多模激光和生物活性物质协同集成治疗严重创伤后面部后遗症和创伤纹身：病例报告
Synergistic Integration of Multimodal Lasers and Bioactive Substances for Severe Post-traumatic Facial Sequelae and Traumatic Tattooing: A Case Report.
摘要(中文译文)
伴慢性瘢痕的外伤性文身（traumatic tattoos，TTs）是一项复杂的皮肤病学难题，通常需要制定方案以优化色素清除和皮肤质地。本病例报告评估了皮秒激光（Nd：YAG 1064 nm）、点阵CO₂激光与生物刺激剂之间的协同作用。患者为一名33岁女性，因10年前的损伤导致面部外伤性文身及瘢痕。病变位于右侧额部及眶周区域，后者涉及下方钛板。治疗首先采用点阵CO₂激光联合富血小板血浆（platelet-rich plasma，PRP）进行初始瘢痕重塑，随后使用皮秒激光进行深层色素清除和瘢痕细化。最后以原胶原注射完成治疗。六个月后结果显示临床消退明显、瘢痕模糊。然而，眶周区域因与金属植入物的热相互作用而面临更大挑战，包括持续性红斑和肿胀。本病例报告为复杂外伤性文身提供了一种有效且安全的交替激光治疗方案的有价值数据，同时强调在处理下方存在金属结构时，必须进行细致的参数选择和强化的治疗后护理。
Abstract
Traumatic tattoos (TTs) with chronic scarring present a complex dermatological challenge, often requiring protocols to optimize pigment clearance and skin texture. This case report evaluates the synergy between a picosecond laser (Nd:YAG 1064 nm), a fractional CO₂ laser, and biostimulants. A 33-year-old female presented with a facial TT and scarring resulting from a 10-year-old injury. The lesions were located on the right forehead and the periocular area, the latter involving an underlying titanium plate. Management began with a fractional CO₂ laser combined with platelet-rich plasma (PRP) for initial scar remodeling, followed by a picosecond laser for deep pigment removal and scar refinement. Tropocollagen injections concluded the treatment. Results after six months showed appreciable clinical regression and scar blurring. However, the periocular area demonstrated greater challenges, including prolonged erythema and swelling, due to thermal interaction with the metallic implant. This case report provides valuable data on an effective and safe alternating laser treatment regimen for complex TTs while simultaneously highlighting the necessity for meticulous parameter selection and intensive post-treatment care when dealing with underlying metallic structures.
如何引用
AMA
Aleksandra Szlachcic, Bartosz Szlachcic, Daniela Martinelli, Alessandra Zevini, Riccardo Barini. Synergistic Integration of Multimodal Lasers and Bioactive Substances for Severe Post-traumatic Facial Sequelae and Traumatic Tattooing: A Case Report.. Cureus. 2026; doi:10.7759/cureus.102135.
APA
Aleksandra Szlachcic, Bartosz Szlachcic, Daniela Martinelli, Alessandra Zevini, Riccardo Barini (2026). Synergistic Integration of Multimodal Lasers and Bioactive Substances for Severe Post-traumatic Facial Sequelae and Traumatic Tattooing: A Case Report.. Cureus. https://doi.org/10.7759/cureus.102135
GB/T 7714
Aleksandra Szlachcic, Bartosz Szlachcic, Daniela Martinelli, Alessandra Zevini, Riccardo Barini. Synergistic Integration of Multimodal Lasers and Bioactive Substances for Severe Post-traumatic Facial Sequelae and Traumatic Tattooing: A Case Report.[J]. Cureus, 2026 doi:10.7759/cureus.102135.
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