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Burn Injuries

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...

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Updated: Jul 18, 2026

Using a 1064-nm Picosecond Neodymium-Doped Yttrium Aluminum Garnet Laser for Periorbital Hyperpigmentation

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Burn scars treated by pinhole method using a carbon dioxide laser.

Sung Won Whang¹, Kyu-Yeop Lee, Sung Bin Cho

¹Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea.

The Journal of Dermatology

|December 16, 2006

Summary

The pinhole method using a carbon dioxide (CO2) laser offers a new treatment for burn scars. This technique effectively improves scar appearance and texture with minimal side effects.

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Area of Science:

Dermatology
Laser Surgery

Background:

Burn scars often lead to complications and emotional distress.
Existing treatments like excision, skin grafts, and laser abrasion yield unsatisfactory cosmetic results for many patients.

Observation:

Two cases of burn scar treatment using the pinhole method with a carbon dioxide (CO2) laser are presented.
This method involves creating deep, closely set holes in the scar tissue, reaching the upper dermis.

Findings:

Patients experienced significant scar improvement within weeks, including reduced contracture and wrinkles.
Noticeable enhancements in scar texture and color were observed post-treatment.
The pinhole method demonstrated a dramatic improvement in overall scar quality.

Implications:

The pinhole method offers a safe and effective approach for improving burn scar appearance.
This technique provides a promising alternative for patients seeking better cosmetic outcomes for burn scars.
The procedure is easily performed with a low incidence of side effects.