In what situations might Lutronic PicoPlus laser cause keloid scars?

Thanks for the question. I do agree with the answers posted by Dr Winston and Dr Ethan that intra-lesional steroid injections (injecting directly into the keloid) would be the most suitable treatment to reduce the size and thickness of the keloid. Several monthly injections will be needed. The initial injections may be a little more painful but the pain is usually better with subsequent injections. There will be some pain with the injection but this is usually bearable. If you are really afraid of the pain, applying some numbing cream prior to the injection may help.

Hi, Simply put, keloid growth is not related to any food factors, although there are the usual unsubstantiated internet claims that sugars, nitrate-rich foods, alcohol, and caffeine may worsen keloids. The major known risk factors of keloid growth include genetic factors, location of injury (back of neck, upper back, shoulders and front of chest having the greatest risk), tension of wound, infection, and persistent inflammation. These are the main factors that really need to be considered carefully when deciding on non-emergency and non-critical surgery in a keloid-prone patient.