Can Keloids Be Left Untreated? Risks and Considerations - Dermatology

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Keloids, also known as hypertrophic scars, are raised areas of scar tissue that form at the site of an injury. They occur due to an overproduction of collagen during the healing process. While keloids are generally benign and do not pose a direct health risk, there are several considerations to keep in mind if they are left untreated.

Risks of Leaving Keloids Untreated:
1. Cosmetic Concerns: One of the primary reasons individuals seek treatment for keloids is cosmetic appearance. Keloids can be larger than the original wound and may become more prominent over time. This can lead to self-esteem issues and psychological distress for some individuals.

2. Itching and Discomfort: Keloids can be itchy or uncomfortable. In some cases, they may become sensitive to touch or pressure. Leaving them untreated may result in ongoing discomfort, which can affect daily activities.

3. Growth Over Time: Keloids can continue to grow beyond the original injury site. This can lead to larger scars that may become more difficult to treat later on. The risk of growth is particularly significant in individuals with a history of keloid formation.

4. Potential for Pain: While keloids are usually painless, they can occasionally become painful or tender. This is particularly true if they are located in areas subject to friction or pressure, such as on joints or under clothing.

5. Psychological Impact: The presence of keloids can have a psychological impact on individuals, leading to anxiety or depression, especially if the keloids are in visible areas. The emotional toll of living with noticeable scars can be significant.

Considerations for Treatment:
If you are considering treatment for keloids, there are several options available, including:
- Corticosteroid Injections: These can help reduce inflammation and flatten the keloid over time.

- Surgery: Surgical removal of keloids is an option, but there is a risk of recurrence, and sometimes the new scar can also become a keloid.

- Cryotherapy: Freezing the keloid can help reduce its size.

- Laser Therapy: This can help flatten and reduce the color of keloids.

- Silicone Sheets or Gels: These can be applied to the keloid to help flatten it over time.

Conclusion:
In summary, while keloids do not typically lead to serious health complications if left untreated, they can cause cosmetic concerns, discomfort, and psychological distress. If you have keloids that are bothersome, it is advisable to consult with a dermatologist or a healthcare provider specializing in scar management. They can provide guidance on the best treatment options based on the size, location, and characteristics of your keloids. Early intervention may help prevent further growth and improve the overall appearance of the scars.