Fractional Photothermolysis Improves a Depressed Alar Scar Following MohsMicrographic Surgery
January 2010 | Volume 9 | Issue 1 | Case Reports | 66 | Copyright © January 2010
Kimberly K. Schulz MD and Hobart W. Walling MD PhD
Fractional photothermolysis (FPT; Fraxel SR laser) is a 1550 nm non-ablative erbium laser device with a variety of clinical applications.
FPT has been used to treat photodamage, photoaging, melasma, actinic keratoses and acne scarring. We present the case of
a 49-year-old woman with a depressed 0.7 x 0.5 cm alar scar resulting from Mohs micrographic surgery for basal cell carcinoma with
secondary intention healing.
She was treated with FPT initially eight weeks post-operatively. FPT was performed a total of five times at four-week intervals. At
the completion of FPT, the scar was nearly imperceptible and has remained so eighteen months later. To the authorsâ€™ knowledge,
treatment of facial scars resulting from Mohs micrographic surgery for cutaneous malignancy has not previously been reported.