RT Book, Section 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. SR Print(0) ID 1176880145 T1 Fractional Resurfacing of Traumatic and Burn Scars T2 Treatment of Scars From Burns and Trauma YR 2021 FD 2021 PB McGraw Hill PP New York, NY SN 9780071839914 LK dermatology.mhmedical.com/content.aspx?aid=1176880145 RD 2024/09/18 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.