C.T. Ammirati, MD, T.J. Cottingham, MD and G.J. Hruza, MD have indicated no significant interest with commercial supporters.
Immediate Postoperative Laser Resurfacing Improves Second Intention Healing on the Nose: 5-Year Experience
Version of Record online: 7 JUL 2008
Volume 27, Issue 2, pages 147–152, February 2001
How to Cite
Ammirati, C. T., Cottingham, T. J. and Hruza, G. J. (2001), Immediate Postoperative Laser Resurfacing Improves Second Intention Healing on the Nose: 5-Year Experience. Dermatologic Surgery, 27: 147–152. doi: 10.1046/j.1524-4725.2001.00228.x
- Issue online: 7 JUL 2008
- Version of Record online: 7 JUL 2008
Background. Mohs surgery defects on convex nasal surfaces do not reliably heal well by second intention. Prior to the availability of laser resurfacing we found that immediate postoperative dermabrasion improved the predicted outcome from second intention healing for these defects.
Objective. To determine the ability of immediate postoperative CO2 and Er:YAG laser resurfacing to improve predicted healing by second intention.
Methods. Seventy-four patients with Mohs surgical defects on the nose underwent immediate postoperative resurfacing with either a scanned CO2 or long-pulsed Er:YAG laser. Thirty patients had photographs of appropriate quality and follow-up for evaluation by a panel of nine objective physicians.
Results. All 74 patients were satisfied with their result and none have requested scar revision. Of the 30 patients evaluated by the panel, all were scored acceptable to excellent.
Conclusion. Immediate laser resurfacing can improve the predicted outcome from second intention healing on the nose and should be considered for select patients.