Scar Revision
Conditions
Brief summary
Ten (10) adult female subjects that had a caesarean surgery performed.Study will be conducted in 1 site. Each subject will receive three treatments on one area that was randomly chosen. The other area will be left untreated and will serve as a control. The objective is to Evaluate the clinical impact of UltraPulse fractional carbon dioxide laser treatment on the appearance of a Caesarean Scar (CS) as compared to a similar untreated scar side.
Interventions
DEVICELumenis UltraPulse Encore.
Treatment using Lumenis UltraPulse Encore.
Sponsors
Lumenis Be Ltd.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
22 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
1. Females in good general health older than 22 years of age and younger than 55 years of age. 2. Presenting with a caesarean scar mature and stable caesarean scar (at least 1 year post procedure). 3. At least six months following termination of breast feeding. 4. Willing to give and sign an informed consent form and a photographic release form. 5. Willing to comply with study dosing and complete the entire course of the study . 6. Performed negative pregnancy test.
Exclusion criteria
1. Active bacterial, fungal, or viral infection in the treatment area. 2. Active cold sores, or herpes in the treatment area. 3. Recent excessive exposure to sunlight or artificial UV light (e.g.: use of tanning beds/booths and/or sunbathing) or expectations of tanning during the time of the study . 4. History of or the presence of any skin condition/disease that might interfere with the diagnosis or evaluation of study parameters (i.e., atopic dermatitis, eczema, psoriasis). 5. Treatment with a systemic retinoid within the past year (e.g., Accutane®, Roche Dermatologics). 6. History or presenting with a keloid scar. 7. Any current or recent treatment for cancer. 8. Any uncontrolled systemic disease. A potential subject in whom therapy for a systemic disease is not yet stabilized will not be considered for entry into the study. 9. Significant history or current evidence of a medical, psychological or other disorder that, in the investigator's opinion, would preclude enrollment into the study. 10. Previous laser treatments on the same scar at least 0.5 year prior to this evaluation. 11. Subject planning any other cosmetic procedure to the study area during the study period, other than the treatments that will be performed by the investigator . 12. Any other condition that may exclude patient for treatment per physician discretion. 13. Female subject who is pregnant, nursing an infant .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Scar Evaluation | 3 month following the 3rd treatment. | VSS , POSAS, Appearance assessment-Evaluation of the scar by blinded investigator. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| POSAS assessment | At base line , at the 3rd treatment and at the 1, 3 and 6 months follow-up | POSAS assessment by blinded Investigator and subject |
| Scar Thickness and Uniformity | At base line, at the 3rd treatment and at the 1, 3 and 6 months follow-up | A High Definition Ultrasound (US) device will be used to generate a high resolution image of the skin layers of the treated and non-treated scar in order to measure and compare changes in scar thickness and uniformity. |
| Scar Evaluation. | At base line , at the 3rd treatment and at the 1, 3 and 6 months follow-up | VSS assessment -Evaluation of the scar by blinded investigator. |
| Histochemical Changes in scar tissue | Immediately before the 2nd, and 3rd treatment | Histochemical analysis of scar tissue with different staining for analysis of changes following treatment: * H&E staining and histology for collagen arrangement, epidermal rete ridges and measurement of scar depth * Collagen type I and III staining * Elastin staining * Immunohistochemistry for TGF-beta 1, 2, 3 and MMPs |
| Subject's satisfaction | At the 3rd treatment and at the 1, 3 and 6 month follow-up | Subject's satisfaction of the treatment using a Satisfaction Scale as follows: None; Slight; Moderate; Good; Very Good. |
| Scar color | At base line, at the 3rd treatment and at the 1, 3 and 6 months follow-up. | Colorimeter will be used for color measurement. |
Countries
Denmark
Outcome results
None listed