Erbium YAG Lasers (2940 nm)

Er:YAG lasers work by targeting and vaporizing the water in skin cells, leading to the removal of fine layers of skin. This method facilitates the formation of channels that promote the production of new cells and collagen. Their proven effectiveness in treating various skin lesions with minimal thermal impact makes them a reliable choice for addressing acne scars.

CO2 Lasers (10600 nm, 2940 nm)

CO2 lasers are highly regarded for treating fine lines, wrinkles, and various pigmentary conditions. They function by causing controlled thermal damage beneath the scar tissue, which is essential for effective scar removal. These lasers have demonstrated significant effectiveness in promoting re-pigmentation and treating disorders like vitiligo and melasma by precisely targeting the affected areas.

Q-Switched Lasers

Beyond Er:YAG and CO2 lasers, Q-switched lasers are another effective option for scar removal. These lasers work by storing and releasing energy in a powerful beam, which removes the outer skin layer and heats the underlying tissue. This process stimulates collagen production, resulting in enhanced skin tone and texture. Q-switched lasers are particularly effective in treating atrophic facial acne scars, including rolling and boxcar scars.

Other Lasers (Non-Ablative Nd:YAG and KTP Lasers)

Non-ablative lasers, such as the Nd:YAG and KTP, differ from ablative lasers as they heat the underlying tissue without damaging the skin’s surface. This technique stimulates collagen production and promotes the natural healing process, improving the texture and appearance of scars. The Nd:YAG laser is known for its deeper penetration capabilities, while the KTP laser is recognized for its precision in targeting superficial vascular changes.

Our Impact on Scar Treatments

At the Scar Healing Institute, we leverage cutting-edge laser technologies for our SHIlase laser scar treatment. We utilize both ablative and non-ablative lasers, with our preferred ablative options for acne scars being Er:YAG, CO2, and the Q-switched Fotona Starwalker lasers. Our skilled acne scar treatment specialists employ these lasers in fractional and fully ablative modes to effectively eliminate unwanted scars and promote optimal skin healing. Additionally, at SHI, we use non-ablative lasers like Nd:YAG and KTP to remodel scars and reduce redness. Each laser’s specific wavelength and frequency enable precise penetration to the exact depth needed to target scars.

Preparing for Laser Scar Treatment

To achieve smoother skin, it is essential to follow several preparatory steps before undergoing laser scar treatment. Begin by scheduling a consultation with a reputable provider to discuss your specific needs and review your medical history related to scar treatment, including the scar’s age, previous treatments, and the type of trauma or surgery that caused it.

Before starting laser scar treatment, you should:

• Avoid photosensitive medications and over-the-counter pain relievers like aspirin.
• Pre-treat with hydroquinone to prevent hyperpigmentation.
• Refrain from exfoliating and temporarily discontinue using retinoid creams, glycolic acid, salicylic acid, or lactic acid treatments.
• Stay out of the sun before and after the treatment to prevent pigment changes in the skin.
• Avoid smoking, as it can impair the skin’s healing process and blood flow.

How Do I Choose A Laser?

Comprehending the best laser treatment choices for each scar type is essential when deciding on a course of action. This section will provide a detailed look at the different scar types and the best laser treatment options for each.

Acne Scars

Er:YAG, CO2, and other fractional ablative laser treatments can visibly enhance the appearance of acne scars by using light to even out the skin around the scars to the level of the pitted areas, resulting in a smoother appearance. However, at SHI, we believe laser treatments should not be the initial approach for acne scars. Instead, we recommend using lasers as a “final touch” treatment to refine the skin after scar revision and healing during the Phase System. This strategy allows laser treatments to effectively fine-tune your skin’s appearance to achieve your desired goals. 

We often achieve ideal results through a combination of skin-rejuvenating procedures, utilizing both non-ablative and ablative lasers, chemical peels, and microdermabrasion for scar removal.

Breast Lift Scars

Nd:YAG redness lasers and Er:YAG fractional resurfacing lasers have been effective in treating hypertrophic breast lift scars, with significant reductions in scar erythema. Nd:YAG laser treatment works by selectively photolyzing scar tissue to disrupt microvessels, thereby reducing red or pink discoloration, alleviating pain and itchiness, and smoothing the appearance of hypertrophic scars.

Tummy Tuck Scars

Er:YAG laser therapy is commonly recommended for tummy tuck scars due to its ability to accelerate scar fading, aiming for smooth and evenly toned skin. It is advisable to wait approximately a year after tummy tuck surgery before considering laser scar reduction treatments to allow for adequate healing and scar maturation.

Hypertrophic & Keloid Scars

Pulsed-dye lasers (PDL) and Nd:YAG lasers are widely recognized for their effectiveness in treating raised acne scars and other hypertrophic lesions. These lasers target blood inside the vein without affecting surrounding tissue, reducing the red or pink color of the scar, alleviating pain and itchiness, and potentially flattening the raised appearance of hypertrophic scars.

Post-Laser Scar Treatment Care and Recovery

After your laser scar removal procedure, understanding the post-treatment care and recovery process is essential. It’s recommended to use prescribed ointments like Stratamed, Stratacel, or Vaseline and to avoid harsh products such as retinols and acids during the healing phase. Additionally, minimizing sun exposure for 7-14 days before and after treatment is crucial to prevent pigment changes. Some healthcare providers suggest using lightening creams to prevent hyperpigmentation. At the Scar Healing Institute, we offer a specially formulated lightening cream with key ingredients to aid in the healing process.

Recovery timelines and outcomes can vary based on the laser treatment type and individual factors. Typically, laser treatments involve minimal downtime, with significant improvements in scar appearance usually noticeable between 3 and 6 months after the final session. Full results generally appear within four to six months as the skin tightens and collagen remodeling continues.

Risks & Complications of Laser Scar Removal

As with any procedure, laser scar removal comes with potential risks and complications such as erythema, bruising, and post-inflammatory hyperpigmentation. Erythema usually peaks within the first 24 to 48 hours and can last up to 4 months. Post-inflammatory hyperpigmentation often appears 2 to 4 weeks post-treatment and is more common in individuals with darker skin types.

Finding the Right Provider for Laser Scar Treatment

The success of laser scar treatment heavily depends on the provider’s skill due to the diverse handpieces, settings, and laser types involved. It is important to select a provider who is a licensed esthetician, cosmetologist, or dermatologist. 

Experience is key, as it ensures the provider can effectively use laser devices and meet patient needs. Reputable websites like Yelp, Google Reviews, and RealSelf offer reliable reviews to help you find a skilled provider.

Simultaneous Treatments for Scar Removal

In addition to laser therapy, other treatments can significantly improve the results for acne scars. Subcision therapy, which uses a small needle to lift anchored scars, is highly effective for rolling and boxcar acne scars. Chemical peels improve scars by exfoliating the outer skin layer with a chemical solution. Ultrasound imaging, used during consultations, helps map out scars for a comprehensive treatment plan, ensuring the best possible outcomes.

Summary

Laser scar removal is a revolutionary non-invasive technique that employs light energy to improve the appearance of scar tissue. With a range of lasers and treatment options available, this method can effectively address various scar types. However, it is essential to understand the preparation process, post-treatment care, potential risks, and complications. Selecting the right provider and integrating additional treatments can optimize results. Remember, achieving flawless skin involves a holistic approach to skin health. Contact the Scar Healing Institute for more information on laser treatments available for patients in Manhattan Beach!