| TREATMENT GUIDE
larger amount of TAC that can be injected into the scar owing to oedema formation caused by cryotherapy.
Laser therapy Based on current studies, the most encouraging results are being achieved using a 585 nm pulsed dye laser (PDL) in order to improve scar colour, height, pliability, and texture13
. Non-overlapping
laser pulses at fluences ranging from 6.0–7.5 J/cm2 4.5–5.5 J/cm2
(7 mm spot) or from (10 mm spot) are currently
recommended for the treatment of hypertrophic scars and keloids14
.
Side-effects are generally mild and predominantly include purpura. The author would usually initiate treatment of keloids using the combination of cryotherapy and TAC, and use PDL in order to reduce erythema. Conventional CO2
RRS® HA Strimatrix Aesthetic Dermal SL (Spain)
Description Aesthetic Dermal have developed a new line of CE Class III injectable products based on RRS® technology. The unique technology helps maintain an optimum concentration of active biosubstances. RRS® products conform with medical device regulations 93/42/CEE.
or Er:YAG lasers may be
recommended for the ablation of inactive hypertrophic scars; their use for removal of keloids as monotherapy, however, should be avoided owing to recurrence rates similar to that after excision of keloids1
. Owing to a lack of controlled
studies, no statement can yet be made on the use of fractional CO2
hypertrophic scars1 .
5-Fluorouracil Based on current guidelines, treatment of therapy-refractory keloids with 5-fluorouracil (5FU) can be considered1
.
Most studies support the high-dose version of 5FU therapy (40–50 mg/ml), while some authors promote a ‘low-dose regimen’ using 1.4– 3.5 mg/ml 5FU15
. Others prefer the
Turn the page for more scar removal products ☞
MedArt FRx Fractional CO2 Energist Medical Group
Description FRx is the only fibre- delivered fractional CO2
system in the
world. At just 18 kg, this fast and effective laser offers the added flexibility of being portable. It is easy to switch from fractional to surgical mode and incorporates an industry-leading scanner with simple controls for adjustment of spot density and pulse width.
Indications The FRx offers effective treatment for both hypertrophic scars
and acne scarring, promoting scar revision through renewal of the epidermis and neocollagenesis. Improvement will be seen after a single session; however, multiple treatments may be applicable. FRx can also be used for the treatment of wrinkles, photodamage, and ablation or removal of various naevi and warts.
Availability Worldwide Contact
www.energistgroup.com
prime-journal.com | June 2013 ❚ 77 lasers in
Legato II Alma Lasers
Description Legato II is a new system for treating scars and stretch marks. Legato II combines UniPolar Pro fractional ablative microplasma technology with the IMPACT sonotrode module. UniPolar Pro gives practitioners more control of the ablative clinical effect while almost entirely eliminating discomfort. IMPACT uses acoustic waves to push cosmeceuticals through the fractional ablative induced microchannels to the deeper skin tissue.
Indications Scars and stretch marks
Availability Europe, not available in US
Contact
www.almalasers.com
Indications RRS® HA Strimatrix is an injectable sterile solution which contains 50 active biosubstances. It is indicated for the treatment of stretch marks, atrophic scars, and skin flaccidity. RRS® HA Strimatrix helps regenerate and stimulate the dermal matrix of skin atrophic depressions, as well as revitalise and strengthen skin cells through a comprehensive supply of essential nutrients. RRS® HA Strimatrix is injected in the dermis, using superficial retro-tracing technique with a 30–32 G needle, once per week for an average of 12 weeks.
Availability EU countries. Welcome to potential new distributors
Contact
www.rrs-inject.com and
www.aestheticdermal.com
eTwo Syneron
Description Sublative™ on the eTwo™ platform offers minimally invasive fractional bi-polar radiofrequency (RF) delivered just beneath the skin. The unique Sublative ergonomic applicator delivers bi-polar RF energy via the matrix of electrodes. Heat energy is placed effectively into the upper dermis where it can produce a significant increase in both collagen and elastin with minimal epidermal disruption. Sublative is the only technology proven to reduce moderate to severe acne scars for all skin types. Microscopic zones of epidermis and dermis are thermally ablated in a grid over the skin’s surface, where non-ablated zones serve as a reservoir of cells that promote rapid healing. Efficacy is higher than non-ablative, while safety and recovery times are better than ablative resurfacing. Skin appears smoother and more elastic with improvement in tone and acne scars.
Indications Overall rejuvenation, acne scar treatment
Availability Worldwide
Contact
www.syneron-
candela.com
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