{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T21:21:56Z","timestamp":1777324916314,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scars, Burns &amp; Healing"],"published-print":{"date-parts":[[2018,1,1]]},"abstract":"<jats:sec><jats:title>Introduction:<\/jats:title><jats:p> Burn scars cause cosmetic disfigurement and psychosocial distress. We present two Fitzpatrick phototype (FP) III patients with burn scars successfully treated with combination pulsed dye laser (PDL) and non-ablative fractional lasers (NAFL). <\/jats:p><\/jats:sec><jats:sec><jats:title>Case 1:<\/jats:title><jats:p> A 30-year-old, FP III woman with a history of a second-degree burn injury to the bilateral arms and legs affecting 30% body surface area (BSA) presented for cosmetic treatment. The patient received three treatments with 595 nm PDL (7 mm, 8 J, 6 ms), six with the 1550 nm erbium:glass laser (30 mJ, 14% density, 4\u20138 passes) and five with the 1927 nm thulium laser (10 mJ, 30% density, 4\u20138 passes). Treated burn scars improved significantly in thickness, texture and colour. <\/jats:p><\/jats:sec><jats:sec><jats:title>Case 2:<\/jats:title><jats:p> A 33-year-old, FP III man with a history of a second-degree burn injury of the left neck and arm affecting 7% BSA presented for cosmetic treatment. The patient received two treatments with 595 nm PDL (5 mm, 7.5 J, 6 ms), four with the 1550 nm erbium:glass laser (30 mJ, 14% density, 4\u20138 passes) and two with the 1927 nm thulium laser (10 mJ, 30% density, 4\u20138 passes). The burn scars became thinner, smoother and more normal in pigmentation and appearance. <\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion:<\/jats:title><jats:p> Our patients\u2019 burn scars were treated with a combination of PDL and NAFL (two wavelengths). The PDL targets scar hypervascularity, the 1550 nm erbium:glass stimulates collagen remodelling and the 1927 nm thulium targets epidermal processes, particularly hyperpigmentation. This combination addresses scar thickness, texture and colour with a low side effect profile and is particularly advantageous in patients at higher risk of post-procedure hyperpigmentation. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Our cases suggest the combination of 595nm PDL plus NAFL 1550 nm erbium:glass\/1927 nm thulium device is effective and well-tolerated for burn scar treatment in skin of colour. <\/jats:p><\/jats:sec>","DOI":"10.1177\/2059513118758510","type":"journal-article","created":{"date-parts":[[2018,2,23]],"date-time":"2018-02-23T12:09:51Z","timestamp":1519387791000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Treatment of burn scars in Fitzpatrick phototype III patients with a combination of pulsed dye laser and non-ablative fractional resurfacing 1550 nm erbium:glass\/1927 nm thulium laser devices"],"prefix":"10.1177","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7640-400X","authenticated-orcid":false,"given":"Joy","family":"Tao","sequence":"first","affiliation":[{"name":"Division of Dermatology, Department of Medicine, Loyola University Chicago Stritch School of Medicine, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Champlain","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine, Loyola University Chicago Stritch School of Medicine, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Weddington","sequence":"additional","affiliation":[{"name":"Department of Medicine, Loyola University Chicago Stritch School of Medicine, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Moy","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of 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