Keloids: Treatment Options and Expert Recommendations - Plastic Surgery

More Info

---

Keloids are a type of thick, raised scar that can develop after an injury or surgical procedure. They occur when the body produces too much collagen during the healing process, leading to an overgrowth of scar tissue. Keloids can be itchy, painful, or simply a cosmetic concern, and they often extend beyond the original wound site. The fact that you have a keloid on your face, particularly under the nose, can understandably cause distress, especially given its visibility and the potential impact on your self-esteem.

When it comes to treatment options for keloids, there are several approaches, each with varying degrees of effectiveness. Here are some of the most common methods:
1. Intralesional Steroid Injections: This is often the first line of treatment for keloids. Steroids can help reduce inflammation and flatten the keloid over time. However, as you mentioned, this method may not always yield satisfactory results for everyone.

2. Surgical Excision: This involves surgically removing the keloid. While this can provide immediate results, there is a risk that the keloid may return, sometimes even larger than before. Surgeons often recommend combining excision with other treatments, such as steroid injections or radiation therapy, to minimize the chance of recurrence.

3. Cryotherapy: This method involves freezing the keloid with liquid nitrogen. It can be effective in reducing the size of keloids, especially when used in conjunction with other treatments.

4. Laser Therapy: Laser treatments can help flatten keloids and improve their appearance. Different types of lasers can be used, and the choice depends on the specific characteristics of the keloid.

5. Silicone Gel Sheets or Silicone Gel: These are applied to the keloid and can help flatten and soften the scar over time. They are often used as a non-invasive option.

6. Radiation Therapy: This is sometimes used after surgical excision to reduce the risk of keloid recurrence. It is generally considered when other treatments have failed.

7. Pressure Therapy: This involves applying pressure to the keloid using specialized dressings or garments. It can be effective, particularly for larger keloids.

8. Alternative Treatments: Some patients explore alternative treatments, such as herbal remedies or acupuncture, but these should be approached with caution and discussed with a healthcare provider.

Given your concerns about surgery and the potential for worsening the scar, it is essential to have a thorough discussion with a dermatologist or a plastic surgeon who specializes in scar management. They can assess your specific situation, discuss the risks and benefits of each treatment option, and help you make an informed decision.

If you are looking for expert recommendations, consider seeking out a board-certified dermatologist or a plastic surgeon with experience in treating keloids. You can ask for referrals from your primary care physician or look for specialists at reputable medical centers or universities. Additionally, online platforms that provide patient reviews can help you find qualified professionals in your area.

It's understandable to feel anxious about the prospect of treatment, especially when it comes to visible areas like the face. Remember that you are not alone in this journey, and many people have successfully managed their keloids with the right approach. Open communication with your healthcare provider about your fears and expectations can lead to a treatment plan that aligns with your needs and goals.