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Laser therapy for keloid treatment was introduced in the 1980s. 97 Since then, different systems have been used for the treatment of keloid and hypertrophic scars. 48, 98 These lasers target skin chromophores like haemoglobin and melanin, based on the principle of selective photothermolysis. 99 Lasers can be classified as ablative and non-ablative. The most common ablative lasers include the 2940-nm erbium-doped yttrium aluminium garnet (Er:YAG) laser and the 10,600-nm carbon dioxide (CO 2) laser. These emit a laser beam that is absorbed by water in the skin leading to local tissue destruction and reduction of lesion volume. 3 Common examples of non-ablative lasers include 585-nm or 595-nm PDLs, 1064-nm neodymium-doped:yttrium-aluminium-garnet (Nd:YAG) laser, 532-nm neodymium-doped:vanadate (Nd:Van) laser and 1064 nm Q-switched Nd:YAG laser with low fluence. 100 These lasers induce thermal injury to the scar’s microvasculature leading to thrombosis and ischaemia which result in collagen denaturation and collagen fibre realignment. 101 – 103

Everyone's at risk for skin cancer. These dermatologists' tips tell you how to protect your skin. Relieve uncontrollably itchy skin Keeping the wound clean helps to reduce scarring. Using soap and tap water or a saline solution will cleanse the wound without drying it.

What to expect after the steroid injection?

Radiation treatment alone may reduce the size of a keloid. However, it’s usually used in conjunction with surgery. Nonsurgical removal Laser therapy such as PDL, CO 2 and Nd:YAG have been associated with a high rate of recurrence at 6–24 months. 111, 113 – 115 However, optimal results can be achieved with combination treatment especially with intralesional TAC injections. 116 – 118 Kumar and co-workers conducted a cohort study on 17 patients with keloids previously treated with an Nd:YAG laser and reported complete scar resolution and flattening in seven patients only when intralesional TAC was used after laser therapy. 41 Moreover, combined therapy with PDL and TAC 119 and PDL, TAC and 5-FU 36 were shown to produce better clinical results. In a recent study that evaluated and compared the efficacy of combination therapy of fractional CO 2 laser and intralesional TAC injection or TAC injection alone in keloid and hypertrophic scars, statistically significant improvements were reported in overall scar quality with the combined treatment options compared to TAC monotherapy. 120 Moreover, combined CO 2 laser and IFN-α-2b injections given to patients with auricular keloids resulted in no recurrence in 66% of patients three years after treatment. 121 Laser therapy can also be combined with other laser treatment, topical corticosteroids and cyanoacrylate glue 98 and have shown promising results; however, larger, controlled clinical studies are needed to further evaluate their efficacy and safety. You can search by location, condition, and procedure to find the dermatologist that’s right for you. What is a dermatologist?

Tell your surgeon before the surgery that you or a blood relative develop keloids. Your surgeon may be able to take precautions that can reduce your risk of developing a keloid. Having keloid treatment after surgery can also help. A Study Using Fractional Carbon Dioxide and Long Pulsed Neodymium-yttrium Aluminum Garnet Lasers in Treatment of Keloids Keloids on your ear grow slowly. They may take up to 12 months before they become noticeable, and they may continue to grow for years. They’ll eventually stop growing, but they won’t go away without treatment. Should I remove my earring if I have a keloid?

How Does Compression Therapy Work?

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Doctors can inject medications directly into your keloid to help shrink it, relieve symptoms, and make it softer. You’ll receive injections every three to four weeks until the keloid improves. This usually takes about four office visits. If you want to diminish a noticeable scar, know these 10 things before having laser treatment. Botox Because you cannot wear another earring under a pressure earring, a new piercing may close. Dermatologists caution against getting your ears pierced again. You may develop another keloid.