Fractional photothermolysis for the treatment of surgical scars: A case report

2006, Vol. 8, No. 1 , Pages 35-38 (doi:10.1080/14764170600607251)
1DermSurgery Associates, Houston, TX, USA
2Division of Dermatology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
3Department of Medicine (Dermatology), University of Texas, MD Anderson Cancer Center, Houston, TX, USA
4Department of Bioengineering, Rice University, Houston, TX, USA
5Laser & Skin Surgery Center of New York, NY, USA
6Department of Dermatology, University of Texas Medical School, Houston, TX, USA
Correspondence: Paul M. Friedman, DermSurgery Associates, 7515 S. Main Street, Suite 210, Houston, TX 77030, USA, 1 713 791 9927



Background. Surgical scars are a challenging condition to treat. Fractional photothermolysis provides a promising new modality for treatment.

Case report. A 55‐year‐old white female patient with a surgical scar on the chin was treated with fractional photothermolysis (1550 nm FraxelTM SR laser). A single treatment session was performed at pulse energy of 8 mJ (MTZ) and a final density of 2000 MTZ/cm2. The treatment response was assessed by comparing pre‐ and 2‐week post‐treatment clinical photography.

Results. A greater than 75% clinical improvement of scarring was achieved at 2 weeks after a single treatment based on independent physician assessment. No significant adverse effects were noted. The improvement was persistent at 1‐month follow‐up.

Conclusion. Fractional photothermolysis offers a new, effective, and safe modality for the treatment of surgical scars.