Clinical Efficacy and Patient Satisfaction in Laser Scar Revision using a 300-Microsecond Pulsed Er:YAG 2940nm Laser

Khalil A. Khatri, MD, Skin & Laser Surgery Center of New England, Nashua, NH; Viktor Moiseev, MD, General Director and Head Doctor of Cosmetic Clinic “Sasha”, Ryazan, Russian Federation

Objective and Background: A 300-Microsecond Pulsed Er:YAG 2940nm Laser at a fluence of 5 J/cm2 allows ablation of scar tissue without significant residual thermal damage. Based on the fact that Er:YAG laser is most effective in hydrated tissue, which corresponds to the early stages of scar formation (10-14 days after injury), we hypothesized that laser scar treatment would be most effective during this period.

Materials and Methods: 11 male and 21 female subjects with skin type II-III were recruited, 25 with post mechanical trauma scars, 6 with acne scars and 1 with a chemical burn scar. The subjects were divided into two groups; first group (11) had subjects with scars in their early stages (14 days) and the second group (21) had subjects with scars over a year old. Treatment was performed with a 300-Microsecond Pulsed Er:YAG 2940nm Laser (Aerolase, USA) with a spot size of 6mm, a fluence of 5 J/cm2 and a rep rate of 1.5 HZ. Treatments were performed at 14 days interval. The total number of treatments were 114 and treatments were performed until a physical leveling of the scar was observed. Each subject had an average of 3.6 treatments.

Results: In the first group, the physical leveling of the scar was observed immediately after the first treatment whereas it took two treatments in the second group. The first group had a total of 29 treatments (mean 2.6) and the second group had a total 85 treatments (mean 4). 94% of the subjects completed the study. No complications observed. 30% rated the results as excellent, 50% as good, and 20% as satisfactory.

Conclusion: A 300-Microsecond Pulsed Er:YAG 2940nm Laser is a safe and effective to revise scars. Results are quicker, well tolerated and better with relatively fresh scars as compared to older scars.

As published at the 2016 Annual Meeting of the American Society for Laser Medicine & Surgery ASLMS

Table of Contents

Hyperpigmentation

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Photos Courtesy of Jennifer Parker-Porter, MD.

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Vascular Lesions

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Rosacea / Redness

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Hair Removal

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PFB

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Scars

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Autoimmune Disorders

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Skin Rejuvenation

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Acne

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Photos Courtesy of Michael Gold, MD.

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Staff Accountant / Junior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Staff Accountant / Junior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Staff Accountant / Junior Accountant

• Provide support to the Controller and the management team
• Maintain day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Support the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Uploading annual budget and tracking actual to budget variances
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Participation in quarterly inventory reconciliations
• Assist team with projects such as policy creation, system implementation, client support etc.

• Some experience with and strong understanding of the monthly close process and technical accounting
• Detailed oriented, with ability to see the big picture
• Self-starter who can work independently and employ time management skills to meet deadlines.
• Knowledge of MS Excel (V-lookup, formulas, pivot tables).
• Strong interpersonal and communication skills
• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP
• 1-3 years’ experience in an accounting function (including internship)
• General Ledger/Operational Accounting experience
• Knowledge of Quickbooks or other reporting software a plus (more the better)
• Industry experience a plus

Senior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Senior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Senior Accountant:

• Provide support to the Controller and the management team
• Own day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Assist in establishing and maintaining policies & procedures in accordance with GAAP and Aerolase policy
• Key contributor to the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Assist in the preparation of management reports – (cash management, various projections, month end reporting package)
• Involvement with the annual budget process
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Prepare and submit payroll
• Participation in quarterly inventory reconciliation to the perpetual
• Ad hoc projects

• Strong knowledge of the monthly close process and technical accounting

• Detailed oriented, with ability to see the big picture

• Experience in continuous improvement and accounting best practices

• Self-starter who can work independently and employ time management skills to meet deadlines.

• System savvy – ability to learn new financial software

• Intermediate knowledge of MS Excel (V-lookup, formulas, pivot tables).

• Global consolidations experience a plus

• Strong interpersonal and communication skills

• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP

• 3+ years’ experience working as a staff/senior accountant

• General Ledger/Operational Accounting experience a must

• Extensive knowledge of Quickbooks and other reporting software

• Prior involvement with system implementation

• Prior public accounting experience (any size firm) a plus

• Industry experience a plus

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