Papers of The 1st Japan Scar Workshop

13. Dye Laser Therapy for Keloids or Hypertrophic Scars

Higuchi H, Nasu W, Kobayashi S,
Department of Plastic Surgery, Iwate Medical University, Iwate, Japan

In addition to an unsightly appearance, some patients who have keloids or hypertrophic scars complain of itchiness and pain. Dye laser irradiation therapy may be effective in relieving such conditions in patients with keloids or hypertrophic scars. Eight patients who did not respond to conservative treatments for 6 months or longer were treated with dye laser therapy at 7 J/cm2 at intervals of 1 to 3 months. In addition, an oral medication (tranilast ) was prescribed before and after laser therapy. The symptoms (i.e. itchiness or pain) improved after irradiation in all patients. In particular, pain was markedly alleviated after therapy, and itching was substantially improved. Dye laser therapy, which is indicated for the treatment of a hemangioma and a telangiectasia, has recently been reported to also be effective against keloids and hypertrophic scars. This method cannot improve the appearance of the keloids and hypertrophic scars, but it is very effective for relieving the pain and itchiness. This therapy appears to be useful because this procedure may be performed in combination with other treatments and is feasible in pregnant women and for any part of the body.
Copyright(C) 2007 Japan Scar Workshop All rights reserved.