Efficacy and safety of 1064-nm fractional picosecond laser for the treatment of postmastectomy scars in transgender men : A randomized controlled trial
© 2024 Wiley Periodicals LLC..
OBJECTIVES: Subcutaneous mastectomy is a crucial component of gender affirmation therapy for transgender men (TM), but the scars that result from this procedure can frequently impair their quality of life. This study aimed to assess the efficacy and safety of 1064-nm fractional picosecond laser (FxPico) treatment for hypertrophic and atrophic postmastectomy scars in TM.
METHODS: Twenty-two patients with a total of 35 pairs of bilateral symmetric mastectomy scars were enrolled. One of each pair of symmetric scars was randomly assigned to receive four FxPico treatments at 4-week intervals. All scars were evaluated using the modified Vancouver Scar Scale (mVSS) and three-dimensional imaging for scar roughness, melanin index, and hemoglobin index before each treatment session and at 1, 3, and 6 months following the last treatment. Additionally, participant-rated scar satisfaction (PSS) and scar improvement (Global Assessment Score, GAS), as well as adverse events were recorded.
RESULTS: During the 6-month follow-up period after the end of laser treatment sessions, the treated scars showed significant reductions in the mVSS compared to the untreated controls (p < 0.001), whereas the melanin index and hemoglobin index were not significantly different. Subgroup analysis of hypertrophic scars demonstrated statistically significant reductions in mVSS at 1 (p = 0.003) and 3 months (p = 0.041) after the end of laser treatments. PSS was significantly higher on the laser-treated scars than the controls (p = 0.008), and a participant-rated GAS of 2.95 ± 0.65 was found. There were no serious adverse events reported.
CONCLUSIONS: 1064-nm FxPico could be utilized to treat mastectomy scars among TM, particularly the hypertrophic type.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:56 |
|---|---|
| Enthalten in: |
Lasers in surgery and medicine - 56(2024), 4 vom: 01. Apr., Seite 337-345 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Rutnin, Suthinee [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Atrophic scar |
|---|
| Anmerkungen: |
Date Completed 15.04.2024 Date Revised 26.04.2024 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1002/lsm.23775 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM369259912 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM369259912 | ||
| 003 | DE-627 | ||
| 005 | 20240427232125.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240304s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1002/lsm.23775 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1390.xml |
| 035 | |a (DE-627)NLM369259912 | ||
| 035 | |a (NLM)38436118 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Rutnin, Suthinee |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Efficacy and safety of 1064-nm fractional picosecond laser for the treatment of postmastectomy scars in transgender men |b A randomized controlled trial |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 15.04.2024 | ||
| 500 | |a Date Revised 26.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2024 Wiley Periodicals LLC. | ||
| 520 | |a OBJECTIVES: Subcutaneous mastectomy is a crucial component of gender affirmation therapy for transgender men (TM), but the scars that result from this procedure can frequently impair their quality of life. This study aimed to assess the efficacy and safety of 1064-nm fractional picosecond laser (FxPico) treatment for hypertrophic and atrophic postmastectomy scars in TM | ||
| 520 | |a METHODS: Twenty-two patients with a total of 35 pairs of bilateral symmetric mastectomy scars were enrolled. One of each pair of symmetric scars was randomly assigned to receive four FxPico treatments at 4-week intervals. All scars were evaluated using the modified Vancouver Scar Scale (mVSS) and three-dimensional imaging for scar roughness, melanin index, and hemoglobin index before each treatment session and at 1, 3, and 6 months following the last treatment. Additionally, participant-rated scar satisfaction (PSS) and scar improvement (Global Assessment Score, GAS), as well as adverse events were recorded | ||
| 520 | |a RESULTS: During the 6-month follow-up period after the end of laser treatment sessions, the treated scars showed significant reductions in the mVSS compared to the untreated controls (p < 0.001), whereas the melanin index and hemoglobin index were not significantly different. Subgroup analysis of hypertrophic scars demonstrated statistically significant reductions in mVSS at 1 (p = 0.003) and 3 months (p = 0.041) after the end of laser treatments. PSS was significantly higher on the laser-treated scars than the controls (p = 0.008), and a participant-rated GAS of 2.95 ± 0.65 was found. There were no serious adverse events reported | ||
| 520 | |a CONCLUSIONS: 1064-nm FxPico could be utilized to treat mastectomy scars among TM, particularly the hypertrophic type | ||
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a atrophic scar | |
| 650 | 4 | |a hypertrophic scar | |
| 650 | 4 | |a picosecond laser | |
| 650 | 4 | |a postmastectomy scar | |
| 650 | 4 | |a transgender men | |
| 650 | 4 | |a transmasculine individuals | |
| 650 | 4 | |a transmen | |
| 650 | 7 | |a Hemoglobins |2 NLM | |
| 650 | 7 | |a Melanins |2 NLM | |
| 700 | 1 | |a Yongpisarn, Tanat |e verfasserin |4 aut | |
| 700 | 1 | |a Sakpuwadol, Nawara |e verfasserin |4 aut | |
| 700 | 1 | |a Namasondhi, Amornrut |e verfasserin |4 aut | |
| 700 | 1 | |a Pomsoong, Cherrin |e verfasserin |4 aut | |
| 700 | 1 | |a Rattananukrom, Teerapong |e verfasserin |4 aut | |
| 700 | 1 | |a Thadanipon, Kunlawat |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Lasers in surgery and medicine |d 1993 |g 56(2024), 4 vom: 01. Apr., Seite 337-345 |w (DE-627)NLM012609595 |x 1096-9101 |7 nnns |
| 773 | 1 | 8 | |g volume:56 |g year:2024 |g number:4 |g day:01 |g month:04 |g pages:337-345 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1002/lsm.23775 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 56 |j 2024 |e 4 |b 01 |c 04 |h 337-345 | ||