Top

Published in:

01-12-2020 | Silicone | Case Report

Two-step treatment of bulky keloids on the cheeks after deep chemical peeling: intralesional cryosurgery followed by pulsed dye and ablative fractional CO2 laser

Authors: Yaron Har-Shai, Lior Har-Shai, Ofir Artzi

Published in: European Journal of Plastic Surgery | Issue 6/2020

Abstract

Scarring of the face following chemical peeling is an uncommon and devastating complication. This case report describes the successful treatment of bulky mature keloids on both cheeks following deep chemical peeling by using a combined approach of intralesional cryosurgery followed by pulsed dye and ablative fractional CO2 laser therapy.

Level of evidence: Level V, therapeutic study.

Khunger N (2008) Standard guidelines of care for chemical peels. Indian J Dermatol Venereol Lepol 74:5–12CrossRef

Rubin MG (1995) Manual of chemical peels: superficial and medium depth. J.B. Lippincott Company, Philadelphia, pp 148–153

Meridian Plastic Surgeons, Indianapolis Plastic Surgery, (2014) Complications of chemical peels, dermabrasion, and laser resurfacing.http://www.meridianplastic.com/research/comlications-of-chemical-peels-dermabrasion 02.03.2014

Fabbrocini G, Elston DM (2017) Chemical peels. http://emedicine.medscape.com/article/1829120-overview, Medscape. Accessed 26 July 2017

Rendon MI, Berson DS, Cohen JL, Roberts WE, Starker I, Wang B (2010) Evidence and considerations in the application of chemical peels in skin disorders and aesthetic resurfacing. J Clin Aesthet Dermatol 3:32–43PubMedPubMedCentral

Har-Shai Y, Har-Shai L (2014) Intralesional cryosurgery for the treatment of upper lip keloid following deep chemical peeling. Eur J Plast Surg 37:679–682CrossRef

Har-Shai Y, Amar M, Sabo E (2003) Intralesional cryotherapy for enhancing the involution of hypertrophic scars and keloids. Plast Reconstr Surg 111:1841–1852CrossRef

Har-Shai Y, Dujovny E, Rohde E, Zouboulis CC (2007) Effect of skin surface temperature on skin pigmentation during contact and intralesional cryosurgery of keloids. J Eur Acad Dermatol Venereol 21:191–198CrossRef

Har-Shai Y, Brown W, Labbe D, Dompmartin A, Goldine I, Gil T, Mettanes I, Pallua N (2008) Intralesional cryosurgery for the treatment of hypertrophic scars and keloids following aesthetic surgery: the results of a prospective observational study. Int J Low Extrem Wounds 7:169–175CrossRef

10.

Har-Shai Y, Mettanes I, Zilberstein Y, Genin O, Spector I, Pines M (2011) Keloid histopathology after intralesional cryosurgery treatment. J Eur Acad Dermatol Venereol 25:1027–1036CrossRef

11.

Shin J, Cho JT, Park SI, Jung SN (2019) Combination therapy using non-ablative fractional laser and intralesional triamcinolone injection for hypertrophic scars and keloids treatment. Int Wound J. https://doi.org/10.1111/iwj.13213

12.

Forbat E, Ali FR, Al-Niaimi F (2017) Treatment of keloid scars using light-, laser-and energy-based devices: a contemporary review of the literature. Lasers Med Sci 32:2145–2154CrossRef

13.

Lee YI, Kim J, Yang CE, Hong JW, Lee WJ, Lee JH (2019) Combined therapeutic strategies for keloid treatment. Dermatol Surg 45:802–810CrossRef

14.

Gokalp H (2017) Evaluation of nonablative fractional laser treatment in scar reduction. Lasers Med Sci 32:1629–1635CrossRef

15.

Quyang HW, Li GF, Lei Y, Gold MH, Tan J (2018) Comparison of the effectiveness of pulsed dye laser vs pulsed dye laser combined with ultrapulse fractional CO2 laser in the treatment of immature red hypertrophic scars. J Cosmet Dermatol 17:54–60CrossRef

16.

Radmanesh M, Mehramiri S, Radmanesh R (2019) Fractional CO2 laser is as effective as pulsed dye laser for the treatment of hypertrophic scars. J Dermatolog Treat 25:1–4

17.

Anderson RR, Parrish JA (1983) Selective photothermolysis: precise microsurgery by selective absorption of pulsed irradiation. Science 20:524–527CrossRef

18.

Anderson RR, Parrish JA (1981) Microvasculature can be selectively damaged using dye lasers: a basic theory and experimental evidence in human skin. Lasers Surg Med 1:263–276CrossRef

19.

Jang JU, Kim SY, Yoon ES, Kim WK, Park SH, Lee BI, Kim DW (2016) Comparison of the effectiveness of ablative and non-ablative fractional laser treatments for early stage thyroidectomy scars. Arch Plast Surg 43:575CrossRef

20.

Tan OT, Murray S, Kurban AK (1989) Action spectrum of vascular specific injury using pulsed irradiation. J Investig Dermatol 92:868–871CrossRef

21.

Kuo YR, Jeng SF, Wang FS, Chen TH, Huang HC, Chang PR, Yang KD (2004) Flashlamp pulsed dye laser (PDL) suppression of keloid proliferation through down-regulation of TGF-β1 expression and extracellular matrix expression. Lasers Surg Med 34:104–108CrossRef

22.

Manstein D, Herron GS, Sink RK, Tanner H, Anderson RR (2004) Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med 34:426–438CrossRef

23.

Taudorf EH, Danielsen PL, Paulsen IF, Togsverd-Bo K, Dierickx C, Paasch U, Haedersdal M (2015) Non-ablative fractional laser provides long-term improvement of mature burn scars–a randomized controlled trial with histological assessment. Lasers Surg Med 47:141–147CrossRef

24.

Hochman B, Locali RF, Matsuoka PK, Ferreira LM (2008) Intralesional triamcinolone acetonide for keloid treatment: a systematic review. Aesthet Plast Surg 32:705–709CrossRef

25.

Wohlrab J, Finke R, Franke WG, Wohlrab A (2012) Clinical trial for safety evaluation of hyaluronidase as diffusion enhancing adjuvant for infiltration analgesia of skin with lidocaine. Dermatol Surg 38:91–96CrossRef

Title: Two-step treatment of bulky keloids on the cheeks after deep chemical peeling: intralesional cryosurgery followed by pulsed dye and ablative fractional CO2 laser
Authors: Yaron Har-Shai
Lior Har-Shai
Ofir Artzi
Publication date: 01-12-2020
Publisher: Springer Berlin Heidelberg
Keywords: Silicone
CO2 Laser
Chemical Peel
Keloid
Laser
Published in: European Journal of Plastic Surgery / Issue 6/2020
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI: https://doi.org/10.1007/s00238-020-01651-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Two-step treatment of bulky keloids on the cheeks after deep chemical peeling: intralesional cryosurgery followed by pulsed dye and ablative fractional CO2 laser

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2020

COVID-19 and plastic surgery: a UK plastic surgery unit experience

Smartphone thermal imaging for preoperative perforator mapping in DIEP flap breast reconstruction

The impact of COVID-19 on the plastic surgery activity in a high-complexity university hospital in Brazil: the importance of reconstructive plastic surgery during the pandemic

Unplanned 30-day readmission rates after plastic and reconstructive surgery procedures: a systematic review and meta-analysis

Commentary on "Postoperative monitoring of free flaps using a low-cost thermal camera: a pilot study" by Hummelink S, Kruit AS, van Vlaenderen ARW, Schreinemachers MJM, Steenbergen W & Ulrich DJO.

The arrow tip technique for bilateral hanging ala: a 3-year review