A.S.A.P. - The First Algorithm to Treat Keloids and Hypertrophic Scars: Tips and Tricks to Avoid Side-Effects in Higher Phototypes

In this lecture, the presenter discusses the A.S.A.P. algorithm developed for treating keloids and hypertrophic scars, emphasizing the pain associated with injections due to the hardness of keloids. Key strategies involve softening scars with silicone or hydrocolloids before handling injections, primarily using steroids. While intralesional steroids remain a first-line treatment, their efficacy can lead to significant atrophy. The lecture delves into various treatments, including the use of Bleomycin and 5-Fluorouracil (5FU), noting their mechanisms and results, showing positive outcomes in managing keloids despite some side effects like pigmentation changes and ulceration. The presenter shares personal experiences with these treatments and highlights the importance of combining therapies for better results. Verapamil's potential as a new treatment is also discussed due to its safety and effectiveness. The concluding advice emphasizes proper techniques for injecting these treatments, urging caution to minimize complications.