Dermatology clinics see a lot of patients with various types of scars, including atrophic scars, hypertrophic scars, and keloidal scars. A scar treatment plan should take a holistic approach, consider the patient’s unique characteristics, and likely involve a combination of therapies. Combining several types of therapy and going through multiple treatment sessions is often required in order to achieve the best results with scars. Research into scars is always a hot topic in the medical and dermatological communities. Based on expert opinion, this topic may be really useful and interesting for dermatologists and all physicians of various specialties or subspecialties who manage and treat various kinds of scars, including hypertrophic scars and keloids, so researchers searched all the databases to find the most relevant and the newest studies related to this topic and wrote this review. This research led them to the conclusion that a variety of procedures involving needling, lasers, particularly pulsed dye laser (PDL) and carbon dioxide (CO2) lasers, and MesoBotox (micro-injection of botulinum toxin), are highly promising therapeutic options for hypertrophic and keloidal scars, and that a combination of these therapies results in greater efficacy and fewer side effects in the field of scar management.

Source: journals.lww.com/jfmpc/Fulltext/2022/08000/Needling,_lasers,_and_Meso_Botox_for_hypertrophic.16.aspx