Can I Get My Keloid Wet? Treatment Options and Risks Explained

excuse me?

Hello, doctor: I had a minor accident before, and as a result, I developed a keloid on my knee.
I would like to ask if it can come into contact with water? Also, does it require treatment? What are the consequences if it is left untreated?

Ye Tongxue, 10~19 year old female. Ask Date: 2006/05/08

Dr. Huang Ruiyun reply Dermatology

If the wound has healed, with no broken skin or scabbing, it is safe to come into contact with water.
If there is no pain or itching, treatment may not be necessary.

Reply Date: 2006/05/08

More Info

Keloids, also known as hypertrophic scars, are raised areas of scar tissue that form at the site of an injury. They can occur after surgery, trauma, or even minor skin injuries. When it comes to caring for a keloid, especially regarding exposure to water, there are several considerations to keep in mind.

Can I Get My Keloid Wet?
Yes, you can get your keloid wet, but there are some precautions to consider. It is generally safe to wash the area gently with mild soap and water. However, you should avoid soaking the keloid in water for prolonged periods, such as in baths or swimming pools, especially if the keloid is new or still healing. Prolonged exposure to water can lead to maceration of the skin, which may increase the risk of infection or irritation.

Treatment Options for Keloids
While not all keloids require treatment, many individuals seek intervention for cosmetic reasons or discomfort. Here are some common treatment options:
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 inflammation. Multiple sessions may be required for optimal results.

2. Surgery: Surgical removal of the keloid can be performed, but there is a risk of recurrence. Often, surgery is combined with other treatments, such as corticosteroid injections or radiation therapy, to minimize the chance of the keloid returning.

3. Silicone Gel Sheets: These sheets can be applied to the keloid and may help flatten it over time. They are typically used for several hours a day over a period of weeks or months.

4. Cryotherapy: This involves freezing the keloid with liquid nitrogen, which can help reduce its size. This treatment is often used in conjunction with other therapies.

5. Laser Therapy: Certain types of lasers can be used to reduce the redness and size of keloids. This treatment may require multiple sessions.

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

Risks of Not Treating a Keloid
If left untreated, keloids may not pose any significant health risks, but they can lead to several issues:
- Cosmetic Concerns: Many individuals find keloids unsightly, which can affect self-esteem and body image.

- Discomfort or Pain: Some keloids can be itchy, painful, or tender, especially if they are located in areas that experience friction or movement.

- Growth: Keloids can continue to grow over time, potentially becoming larger and more prominent.

Conclusion
In summary, while it is generally safe to get your keloid wet, it is essential to take care not to irritate the area. Treatment options are available and can be effective, depending on the size and location of the keloid, as well as individual preferences. If you are concerned about your keloid, it is advisable to consult with a dermatologist or healthcare provider who can assess your specific situation and recommend an appropriate treatment plan. Early intervention may help prevent further growth and improve the appearance of the keloid.

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