This study evaluates the effect effect of ablative fractional CO2 laser (AFCO2L) on burns scar appearance and dermal architecture at 6 weeks and up to 3-years post-treatment. Half of the scar will receive AFCO2L and half the scar will receive standard care.
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Inclusion Criteria: * Minimum burn injury scar area of 10x10cm * Vancouver Scar Scale (VSS) score of \>5 * ≥6 months following injury * Patient age 18+ years Exclusion Criteria: * Current pregnancy or lactation * Patients unable to consent (dementia or another cognitive dysfunction) * Non-English-speaking patients * Scars on the face or hand (these anatomical areas were considered to be of significant aesthetic and functional importance and thus excluded from the trial )