Fractional Ablative CO2 Laser Versus Screw Threads in Post-Traumatic Atrophic Linear Scars

Eman Emad Elfeel, Resident of Dermatology, Andrology and STDs, Mansoura Dermatology and Leprosy HospitalFollow
Marwa Zohdy Ali, Assistant Professor of Dermatology, Andrology and STDs, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Shereen Ezzalregal Alashry, Professor of Dermatology, Andrology and STDs, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Sherihan Hassan Allam, Lecturer of Dermatology, Andrology and STDs, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Corresponding Author

Eman Emad Elfeel

Subject Area

Dermatology

Article Type

Original Study

Abstract

Background Scar is the result of the natural healing and reparative process, which are frequently accompanied by a few aesthetic, functional, and social impairments and may negatively affect quality of life. Fractional CO2 laser improves both the pigmentary and textural changes by removing thin layers of skin with minimal thermal damage. Thread lifting technology is a non-surgical facial rejuvenation technology that can minimize postoperative recovery period and scar from the incision Aim To compare the efficacy of fractional ablative CO2 laser therapy versus screw threads in post-traumatic atrophic linear scars. Methods This prospective randomized clinical study included 2 groups; group A included 21 cases treated with fractional ablative CO2 laser therapy and group B included 21 cases treated with screw threads. Modified Manchester Scar Score grading system was used to assess pre-sessions and post-session treatment. We assessed the results using quartile grading scale. Degree of pain was measured by Visual Analogue Scale (VAS). Results There were statistically significant differences detected between studied groups regarding color of skin lesion. For both groups A&B; all lesions were due to trauma.There was no statistically significant difference between studied groups regarding clinical efficacy and level of satisfaction with slightly higher among group B than group A. There was statistically significant improvement regarding shine of scar, scardistortion after treatment in group A and group B. There was no statistically significant difference between group A versus group B regarding total score of modified Manchester scale assessed before and after treatment. Conclusion Fractional ablative CO2 laser and screw threads both demonstrated significant effectiveness in the management of post-traumatic atrophic linear scars, resulting in notable improvement in scar appearance and patient satisfaction. These modalities represent valuable therapeutic options for enhancing both functional and aesthetic outcomes.

Recommended Citation

Elfeel, Eman Emad; Ali, Marwa Zohdy; Alashry, Shereen Ezzalregal; and Allam, Sherihan Hassan (2026) "Fractional Ablative CO2 Laser Versus Screw Threads in Post-Traumatic Atrophic Linear Scars," Mansoura Medical Journal: Vol. 55 : Iss. 2 , Article 10.
Available at: https://doi.org/10.58775/2735-3990.1528