FIGURE 4.3 Keloid injection.

AFTERCARE

• None needed
  
• Follow-up examination in 4 to 6 weeks

CPT code: Intralesional injections—11900 (one to seven lesions) and 11901 (greater than seven lesions)

PEARLS

• If the keloid continues to recur after several injections, more aggressive measures may be used, as noted above.
  
• Avoid superficial injections as they may increase the likelihood of dermal complications.

  A Video clip showing a keloid scar injection can be found in the companion eBook.

REFERENCES

1.  Huang L, Cai YJ, Lung I, et al. A study of the combination of triamcinolone and 5-fluorouracil in modulating keloid fibroblasts in vitro. J Plast Reconstr Aesthet Surg. 2013;66(9):e251–e259.

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