Can Keloids Be Treated? Which Specialist Should You Consult? - Surgery

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Keloids, also known as hypertrophic scars, are raised areas of scar tissue that form at the site of an injury or incision. They can be bothersome both aesthetically and physically, as they may cause discomfort or itching. The question of whether keloids can be treated is a common concern among patients, and the answer is multifaceted.

Firstly, it is important to understand that while keloids can be managed and their appearance reduced, they are often challenging to eliminate completely. Treatment options vary based 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. Corticosteroids can help flatten the keloid and reduce inflammation. Multiple injections may be required over time to achieve the desired effect.

2. Surgical Removal: In some cases, a keloid can be surgically excised. However, it is crucial to note that surgical removal can sometimes lead to the keloid returning, potentially larger than before. Therefore, this method is often combined with other treatments, such as corticosteroid injections or radiation therapy, to minimize the risk of recurrence.

3. Silicone Gel Sheets: These are applied to the keloid and can help flatten and soften the scar over time. They are a non-invasive option and can be used in conjunction with other treatments.

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

5. Laser Therapy: Laser treatments can help reduce the redness and size of keloids. Different types of lasers may be used depending on the specific characteristics of the keloid.

6. Radiation Therapy: This is sometimes used after surgical removal to prevent the keloid from returning. It is typically reserved for more severe cases due to the potential risks associated with radiation exposure.

7. Pressure Therapy: Applying pressure to the keloid using specialized dressings can help flatten it over time. This method is often used for larger keloids.

As for which specialist to consult, the best options would be a dermatologist or a plastic surgeon. Dermatologists specialize in skin conditions and can provide various non-invasive treatments for keloids. Plastic surgeons, on the other hand, are skilled in surgical techniques and can offer more invasive options if necessary. In some cases, a multidisciplinary approach may be beneficial, involving both specialists to create a comprehensive treatment plan tailored to the patient's needs.

In conclusion, while keloids can be challenging to treat, various options are available that can significantly improve their appearance and reduce discomfort. It is essential for patients to consult with a qualified specialist who can assess their specific situation and recommend the most appropriate treatment plan. Additionally, patients should be aware that keloids may require ongoing management, and what works for one individual may not be as effective for another. Therefore, a personalized approach is crucial for successful treatment outcomes.