{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T03:11:43Z","timestamp":1785726703814,"version":"3.56.0"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Rolling atrophic acne scars attach the deeper dermis to the muscular\u2013fascial layer with a fibrous component. Subcision is the most commonly used treatment technique for rolling scars.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n \n Our objective is to describe the efficacy and safety profile of a new type of subcision: the \u201csubdermal laser\u2010assisted scar subcision\u201d (SLASS), using a 1470\u2010nm diode fiber laser in combination with ablative fractional CO\n 2<\/jats:sub>\n laser.\n <\/jats:p>\n <\/jats:sec>\n \n Patients\/Methods<\/jats:title>\n \n A retrospective study of the combination of subcision with subdermal laser and CO\n 2<\/jats:sub>\n fractional laser in one session for 42 patients is presented. For the subcision, 400\u2010\u03bcm fibers of a 1470\u2010nm diode laser were used with energies ranging from 100 to 200\u2009J per 2\u2009cm\n 2<\/jats:sup>\n area, using 3\u20134\u2009W of power and pulsed mode with 15\u201325\u2009ms pulses. After subcision, CO\n 2<\/jats:sub>\n fractional laser was performed with different settings depending on the deepness of the scars: 40\u201350\u2009W power peak, 1\u20131.5\u2009ms dwell time, and 20%\u201330% density.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Mean reduction of the ECCA grade scale before and after treatment was of 92.6\u2009\u00b1\u200934.3 points (\n p<\/jats:italic>\n \u2009<\u20090.05). Considering SCAR\u2010S scale, ranging from 0 to 5 (0\u2009=\u2009clear; 5\u2009=\u2009very severe), a mean improvement of 1.67 points was obtained (\n p<\/jats:italic>\n \u2009<\u20090.05). Significant differences were found in both ECCA scale and SCAR\u2010S scale before and after treatment. None of the patients had severe adverse effects after the procedure.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n SLASS subcision can be considered as a promising technique for rolling acne scars. It provides a thermo\u2010mechanical subcision effect to the scarred area compared with traditional subcision techniques. CO\n 2<\/jats:sub>\n laser seems effective and safe.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocd.70219","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T03:01:13Z","timestamp":1745895673000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Subdermal Laser\u2010Assisted Scar Subcision (SLASS) Combined With Fractional CO\n 2<\/sub>\n Laser for Acne Scars: Efficacy Evaluation"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0451-6023","authenticated-orcid":false,"given":"Adri\u00e1n","family":"Alegre\u2010S\u00e1nchez","sequence":"first","affiliation":[{"name":"Dermatology Clinic AB Derma Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Su\u00e1rez\u2010Valle","sequence":"additional","affiliation":[{"name":"Dermatology Clinic AB Derma Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4461-1770","authenticated-orcid":false,"given":"Diego","family":"Fern\u00e1ndez\u2010Nieto","sequence":"additional","affiliation":[{"name":"Dermatology Clinic AB Derma Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Lape\u00f1a","sequence":"additional","affiliation":[{"name":"Dermatology Clinic AB Derma Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena Mac\u00edas\u2010del","family":"Toro","sequence":"additional","affiliation":[{"name":"Dermatology Clinic AB Derma Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Bern\u00e1rdez","sequence":"additional","affiliation":[{"name":"Dermatology Clinic AB Derma Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257\u2010021\u201000628\u20101"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257\u2010017\u20100321\u2010x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lsm.23484"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000000746"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40257\u2010018\u20100358\u20105"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14562"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.13876"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2310\/7750.2010.09037"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000096912"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524\u20104725.1995.tb00259.x"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.70219","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocd.70219","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.70219","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T03:29:12Z","timestamp":1773718152000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.70219"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/jocd.70219"],"URL":"https:\/\/doi.org\/10.1111\/jocd.70219","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,29]]},"assertion":[{"value":"2024-10-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70219"}}