ABSTRACT
Numerous techniques exist to treat noticeable facial scars. Techniques range from
surgical excision to resurfacing. In this review of dermabrasion and laser resurfacing,
we address the clinical considerations, techniques, adjuncts, and peri-operative management
of scar resurfacing. Dermabrasion offers the advantage of being a tried-and-true technique
familiar to surgeons. Recent advances in laser technology have resulted in the increased
use of pulsed-dye lasers (PDLs), erbium:yttrium-aluminum-garnet (YAG) lasers, and
CO2 lasers. PDLs are effective for hypertrophic scars and show lower rates of recurrence
compared with erbium:YAG and CO2 lasers. In contrast, erbium:YAG and CO2 lasers are well suited to treating atrophic and acne scars. Chemical peels play a
minor role in scar resurfacing and function primarily as an adjunct. Scar resurfacing
is an integral part of scar camouflage and is often used in conjunction with excision
and irregularization techniques.
KEYWORD
Dermabrasion - laser - scar - resurfacing
