case_images: PMC8721406_01
case_images: Pre-treatment umbilical keloid.
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case_images: A 31-year-old woman of Fitzpatrick skin type IV presented with an over two-year history of a large 2 cm thick pedunculated keloid located in the umbilical region following a piercing (Figure 1).
case_images: Keloid treatment with intralesional cryotherapy.
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case_images: A disposable single-use cryoprobe was inserted through the keloid (Figure 2).
case_images: Keloid 1 day post-intralesional cryotherapy.
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case_images: The patient was asked to send photos documenting the keloid healing process during the first month post-procedure (Figures 3 and 4).
case_images: Keloid 19 days post-intralesional cryotherapy.
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case_images: The patient was asked to send photos documenting the keloid healing process during the first month post-procedure (Figures 3 and 4).
case_images: Keloid 28 days post-intralesional cryotherapy.
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case_images: The patient was seen for a follow-up 28 days post-procedure (Figure 5).
case_images: Keloid 63 days post-intralesional cryotherapy.
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case_images: After 63 days post-procedure, the patient started using a twice daily topical treatment consisting of niacinamide, tranexamic acid, 1,4-diaminobutane dihydrochloride, bisabolol and kojic acid for hyperpigmentation and hypertrophic scarring (Figure 6).
case_images: Keloid 104 days post-intralesional cryotherapy.
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case_images: After 104 days post-procedure, the patient had mild keloid reformation and started injections of 40 mg IL triamcinolone acetonide and 5-10 units of onabotulinumtoxinA (Figure 7).
case_images: Keloid 223 days post-intralesional cryotherapy as well as three sessions of intralesional triamcinolone acetonide and onabotulinumtoxinA injections.
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case_images: After 223 days post-procedure, the concentration of triamcinolone acetonide was decreased to 10 mg due to the reduction in size of the keloid (Figure 8).