TY - CHAP M1 - Book, Section TI - Fractional Resurfacing of Traumatic and Burn Scars A1 - Khetarpal, Shilpi A1 - Jones, Elizabeth A1 - Arndt, Kenneth A. A1 - Dover, Jeffrey S. A1 - Saedi, Nazanin A2 - Alam, Murad A2 - Dover, Jeffrey S. A2 - Waibel, Jill S. A2 - Arndt, Kenneth A. A2 - Kim, John Y. S. A2 - Thomas, J. Regan A2 - Gaball, Curtis W. A2 - Chan, Rodney K. PY - 2021 T2 - Treatment of Scars From Burns and Trauma AB - Fractional resurfacing entails treatment of small areas of the skin, so-called microthermal treatment zones (MTZs), while sparing the remainder of the skin. This results in decreased adverse events and faster healing relative to traditional full-field resurfacing. Nonablative fractional resurfacing (NAFR), which allows even more rapid healing and less need for analgesia, is best for atrophic and mature scars. Ablative fractional resurfacing (AFR), in which the treated skin is fully vaporized, is more appropriate for improving hypertrophic scars and remains the mainstay for scar rehabilitation, including functional improvement of restrictive scars. Adverse events after fractional resurfacing are typically mild and include self-remitting erythema and edema. In selected cases, antibiotic or antiviral prophylaxis may be appropriate. The use of conservative settings can minimize the already low risk of postinflammatory hyperpigmentation or additional scarring. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/24 UR - dermatology.mhmedical.com/content.aspx?aid=1176880145 ER -