Combination treatment of CO₂ fractional laser, pulsed dye laser, and triamcinolone acetonide injection for refractory keloid scars on the upper back

Abstract

Keloids and hypertrophic scars are common lesions, which typically present as a cosmetic concern; however, they also can cause significant pruritus and pain. These lesions pose as a particular therapeutic challenge among clinicians due to a lack of complete knowledge of the formation of keloids and hypertrophic scars. Multiple treatments are widely accepted, yet all have shown limited benefit. In this case, we describe the treatment combination of the Affirm CO₂ fractional laser (10 600 nm, Cynosure), Cynergy Pulsed dye laser (585 nm, Cynosure), and triamcinolone acetonide injection for keloids refractory to solitary treatments of triamcinolone acetonide injection and other laser modalities.

Key Words::

• CO₂ laser
• hypertrophic scar
• keloid
• pulse dye laser
• triamcinolone acetonide

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.