Study Compares Two Laser Treatments for Acne Scarring

In a study published recently in the Journal of American Academy of Dermatology, a team of Korean researchers reported that the pulsed dye laser (PDL) and the 1065-nm long-pulsed neodymium:yttrium-aluminum-garnet (Nd:YAG) laser were equally effective in treating atrophic facial acne scars in the same patient.

Eighteen patients were enrolled in the 14-week, single-blinded, randomized, comparative split-face study. Each patient received 4 treatment sessions at 2-week intervals. The board-certified dermatologists who performed the treatments did not participate in outcome assessments. Follow-up occurred at 2-week intervals during the treatment period and at 4-week intervals for 8 weeks afterwards. Acne scar improvements were assessed and scored (based on the ECCA clinical evaluation scale) by two masked dermatologists.

The results: Both types of laser treatments produced notable and comparable improvement in the appearance of acne scars, especially superficial scars. Ice-pick scars (narrow, deeply pitted scars) and boxcar scars (round or oval scars) tended to respond better to PDL and Nd:YAG lasers, respectively.

The authors concluded that both lasers “are effective modalities for the treatment of acne scars. Optimal outcomes might be achieved considering scar types and responses to a specific laser.”

Source: Lee DH, Choi YS, Min SU, Yoon MY, Suh DH. Comparison of a 585-nm pulsed dye laser and a 1064-nm Nd:YAG laser for the treatment of acne scars: A randomized split-face clinical study. J Am Acad Dermatol. 2009 Feb 12. [Epub ahead of print].

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