scars and keloids - amazon s3€¦ · scars and keloids ev ross laser and cosmetic dermatology...
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Scars and Keloids
EV RossLaser and Cosmetic Dermatology
CenterScripps Clinic
Definitions• Hypertrophic Scar vs keloid• Wound healing• Pathophysiology
Therapies• IL Steroids• IL 5-FU• Antihistamines (0ral)• COX2 inhibitors• Laser• Hydrogel sheeting• Compression• Deep heating _ thermage or titan?• PDT?
Steroids• Small syringe• Ligamentous syringe• Madajet• 27 ga for some
thicker scars• Small volume• High [ ]
Keloids and Scars
PDL plus Q YAG after MVA
PDL
Some are tough!!! PDL + fractional erbium
Acne scar 1540 nm
ASLMS’07 16
UltraPulse DeepFxImmediate Collagen Contraction
UltraPulse DeepFxImmediate Volumetric Reduction
DeepFX™ - Variable Depth
One Pulse 100 mJOne Pulse 5 mJ
Keloid TherapyCombination Therapy-
PDL +IL Steroid (+/- 5-FU)
Pre-Laser keloid post syndactyly surgery Post multiple rxs.- debulking +
PDL +IL steroids
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