Journal
ADVANCES IN WOUND CARE
Volume 8, Issue 12, Pages 679-691Publisher
MARY ANN LIEBERT, INC
DOI: 10.1089/wound.2019.0945
Keywords
fractional resurfacing; skin quality; regeneration; scar; chronic wounds
Categories
Funding
- 2016 Wound Healing Foundation 3M Fellowship Award
- US Army [W81XWH-13-2-0054]
- US Navy [W81XWH-13-2-0054]
- NIH [W81XWH-13-2-0054]
- US Air Force [W81XWH-13-2-0054]
- VA [W81XWH-13-2-0054]
- US Health Affairs [W81XWH-13-2-0054]
- Military Medicine Technology Transformation Collaborative [HU0001-17-2-0009]
- Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland
- U.S. Army Medical Research Acquisition Activity, Fort Detrick, Maryland
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Recent Advances: Photoaging and scarring are the two skin defects most commonly treated by fractional resurfacing, and the treatment produces profound and long-lasting improvements in skin quality, both clinically and at the cellular/histologic level. Chronic wounds usually occur in skin that is compromised by various pathologic factors, and many of the defects found in this ulcer-prone skin are similar to those that have seen improvements after fractional resurfacing. Critical Issues: The mechanisms responsible for the regenerative capacity of fractional resurfacing are mostly unknown, as is how ulcer-prone skin, which is usually afflicted by stressors external to the skin tissue itself, would respond to fractional resurfacing. Future Directions: Better understanding of the cellular and molecular mechanisms underlying the unique healing response to fractional resurfacing could reveal fundamental information about adult tissue regeneration, lead to improvements in current applications, as well as new therapies in other pathologic conditions.
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