Lasers and Energy-Based Devices in Scar Therapy: A Practical Use

The objective of this chapter is to propose the clinical efficacy of laser and energy-based devices (EBD) in the treatment of scars. Multiple treatment modalities are utilized in the management of skin scarring, however, due to high recurrence rates and unknown resolution rates it can be difficult to assess if treatment is suitable or effective for the individual patient in the case of raised dermal scarring. Nevertheless, after a review of the different technologies, we present our experience in the form of cases illustrating the several types of scars that can be treated, from the most recent to the oldest. If in the old days, one had to wait before intervening, we can see that with the new generation of lasers and others, it is possible to intervene earlier than one might imagine. The toolbox has grown over the last 10 years, but like any artisan, you must take appropriate measures in due course.