Keloids: Treatment Options and Concerns for Teens - Dermatology

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Keloids are a type of raised scar that occurs when the body produces too much collagen during the healing process. They can develop after an injury, surgery, or even spontaneously without any apparent cause. For a 17-year-old like yourself, dealing with keloids can be particularly distressing, especially when they affect your self-esteem and body image.
From your description, it sounds like you developed a keloid after attempting to pop a pimple on your chest, which is a common trigger for keloid formation. Keloids can grow larger over time and may become itchy or painful, leading to frustration and concern about their appearance.

Treatment Options for Keloids
1. Steroid Injections: You mentioned having received steroid injections in the past. These injections can help reduce the size and itching of keloids by decreasing inflammation and collagen production. However, they may not completely eliminate the keloid, and repeated treatments may be necessary. It's true that long-term use of steroids can have side effects, but when administered under medical supervision, they are generally considered safe.

2. Cryotherapy: This involves freezing the keloid with liquid nitrogen, which can help reduce its size. Cryotherapy is often used in conjunction with other treatments, such as steroid injections, to enhance effectiveness. While it can be effective, there is a possibility that the keloid may return after treatment.

3. Surgical Removal: In some cases, keloids can be surgically removed. However, this option carries the risk of the keloid returning, sometimes even larger than before. Therefore, surgical removal is often combined with other treatments, such as steroid injections or radiation therapy, to minimize the risk of recurrence.

4. Silicone Gel Sheets: These are applied to the keloid and can help flatten it over time. They are a non-invasive option and can be used alongside other treatments.

5. Laser Therapy: This treatment uses focused light to reduce the size and redness of keloids. It can be effective, but multiple sessions may be required.

6. Pressure Therapy: Applying pressure to the keloid using specialized dressings can help flatten it over time. This method is more commonly used for keloids that develop after surgery.


Concerns About Keloids and Ear Piercing
Regarding your concern about getting your ears pierced, individuals with a history of keloids are at a higher risk of developing them after any type of skin trauma, including piercings. While not everyone with keloid-prone skin will develop keloids from piercings, it is a possibility you should consider. If you decide to go ahead with the piercing, it may be wise to consult with a dermatologist or a healthcare provider beforehand. They can provide personalized advice and may recommend specific techniques or aftercare to minimize the risk of keloid formation.


Emotional and Psychological Impact
It's important to acknowledge the emotional toll that keloids can take, especially during your teenage years when self-image is particularly significant. Seeking support from friends, family, or even a counselor can be beneficial. They can help you navigate the feelings of frustration and anxiety that may arise from dealing with keloids.


Conclusion
In summary, while keloids can be challenging to manage, there are several treatment options available. It's crucial to work closely with a dermatologist or healthcare provider to determine the best course of action for your specific situation. Additionally, if you're considering ear piercings, discussing your keloid history with a professional can help you make an informed decision. Remember, you're not alone in this, and there are resources and support available to help you through your concerns.