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  • Presentation

Combination of Lasers and Technologies to Treat Scars and Keloids in Higher Phototypes

Description

Dr. Michael Gold's presentation focuses on the combination of lasers and advanced technologies for treating scars and keloids, particularly in patients with higher phototypes. He begins by discussing the challenges of treating such lesions and emphasizes the emotional impact they have on patients. Dr. Gold highlights his extensive experience and contributions to scar management, including the development of guidelines and the founding of a nonprofit organization that provides free scar treatment worldwide. He discusses the efficacy of silicone gel and various energy-based devices, including fractional CO2 lasers, which have shown promising results in improving scar appearance and promoting healing. Through case studies, Dr. Gold illustrates the transformative effects of combining different therapies such as IPL, RF micro-needling, and radiation therapy. He underscores the importance of early intervention in scar treatment to achieve better outcomes and presents a compelling narrative on the psychosocial implications of living with scars. In conclusion, he shares success stories, demonstrating the potential to significantly improve patients' lives through innovative treatment strategies.

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Conclusions

  • Lasers and Energy-based Devices (EBDs) have proven effective in treating hypertrophic scars and keloids.
  • Combination therapies tend to yield better clinical outcomes than monotherapies.
  • Topical silicone gel is a gold standard treatment for scars, supported by extensive research and clinical applications.
  • Botulinum toxin A can serve as a significant adjunct therapy in scar treatment.
  • The timing of treatment is crucial, with earlier interventions leading to improved outcomes.
  • Patients often report significant emotional and psychological benefits from successful scar treatment.
  • Radiation therapy following surgical excision demonstrates a low recurrence rate of keloids when used appropriately.
  • Gold MH. Topical Silicone Gel Sheeting in the Treatment of Hypertrophic Scars and Keloids: A Dermatologic Experience. J Dermatol Surg Oncol 1993;19:912-916.
  • Mustoe TA, Cooter RD, Gold MH, et al. International Clinical Recommendations on Scar Management. Plast Reconstr Surg 2002; 110:560.
  • Gold MH, Biron J. Treatment of acne scars by fractional bipolar radiofrequency energy. J Drugs Dermatol 2009;8(3):259-265.
  • Ouyang HW, Li GF, Lei Y, Gold MH, Tan J. Comparison of the effectiveness of pulsed dye laser vs pulsed dye lasers combined with ultrapulse fraction CO2 laser in the treatment of immature red hypertrophic scars. J Cosmet Dermatol 2018;17:54-60.
  • Peng W, Zhang X, Kong X, Shi K. The efficacy and safety of fractional CO2 laser therapy in the treatment of burn scars: A meta-analysis. BURNS 47 (2021) 1469-1477.