fig1

Figure 1. Representative intraoperative and postoperative images of keloid split-thickness skin graft replantation onto thinned keloid dermis, followed by compression dressing and LCR therapy. (A) Preoperative appearance of a keloid lesion; (B) Harvesting of keloid split-thickness skin graft using a dermatome; (C) Thinning of the keloid dermis and preparation of the wound bed; (D) Complete removal of the bulk of the keloid while preserving the deep dermis; (E) Immediate postoperative view following split-thickness skin graft replantation; (F) Application of postoperative dressing for stabilization; (G) Early postoperative assessment of split-thickness skin graft reattachment after LCR therapy. LCR: Laser-carbon dioxide-radiotherapy.