrographic Surgery (MMS) can cause both cosmetic and functional problems. Various lasers have been used to treat scars, but the role of the microsecond pulsed 1064 nanometer neodymium-doped yttrium aluminum garnet (1064 nm Nd:YAG) in treating surgical scars is not well-defined. Objective: We aim to examine the clinical application of the 1064 nm Nd:YAG laser in improving surgical scars. Methods: Ten patients who were unhappy with cosmetic or functional outcomes of their surgical scars following MMS were treated with 1–3 sessions of the 1064 nm Nd:YAG laser to improve their scars. Therapy completion was determined by patient satisfaction with the appearance of their scars and/or resolution of any contractures that formed following surgery. Results: All ten patients were pleased with the improved appearance of their scars. Four patients saw complete resolution of an ectropion or eclabium that formed secondary to scar contractures from MMS. The side effects of laser treatments were limited to 1–2 hours of erythema, and there were no incidences of adverse effects or recurrence of contractures. Conclusion: Our clinical experience with the 1064 nm Nd:YAG laser provides promising data on improving appearance of and functionality from post-surgical scars.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalJournal of Cosmetic and Laser Therapy
DOIs
StateAccepted/In press - Apr 21 2016

Keywords

  • Contracture
  • cosmetics
  • eclabium
  • ectropion
  • mohs micrographic surgery
  • Nd:YAG
  • scar
  • scar revision

ASJC Scopus subject areas

  • Surgery
  • Dermatology

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