Effective Treatments for Keloids: Can Topical Creams Help? - 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. They can be challenging to treat, and while there are various methods available, the effectiveness of topical creams in managing keloids is a topic of ongoing research and debate.

Topical treatments for keloids often include silicone gels or sheets, corticosteroids, and other formulations aimed at reducing inflammation and flattening the scar. The cream you mentioned, which contains Diphenhydramine HCl, Calamine, Zinc Oxide, and Camphor, is primarily designed for soothing irritated skin and may provide symptomatic relief, but it is not specifically indicated for keloid treatment.

1. Diphenhydramine HCl is an antihistamine that can help reduce itching and discomfort associated with skin irritation. However, it does not have a direct effect on keloid formation or reduction.

2. Calamine is often used for its soothing properties, particularly for minor skin irritations and rashes. It may help alleviate some symptoms but does not address the underlying collagen overproduction characteristic of keloids.

3. Zinc Oxide is known for its protective and anti-inflammatory properties. It can help with skin healing and may provide a barrier to irritants, but like the other ingredients, it does not specifically target keloid tissue.

4. Camphor has a cooling effect and can provide temporary relief from itching or discomfort, but it does not have a therapeutic effect on keloids.

While you have noticed a change in color after using the cream for about a week, it is essential to understand that this may not indicate a true reduction in the keloid itself. The color change could be due to various factors, including hydration of the skin, temporary inflammation reduction, or even the natural healing process.
For keloids, the most effective treatments typically involve:
- Intralesional corticosteroid injections: These are commonly used to reduce the size and symptoms of keloids. They work by decreasing inflammation and collagen production.

- Silicone gel sheets: These have been shown to flatten keloids and improve their appearance over time.

- Cryotherapy: This involves freezing the keloid tissue, which can help reduce its size.

- Surgical removal: In some cases, keloids can be surgically excised, but there is a risk of recurrence, and this is often combined with other treatments like corticosteroid injections.

- Laser therapy: This can be effective in reducing the redness and size of keloids.

In conclusion, while topical creams like the one you are using may provide some symptomatic relief, they are unlikely to lead to significant improvement in keloid formation. If you are seeking a more effective treatment, it would be advisable to consult with a dermatologist who can evaluate your specific case and recommend a comprehensive treatment plan tailored to your needs. Continuous monitoring and possibly combining different treatment modalities may yield better results in managing keloids.