Keloids: Causes, Treatment Options, and Costs - Plastic Surgery

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Keloids are a type of raised scar that occurs when the body produces too much collagen during the healing process after an injury or incision. They can develop after surgeries, cuts, or even minor skin injuries such as piercings. Keloids are characterized by their firm, rubbery texture and can be larger than the original wound. They often appear on the chest, back, shoulders, and earlobes, which is likely the area you are experiencing issues with after getting your ears pierced.


Causes of Keloids
The exact cause of keloids is not fully understood, but several factors may contribute to their formation:
1. Genetics: Some individuals are more prone to keloids due to their genetic makeup. If you have a family history of keloids, you may be at a higher risk.

2. Skin Type: Keloids are more common in individuals with darker skin tones.

3. Age: They are more prevalent in young adults and adolescents.

4. Location of Injury: Areas of the body that are frequently subjected to tension or movement, such as the earlobes, are more likely to develop keloids.


Treatment Options
There are several treatment options available for keloids, and the choice of treatment often depends on the size, location, and symptoms associated with the keloid. Here are some common treatment methods:
1. Corticosteroid Injections: This is one of the most common treatments for keloids. Injecting corticosteroids directly into the keloid can help flatten it and reduce itching or discomfort. Multiple sessions may be required.

2. Surgery: Surgical removal of keloids can be effective, but there is a risk of the keloid returning, sometimes larger than before. This option is often combined with other treatments, such as corticosteroid injections or radiation therapy, to minimize recurrence.

3. Cryotherapy: This involves freezing the keloid with liquid nitrogen, which can help reduce its size. This method is often used for smaller keloids.

4. Laser Therapy: Laser treatments can help flatten keloids and improve their appearance. This method may require multiple sessions and is often used in conjunction with other treatments.

5. Silicone Gel Sheets: Applying silicone gel sheets over the keloid can help flatten it over time. This is a non-invasive option that can be used alone or in combination with other treatments.

6. Radiation Therapy: In some cases, low-dose radiation therapy may be used after surgical removal to prevent keloid recurrence.


Costs of Treatment
The cost of treating keloids can vary widely based on the treatment method chosen, the healthcare provider, and your location. Here are some general estimates:
- Corticosteroid Injections: Each session can range from $50 to $300, and multiple sessions may be needed.

- Surgery: Surgical removal can cost anywhere from $500 to $3,000, depending on the complexity of the procedure and whether it is done in an outpatient or hospital setting.

- Cryotherapy: Each session may cost between $100 and $300.

- Laser Therapy: This can range from $200 to $1,000 per session, with multiple sessions often required.

- Silicone Gel Sheets: These can be purchased over-the-counter and typically cost between $20 and $50 for a pack.


Conclusion
If you are experiencing keloids after getting your ears pierced, it is essential to consult with a dermatologist or a healthcare provider specializing in skin conditions. They can assess your situation and recommend the most appropriate treatment options based on the size and characteristics of your keloids. Early intervention can often lead to better outcomes, so don't hesitate to seek professional advice.