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BACKGROUND: Breast cancer surgery and reconstruction is currently considered the “gold standard” of treatment. Therefore plastic surgery consultation has become an inherent part of the breast cancer patient management, significantly improving aesthetic and functional results. Nonetheless, Surgical scars may be aesthetically unpleasant, serve as a focus of pain, pruritis, and considerable psychological distress. The most effective method of scar treatment is early intervention. Current standard practice for abnormal scar formation consists of the frequent use of moisturizers, silicone gel, silicone sheet occlusion, pressure therapy and sun avoidance. Integration of various laser modalities into scar treatment and scar prevention methods are gaining popularity and show impressive results. Vascular lasers, mainly the pulsed dye laser (PDL, 585–595 nm), have been shown to affect angiogenesis, collagen synthesis, and inflammation. While Fractional ablative CO2 LASER (FACL) have been shown to improve scar hight, texture, and pliability efficiently. We set out to study the safety and efficacy of combined PDL and CO2 LASER therapy on the pre-scar surgical site. OBJECTIVE: This study investigates the clinical effect combined PDL and FACL in preventing aesthetically displeasing scarring as well as improving appearance and symptoms of surgical post-mastectomy surgical wounds.

Abstract: Effects of Radiation on Risks and Patient-Reported Outcomes in Expander-Implant Reconstruction: Is There a “Best” Time to Radiate?