Medical Lasers; Engineering, Basic Research, and Clinical Application 2018; 7(1): 41-46  
Enhancement of Contour Using Laser Scar Treatment in the One-Stage Nasal Ala Reconstruction with Nasolabial Fold Flap
Sun Jae Lee, Eun Soo Park
Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Bucheon, Korea
Correspondence to: Eun Soo Park, Department of Plastic and Reconstructive Surgery, Soonchunhyang University, Colleage of Medicine, Bucheon Hospital, 170 Jomaru-ro, Wonmi-gu, Bucheon 14584, Korea, Tel.: +82-32-621-5319, Fax: +82-32-621-5662, E-mail: peunsoo@schcm.ac.kr
Received: June 18, 2018; Accepted: June 22, 2018; Published online: June 30, 2018.
© Korean Society for Laser Medicine and Surgery. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Postoperative scarring around the nasolabial area and alar rim poses very high cosmetic concerns, leading to patient dissatisfaction. Several strategies, like laser therapy, have been developed to improve its clinical aspects. However, to date, little is known about when in the early wound healing phases laser exposure would have the most optimal results. This paper introduces a remarkable case of effectively treating a 32-year-old male patient with scarring on the alar rim and nasolabial fold using early active laser treatment. We started carbon dioxide (CO2) laser therapy early in the second month after surgery. In the course of laser treatment, we performed a combined treatment using an ablative fractional CO2 laser device and the combination of pulsed-dye laser and neodymium: yttrium-aluminum-garnet laser. A total of 7 sessions of CO2 laser therapy and 3 sessions of cynergy laser therapy were performed, and the patient was followed-up for evaluation. These early laser treatments resulted in both patient and clinical satisfaction. In this case, we confirmed that early treatment with CO2 laser and cynergy laser can have a positive effect on scarring of the alar rim and nasolabial fold.
Keywords: Nasal ala contour; Fractional carbon dioxide laser; Cynergy; Multiflex; Early laser therapy


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