Abstract
A common denominator for successful, long-term treatment of acne keloidalis nuchae (AKN) with low recurrence is elimination of hair in the lesions, which can be achieved by surgical means or laser hair removal.1, 2, 3, 4, 5, 6, 7, 8 Although laser hair removal typically improves AKN,5, 6, 7, 8 not all lesions are equally responsive to treatment.5 Furthermore, although studies generally report favorable outcomes from laser hair removal in treating AKN, they have also described variability in outcomes5, 6, 7 and the need for a standardized scoring system.8 This report describes a methodology for selecting patients for laser AKN treatment based on height of individual folliculocentric lesions and a laser treatment classification system to maximize patient outcomes and expectations.
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