Цели: We can use Laser Assisted Drug Delivery as one of the modalities to manage massive keloid scar in children. Введение: Laser assisted drug delivery is one of the drug delivery technique that is used to improve the efficacy of local skin treatment. Ablative Fractional Laser is widely used for this purpose. Nowadays, LADD has shown to be effective for the treatment of actinic keratosis, cutaneous SCC in situ, actinic cheilitis, hypertrophic scars, and keloids. Материалы / методы: An-11 years old boy was referred to our hospital with massive keloid scar due to hot water splash, this boy refused corticosteroid intralesional injection since he was injected many times already by his hometown dermatologist without any improvement. We decided to do LADD with triamcinolone acetonide once a month. Результаты: We can see the improvement after 1 year. Keloid becomes thinner and patient was very comply with this method of treatment. He feel much better in his keloid scar and he can do all his activities again without restriction. Заключение: Laser Assisted Drug Delivery can be one of the modalities for managing massive keloid scar which does not comply with Intralesional Injection.