Managing Keloids: Effective Treatments and Personal Experiences

Q: Managing Keloids: Effective Treatments and Personal Experiences

Hello： In response to your question, in addition to injections, keloids can also be treated with cryotherapy using liquid nitrogen, which has shown good results. <br>Scars that develop after surgical excision can also turn into keloids unless the dermatologist employs additional

Challenging keloids

It's really frustrating to talk about.
After the New Year last year, I had surgery on my abdomen, which left a surgical scar.
I know I have a tendency to develop keloids.
I've taken good care of it (using silicone gel sheets) and have tried over-the-counter scar treatments without success.
However, this week, I noticed that the area around the surgical scar is incredibly itchy (I initially covered it with an adhesive bandage).
Upon closer inspection, I realized that keloid formation has occurred there within just a year (oh my!).
I only discovered my tendency for keloids in high school, but by then it was too late.
I can only try to avoid injuries as much as possible.
There are two areas on my shoulder that are particularly difficult to heal (they are quite extensive).
I've left them alone as well.
Steroid injections have only made the scars larger (I'm afraid to get more injections).
I would like to ask Dr.
Jiang what kind of treatment would effectively improve this issue.
I should mention that I don't want to get any more injections.
Additionally, I have keloid-like scars on my legs.
A dermatologist previously told me that those are acne scars and would require surgical removal.
The problem is, if I have them removed, will they just grow back? I'm constantly worried about how to handle this situation.

qi shi bu xiang fan nao de ren, 20~29 year old female. Ask Date: 2007/03/03

Dr. Jiang Yujiao reply Dermatology

Hello: In response to your question, in addition to injections, keloids can also be treated with cryotherapy using liquid nitrogen, which has shown good results.
Scars that develop after surgical excision can also turn into keloids unless the dermatologist employs additional methods to prevent this during the excision.

Reply Date: 2007/03/03

More Info

Keloids, also known as hypertrophic scars, are a common concern for individuals with a predisposition to this condition. They occur when the body produces excess collagen during the healing process, leading to raised, thickened scars that can be itchy, painful, or simply unsightly. Managing keloids can be challenging, especially for those who have a history of keloid formation, as you mentioned in your experience with surgical scars.

There are several treatment options available for keloids, each with varying degrees of effectiveness. Here are some of the most commonly used methods:
1. Corticosteroid Injections: While you mentioned that corticosteroid injections have made your keloids larger, they are often the first line of treatment for keloids. These injections can help flatten the keloid and reduce itching. However, the response can vary, and in some cases, repeated injections may be necessary.

2. Silicone Gel Sheets: You mentioned using silicone gel sheets, which are a non-invasive option that can help flatten keloids over time. These sheets work by hydrating the scar and creating a protective barrier, which can help in reducing scar formation.

3. 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 corticosteroid injections.

4. Laser Therapy: Laser treatments can be effective in reducing the redness and size of keloids. Different types of lasers can be used depending on the specific characteristics of the keloid. This treatment may require multiple sessions.

5. Surgical Removal: While surgical excision can remove the keloid, there is a risk of recurrence, and in some cases, the new scar can become a keloid as well. If you are considering this option, it is crucial to discuss it thoroughly with your dermatologist or surgeon, as they may recommend combining surgery with other treatments, such as corticosteroid injections or radiation therapy, to minimize the risk of recurrence.

6. Radiation Therapy: This is sometimes used after surgical removal of a keloid to prevent it from returning. It is typically reserved for more severe cases due to the potential risks associated with radiation exposure.

7. Alternative Treatments: Some individuals explore alternative treatments such as pressure therapy, herbal remedies, or even acupuncture. However, the efficacy of these treatments can vary widely, and scientific evidence supporting their use is often limited.

Given your concerns about further injections and the potential for new keloids to form after surgical excision, it may be beneficial to consult with a dermatologist who specializes in scar management. They can provide a comprehensive evaluation of your keloids and recommend a tailored treatment plan that aligns with your preferences and medical history.

In addition to these treatments, it is essential to practice good wound care to minimize the risk of keloid formation in the future. This includes keeping the area clean, moisturized, and protected from injury. Avoiding unnecessary trauma to the skin, such as picking at scabs or exposing scars to excessive sun, can also help prevent keloids from developing.

In conclusion, managing keloids requires a multifaceted approach, and what works for one person may not work for another. It is crucial to have open communication with your healthcare provider about your experiences and preferences to find the most effective treatment strategy for your specific situation.

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