Lasers are rarely indicated as a monotherapy of keloids. However, they are recommended as a means to facilitate delivery of topical drugs, according to Dr Matteo Tretti Clementoni (Laserplast, Italy) .
“Lasers play a fundamental role in the treatment of hypertrophic scars,” said Dr Tretti Clementoni. Placing this in perspective, he explained that they give unsatisfactory results in most cases as monotherapy . “I think that some distinctions should be made regarding specific anatomical sites, the dimension of the keloid, and the use of lasers in combination with other therapies,” Dr Tretti Clementoni continued. For example, CO2-ablation showed a recurrence rate of 100% in 18 weeks . In a review, best results and lowest rates of recurrence were found in ablative laser treatment of small keloids of the earlobe . Vascular lasers showed their best results when pulsed dye laser therapy was combined with triamcinolone acetonide (TAC). The evidence on ...
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