Observation on the effect of early application of 595 nm pulsed dye laser combined with silicone gel for postoperative facial scar
Objective To investigate the clinical efficacy of early application of 595 nm pulsed dye laser combined with silicone gel for postoperative facial scar.Methods A total of 60 patients with scars 1 to 2 months after facial surgery were selected from the Department of Plastic and Cosmetic Surgery,the Affiliated Hospital of Xuzhou Medical University from September 2021 to January 2023.They were randomly divided into an observation group and a control group.The control group was treated with 595 nm pulsed dye laser alone for 3 times,while the observation group was additionally treated with silicone gel for 3 months on the basis of laser treatment.The scar morphology was scored by the Vancouver Scar Scale(VSS)and the adverse reactions during the treatment and the overall satisfaction rate of the patients were recorded.Results Before treatment,there was no significant difference in VSS scores between the control group and the observation group(P>0.05).After 6 months of treatment,the VSS scores of both groups were decreased compared to before treatment,with a more significant reduction in the observation group(P<0.05);the incidence of adverse reactions in the observation group was lower than in the control group(P<0.05),although patient satisfaction rate was higher than that in the control group,the difference was not statistically significant(P>0.05).Conclusions The early application of 595 nm pulsed dye laser combined with silicone gel shows significant efficacy in the treatment of postoperative facial scars,with a low incidence of adverse reactions,making it widely applicable in clinical practice.