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Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing • Pathophysiology

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Page 1: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing

Scars and Keloids

EV RossLaser and Cosmetic Dermatology

CenterScripps Clinic

Definitions• Hypertrophic Scar vs keloid• Wound healing• Pathophysiology

Page 2: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing

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 [ ]

Page 3: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing

Keloids and Scars

Page 4: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing
Page 5: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing

PDL plus Q YAG after MVA

Page 6: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing

PDL

Page 7: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing

Some are tough!!! PDL + fractional erbium

Page 8: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing

Acne scar 1540 nm

ASLMS’07 16

Page 9: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing

UltraPulse DeepFxImmediate Collagen Contraction

UltraPulse DeepFxImmediate Volumetric Reduction

Page 10: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing

DeepFX™ - Variable Depth

One Pulse 100 mJOne Pulse 5 mJ

Page 11: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing

Keloid TherapyCombination Therapy-

PDL +IL Steroid (+/- 5-FU)

Pre-Laser keloid post syndactyly surgery Post multiple rxs.- debulking +

PDL +IL steroids

Page 12: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing
Page 13: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing
Page 14: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing
Page 15: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing
Page 16: Scars and Keloids - Amazon S3€¦ · Scars and Keloids EV Ross Laser and Cosmetic Dermatology Center Scripps Clinic Definitions • Hypertrophic Scar vs keloid • Wound healing