Figure 2 27-year-old female, skin type IV. (A) Before treatment and (B) at 6-month follow-up. Images published courtesy of Dr Francesca de Angelis
Follow-up on patients was up to 6 months after treatment.
Results Patient One The patient experienced approximately 6 days of erythema (7 days on areas treated more aggressively, 5–6 days on the rest of the face) and only 2 days of oedema. No side-effects or complications were recorded. Six months after treatment, the patient presented
noticeable improvement. Based on the Global Acne Scarring Classification, the patient demonstrated 90% improvement and based on a 10 cm Visual Analogue Scale, the subject’s acne scars appearance was reduced from 5 to 1 after the single treatment. The patient was very satisfied with the treatment as she noted a high rate of improvement in her skin tone as well. She also observed a visible reduction in wrinkles and skin pores.
Patient Two The patient experienced 7 days of erythema and 1 day of swelling. No other side-effects or complications were reported. At the 6-month follow-up, the patient presented
noticeable improvement. Based on the Global Acne Scarring Classification, the patient demonstrated an 80% improvement and based on a 10 cm Visual Analog Scale, her acne scars appearance changed from 10 to 3 after the single treatment. This very young patient noted that her unhealthy skin turned into visibly healthy skin, of which she was proud. Both patients were extremely satisfied with the results.
both SuperPulse and continuous wave CO2
Discussion AcuPulse™ Combo mode is a MultiMode™ CO2
laser with technologies
for a concomitant deep and superficial impact. It enables treatment of common and challenging skin disorders characterised by textural and pigmented lesions. In the author’s experience, for patients having mild to
moderate acne scarring, one single, combined, Deep and Superficial treatment using the Combo mode enables a high rate of improvement in scarring, as well as in skin tone, with no complications and with a short downtime.
The AcuPulse system is developed, manufactured and distributed by Lumenis. For further information visit
www.lumenis.com
References
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2. Fabbrocini G, Annunziata MC, D’Arco V et al. Acne scars: pathogenesis, classification and treatment. Dermatol Res Pract 2010; 2010: 893080
3. Shamban AT, Narurkar VA. Multimodal treatment of acne, acne scars and pigmentation. Dermatol Clin 2009; 27(4): 459–71
4. Jemec GB, Jemec B. Acne: treatment of scars. Clin Dermatol 2004; 22(5): 434–8
5. Jordan R, Cummins C, Burls A. Laser resurfacing of the skin for the improvement of facial acne scarring: a systematic review of the evidence. Br Journal of Dermatology 2000: 142: 413-423.
6. Taub AF. Fractionated delivery systems for difficult to treat clinical applications: acne scarring, melasma, atrophic scarring, striae distensae, and deep rhytides. J Drugs Dermatol 2007; 6(11): 1120–8
7. Hasegawa T, Matsukura T, Mizuno Y, Suga Y, Ogawa H, Ikeda S. Clinical trial of a laser device called fractional photothermolysis system for acne scars. J Dermatol 2006; 33(9): 623–7
8. Alster TS, Tanzi EL, Lazarus M. The use of fractional laser photothermolysis for the treatment of atrophic scars. Dermatol Surg 2007; 33(3): 295–9
9. Geronemus RG. Fractional photothermolysis: current and future applications. Lasers Surg Med 2006; 38(3): 169–76
10. Chapas AM, Brightman L, Sukal S et al. Successful treatment of acneiform scarring with CO2 ablative fractional resurfacing. Lasers Surg Med 2008; 40(6): 381–6
11. Manuskiatti W, Triwongwaranat D, Varothai S, Eimpunth S, Wanitphakdeedecha R. Efficacy and safety of a carbon-dioxide ablative fractional resurfacing device for treatment of atrophic acne scars in Asians. J Am Acad Dermatol 2010; 63(2): 274–83
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