title: Split face evaluation of long-pulsed non-ablative 1,064 nm Nd:YAG laser for treatment of direct browplasty scars.
abstract: To investigate 1,064 nm long-pulse Nd:YAG laser for postoperative treatment of direct browplasty scars.
  
  
  
  Nine patients who underwent direct browplasty were enrolled in this prospective study. Subjects were randomized to unilateral laser treatment at 2-week intervals for six total treatments, with the contralateral scar used as a control. Prior to each treatment, subjects rated treated and control scars on overall cosmesis. Post-treatment, subjects rated each for erythema, swelling, discomfort, and perceived hair loss. Finally, examiners masked to treatment side were asked to judge side-by-side photographs of first and final visits for improvement and side effects.
  
  
  
  Subjects rated the overall appearance of the treated scar significantly higher at the time of treatment number 5 (mean score 5.13 ± 2.03, P = 0.008) and treatment number 6 (6.25 ± 1.98, P = 0.005) compared to treatment 1 (3.75 ± 2.12); by contrast, they failed to rate the control scar more highly. On masked examination of photographs, the treated scar was selected as most improved 50.0 ± 12.5% of the time. Both subjects and graders reported side effects as transient and mild to moderate (mean score 1-4), with no reports of hair loss from either subjects or observers.
  
  
  
  The 1,064 nm Nd:YAG laser provided significant improvement in scar cosmesis after direct browplasty, as rated by subject self-report, but not by masked observers, and appears to be a useful tool for increasing satisfaction among those dissatisfied with direct browplasty scars. Side effects-including erythema, edema, and discomfort-were transient and universally rated as mild to moderate. Lasers Surg. Med. 48:742-747, 2016. © 2016 Wiley Periodicals, Inc.
authors: University of Miami Miller School of Medicine, Miami, Florida 33136.
authors: Phillip A
authors: PA
authors: Tenzel
authors: University of Miami Miller School of Medicine, Miami, Florida 33136.
authors: Karan
authors: K
authors: Patel
authors: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida 33136.
authors: Benjamin P
authors: BP
authors: Erickson
authors: Department of Ophthalmology, University of Iowa Carver College of Medicine, Iowa City, Iowa 52242.
authors: Erin M
authors: EM
authors: Shriver
authors: Facial Plastic Surgery, Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, Florida 33136.
authors: Lisa D
authors: LD
authors: Grunebaum
authors: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida 33136.
authors: Chrisfouad R
authors: CR
authors: Alabiad
authors: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida 33136.
authors: Wendy W
authors: WW
authors: Lee
authors: Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida 33136. swester2@miami.edu.
authors: Sara T
authors: ST
authors: Wester
mesh_terms: D000368:Aged; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D003357:Cosmetic Techniques / Q000009:adverse effects*; D005138:Eyebrows; D006801:Humans; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D010781:Photography; D011183:Postoperative Complications / Q000601:surgery*; D011446:Prospective Studies; D016896:Treatment Outcome
keywords: 1,064 nm Nd:YAG; brow lift; brow ptosis; browpexy; direct brow lift; scar revision; surgical scar