Friday, November 6, 2009

New treatment improving burned triplets’ scars

After months of innovative laser technique, more confidence and mobility

Burn treatment boosts triplets' confidence
Nov. 6: TODAY’s Matt Lauer and medical editor Dr. Nancy Snyderman check in with triplets Chandra, Jordan and Trae Berns, who have been undergoing a new treatment to remove a lifetime of scars.
Today show

Sisters through tragedy and triumph
The Berns triplets barely survived the fire that killed their mother when they were toddlers. They supported each other through a long process of healing and have now made tremendous progress with a new laser treatment.

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By Mike Celizic
TODAYShow.com contributor
updated 9:08 a.m. ET, Fri., Nov . 6, 2009
The three young women glowed like the fashion models they could be, walking advertisements for a new treatment for burn victims that is being hailed as a medical miracle.

Identical triplets Trae, Jordan and Chandra Berns, 22, had first visited TODAY’s New York studios last May to talk about the pioneering laser treatment that had begun to erase scars that they had carried for 20 years. Friday, they came back to show the remarkable healing they’ve experienced since undergoing several more treatments.

“Over the past few months, it’s pretty much a gradual improvement,” Chandra told TODAY’s Matt Lauer. “Our skin has gotten smoother. Our scars have gotten a lot smoother.”

Jordan, who had lived with limited mobility in her left arm because of scar tissue around her elbow, said, “It’s helped a lot.”

As the scars that covered up to 30 percent of their bodies have been lasered away, Trae said the sisters no longer self-consciously cover their damaged skin.

“We gained a lot more self-confidence than we had before,” Trae said.

Scarred by tragedy
The Berns triplets were just 17 months old when they were trapped in a fire in their Texas home that killed their mother. The little girls spent a long time in the hospital before being released to an extensive series of painful surgeries and skin grafts.

Despite their burns and the compressing bandages they had to wear, their childhood was remarkably normal.


From top, Jordan Berns’ left arm in March 2009 and then in September after undergoing innovative new laser treatments for scarring. The triplets not only feel more confident showing their skin; they have also regained some flexibility from their childhood burns.
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“When we were growing up, we didn’t notice that we had burns. We were regular children. We went out. The people that we grew up with, all the children, they pretty much knew what happened, and everybody pretty much accepted it,” Chandra told Lauer in May.

It was only when they got to high school and met new people that they were made acutely aware of their disfigurement by other children who pointed at them and called them vicious names.By the time they all went off to college, they thought they would have to live with their scars forever.

A new approach

Then the sisters heard about a pioneering laser treatment being used by Dr. Jill Waibel, a cosmetic surgeon in Palm Beach, Fla. The three drove from their Texas home to Florida to see if Waibel could help them. When Waibel met the three young women, she and Lumenis, the manufacturer of the laser, agreed to treat them free of charge.

New scar treatment gives triplets hope
May 28: A new laser procedure offers hope to 22-year-old triplets who were badly burned as toddlers.

After undergoing two rounds of treatments, the sisters showed off the results on TODAY. After two more rounds, they came back Friday with Waibel and NBC’s chief medical editor, Dr. Nancy Snyderman, to show off faces that now show virtually no visible signs of scarring.

Waibel said she’s treated hundreds of burn victims in addition to the Berns sisters. “These are typical results,” she said. “For burn patients, there’s great improvement, and we’re still studying it and learning more.”

“This is going to change the way we treat all kinds of things,” Snyderman predicted, from acne scars to wrinkles to ordinary scars and burns. “These guys are proof of the fact that this works.”

The triplets said that the treatment stings, but not badly. After two weeks, the skin peels like a sunburn. Over the course of months, new tissue grows, smoothing contours and evening colors.

The Bernses said they’ve had four treatments and will be having two more. Their skin will never be perfect, but it is dramatically improved.

Cheaper than surgery

The big benefit of the treatment, Waibel said, is that it costs from $500 to a couple of thousand for a single treatment. “A fraction of what surgery costs,” she said, “and better results.”

Web only: Dr. Waibel explains the procedure
May 28: Dr. Jill Waibel demonstrates how the ablative fractional laser can treat burn scars.
Today show


The treatment, called an ultrapulse fractional ablative laser, consists of two separate lasers. The first shoots tiny beams that penetrate less than a millimeter into the scar tissue, heating it to the boiling point, vaporizing it, and allowing healthy tissue and collagen to fill in the microscopic gaps created by the laser. The second laser flattens and evens out the texture and coloring of the remaining scar tissue.

The lasers were developed to treat serious acne scars, but Waibel has pioneered using them to treat burn victims. She said that doctors are not sure exactly how the lasers work to destroy scar tissue, but there is no arguing with the results.

Until the laser treatment came into use, burn victims had to live with often-serious scarring. In addition to disfiguring the victims, scar tissue could also seriously restrict movement. The laser not only erases much of the scarring, it also returns the elasticity to damaged skin.

Hope for others
Since appearing on TODAY, Waibel has been invited to travel the nation and the world to educate other doctors in use of the laser.

Sisters through tragedy and triumph
The Berns triplets barely survived the fire that killed their mother when they were toddlers. They supported each other through a long process of healing and have now made tremendous progress with a new laser treatment.
more photos

The TODAY appearance also allowed the Berns sisters to start a foundation, Three for Hope, to help other burn victims get the treatments. Helped by donations sent by TODAY viewers, the foundation has already assisted its first patient, the sisters said.

The foundation is headquartered in San Antonio. Its mission statement reads: “To empower and inspire other burn survivors to get past the tragedy in their lives and become the best people they can be. We will be providing reinforcement, hope, education, rehabilitation, treatment, and financial resources and support to survivors and their families.”

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