A protrusion (the distance the heated tip is moved beyond the edge of the handpiece distance gauge) of 1000 μm was applied.
#Biafine for scars skin#
The tip was heated to 400 ☌ and contact with the skin was made just once (i.e., a single “pulse”) for a duration of 5–8 ms. The tip therefore exerts an ablative effect on the skin due to physical contact and the transduction of heat to the superficial layers of the skin, as opposed to laser energy, which targets chromophores within the skin and heats them. The tip is advanced until it makes contact with the skin. The system consists of a titanium tip heated to 400 ☌. The patient’s affected areas were treated with Tixel technology (Novoxel Ltd., Israel), which combines thermal energy with motion. Consent included the use of photos and data for teaching and in medical publications. Written consent was received after they had been informed of the nature of the procedure. Patients were offered Tixel treatment following the failure of other modalities and their refusal of other options. The aim of the present study was to explore the use of thermal decomposition of the stratum corneum to increase skin permeability for topical corticosteroid and 5FU application in the treatment of keloid scars.Ī retrospective review of 7 patients (4 males, 3 females) treated for keloid scars between January 2015 and December 2017 was performed. In recent years, laser-assisted drug delivery has been suggested as a means to overcome some of the complications associated with intralesional injections. Complications associated with intralesional corticosteroid injection include tissue atrophy, hypopigmentation, hyperpigmentation, telangiectasia, and severe pain during the injection, perhaps due to random deposition within the scar if the corticosteroid follows the path of minimal resistance. Combination therapies with other adjuvant therapeutic modalities, such as pressure garments, silicone gel, radiation, or cryotherapy, seem to further increase treatment efficacy.
Intralesional corticosteroid injection is considered the first-line treatment for keloid scars. Keloid scars may develop after acne vulgaris, trauma, surgical incisions, burn injuries, or without an obvious trigger.
Keloid scars are an uncommon but severe result of impaired wound healing.
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