Pulsed Dye Laser with Steroid (Triamcinolone) and 5-Fluorouracil for Keloid & Hypertrophic Scars
Signature Combination Therapy at the London Keloid Scar Clinic
Keloid Removal From £150
The London Keloid Scar Clinic 4 Harley Street, London W1G 9PB, United Kingdom
- World renowned Harley street medical district London
- Free Bespoke Consultation with Keloid specialist Doctor
- Same day Consultation and Treatment / removal available
- No NHS referral required
- We treat patients from ages 11+
- Private Keloid Steroid and 5fu Injection From £150
- Surgical Removal from £500
- 0% Interest Free Finance
You guys are fantastic 👏.
Folake.
The Clinic manager Raheena a truly wonderful person and her staff Victoria.
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Keloid Removal Pricing
A Breakthrough in Keloid & Hypertrophic Scar Treatment
At the London Keloid Scar Clinic, we specialise exclusively in the safe and effective management of keloids and hypertrophic scars. One of our most successful and signature treatments is a combination therapy that brings together Pulsed Dye Laser (PDL) with targeted intralesional injections of Triamcinolone (a corticosteroid) and 5-Fluorouracil (5-FU).
This advanced approach has been shown in clinical studies to achieve superior outcomes compared to standard steroid injections alone, delivering smoother, flatter, and more comfortable scars with higher patient satisfaction.
Why Keloids and Hypertrophic Scars Are Challenging
Keloids and hypertrophic scars are caused by the overproduction of collagen during the wound-healing process. This leads to raised, firm, and sometimes painful or itchy growths that may continue to enlarge over time.
Traditional steroid injections (Triamcinolone) can help reduce thickness, but they often cause side-effects such as skin thinning, atrophy, or telangiectasia. That’s why modern combination therapies are increasingly favoured worldwide for their balance of effectiveness and safety.
How Our Combination Treatment Works
Reduces inflammation, suppresses abnormal collagen production, and softens scar tissue.
An anti-fibrotic medication that further blocks excess scar formation and enhances the results of steroids while reducing their side-effects.
Uses a 585 nm wavelength to target blood vessels in the scar, reducing redness (erythema), itching, and hardness. It also improves scar texture and overall cosmetic appearance.
By combining all three modalities, this treatment addresses multiple aspects of keloid pathology — inflammation, collagen overproduction, vascularity, and patient discomfort.
GET IN TOUCH
If you have any concerns about keloids or would like to discuss treatment options, please get in touch with us. Our friendly team is here to answer your questions and guide you through the next steps.
Clinical Evidence & Success Rates
A controlled study of 69 patients compared three groups:
Steroid injections alone
Steroid + 5-FU injections
Steroid + 5-FU injections + Pulsed Dye Laser
Results showed:
Good to excellent improvement (>50%) was achieved in 20% of steroid-only patients, 55% of steroid+5-FU patients, and 75% of those treated with the full combination.
Patients reported higher satisfaction in the laser+injection group, especially for reductions in redness and itching.
Side-effects (like atrophy and telangiectasia) were much lower when 5-FU and PDL were included.
At the London Keloid Scar Clinic, we have translated these results into real-world, long-term success for our patients — making this therapy one of our most trusted treatment protocols.
Benefits of Pulsed Dye Laser + Triamcinolone + 5-FU
Flattens and softens raised scars
Reduces redness and vascularity
Relieves itch and discomfort
Improves scar flexibility and pliability
Minimises steroid-related side-effects
Delivers higher patient satisfaction and cosmetic outcomes
Comprehensive Consultation – We carefully assess your scar type, size, symptoms, and history.
Tailored Treatment Plan – We design a schedule of injections and PDL sessions personalised to your needs.
Injections – Small amounts of Triamcinolone and 5-FU are injected directly into the scar, typically once a week for several weeks.
Laser Sessions – Pulsed Dye Laser treatments are performed at strategic intervals (often weeks 1, 4, and 8) to optimise results.
Follow-Up & Maintenance – Our team supports you throughout, monitoring progress and providing aftercare advice to reduce recurrence.
Dedicated Specialists – We focus exclusively on keloid and hypertrophic scar treatments.
Proven Protocols – Our methods are guided by the latest evidence and international best practices.
Advanced Technology – We invest in the most effective lasers and medical therapies for scar management.
Personalised Care – Every scar is unique, and so is our treatment approach.
Trusted Results – We are recognised for achieving high patient satisfaction and long-term improvements.
Book Your Consultation
Frequently Asked Questions
Traditional steroid injections (Triamcinolone) can reduce the thickness of keloids but often come with side effects like skin thinning or widening blood vessels. By combining steroids with 5-Fluorouracil (5-FU) and Pulsed Dye Laser, we target inflammation, collagen overproduction, and redness simultaneously — producing flatter, softer scars with fewer risks.
Most patients require a course of 8 weekly injections, with laser sessions at key intervals (often weeks 1, 4, and 8). The exact number of treatments depends on your scar’s size, thickness, and age. Some patients benefit from maintenance sessions to prevent recurrence.
You may feel mild stinging during the injections and a warm, tingling sensation from the laser. Most patients find it very tolerable. We can use a numbing cream or local anaesthetic if required.
Many patients notice reduced redness, itching, and discomfort within the first few sessions. Flattening and softening of the scar typically become more visible after several weeks, with optimal results assessed at the 12-week follow-up.
Keloids have a tendency to recur, but this combination therapy significantly reduces recurrence rates compared to steroid injections alone. Following our tailored aftercare plan further improves long-term results.
Side effects are generally minimal. You may experience mild redness, swelling, or tenderness at the treated site. Unlike steroid-only treatment, the risk of skin thinning and telangiectasia is much lower when combined with 5-FU and laser.
Yes. Pulsed Dye Laser is safe for most skin tones, but our doctors always adjust energy settings and protocols to ensure safety and effectiveness for your specific skin type.
There is little to no downtime. Most patients return to work or daily activities immediately after. We advise avoiding sun exposure and following specific aftercare instructions to protect the treated area.
Yes — this therapy can be performed on most body areas, including the chest, shoulders, jawline, and ears (common sites for keloids). Each area may respond differently, so your plan will be customised accordingly.
Because we see some of our best results with this approach. By combining three proven therapies into one protocol, patients achieve faster, more visible, and longer-lasting improvements — with high satisfaction and fewer complications.
Keloid Removal Head Doctor
Medical Doctor
Dr. Salinda Johnson, MD., FSCD.
Medical Director & Aesthetic Dermatologist
Dr. Salinda Johnson is a renowned specialist in aesthetic dermatology and one of the UK’s leading experts in keloid scar treatment. With over 20 years of experience, she has performed over 5,000 keloid procedures, including more than 2,000 ear keloid removals. A published author and trainer in aesthetic medicine, Dr. Johnson is dedicated to achieving optimal results using advanced, evidence-based techniques.
- About Dr Salinda Johnson
- 020 3581 3391
- [email protected]
