Patient Story 05

Procedure performed by Dr. Marc Roscher (South Africa)

Patient Description

A 22-year-old female had a scar in the perioral area for which a non-physician had applied high percentage spot trichloroacetic acid (TCA) leading to formation of an iatrogenic keloid on the patient’s jaw.

She had taken multiple intralesional triamcinolone acetonide injections but had post procedure recurrence after each session.

Treatment Performed

The keloidal tissue was injected twice with novel triple therapy containing triamcinolone acetonide, hyaluronidase and 5 Fluorouracil 8 weeks apart.

Treatment Outcome

Two sessions with the triple drug cocktail injection resulted in complete flattening of the keloid.


The jaw, due to its hypermobility is a risk prone area for development of hypertrophic scars and keloids. Recurrent triamcinolone acetonide injections on the facial skin may lead to permanent atrophy. For improvement of the remaining scar tissue, fractional ablative or non-ablative laser may be added which would enable the scarred area to reacquire normal color and texture.