Keloids: Impact on Skin Treatments and Surgery

Keloid issue!!

Hello Dr.
Lin, I would like to inquire about the recent occurrence of keloids.
Since I have acne scars on my face, I am considering whether I can undergo a dermabrasion procedure.
Additionally, I would like to ask if having a keloid-prone constitution affects the healing process for all surgical procedures throughout the body.

Connie, 20~29 year old female. Ask Date: 2007/07/31

Dr. Lin Mingxiu reply Dermatology

Hello~ 1.
Individuals with a keloid tendency are generally advised against undergoing dermabrasion surgery.
Typically, keloids are more likely to develop in areas of high tension, such as the chest, back, upper arms, and shoulders, with the chin being a common site on the face, although they can occur in other areas as well.
2.
Unless it is a necessary surgical procedure, individuals with a keloid tendency should avoid trauma, unnecessary surgeries, and activities such as ear piercing to prevent the formation of more keloids.
Additionally, it is recommended that patients inform their physicians and nursing staff about their keloid tendency before undergoing any medical procedures.
Dr.
Lin Ming-Hsiu's response.

Reply Date: 2007/07/31

More Info

Keloids, also known as hypertrophic scars, are raised areas of scar tissue that form at the site of an injury or incision. They can be a significant concern for individuals considering skin treatments or surgeries, especially for those with a history of keloid formation. Understanding keloids is essential for making informed decisions about cosmetic procedures, such as dermabrasion or laser treatments, particularly for acne scars.

When it comes to keloids, several factors should be considered:
1. Keloid Formation: Keloids occur when the body produces excess collagen during the healing process. This can happen after any skin injury, including cuts, surgical incisions, or even acne lesions. Individuals with a family history of keloids or those with darker skin types are at a higher risk of developing them.

2. Impact on Skin Treatments: If you have a history of keloid formation, undergoing procedures like dermabrasion or laser resurfacing can pose a risk. These treatments involve removing layers of skin to improve texture and appearance, but they can also trigger keloid formation in susceptible individuals. It's crucial to discuss your keloid history with your dermatologist or plastic surgeon before proceeding with any cosmetic procedure.

3. Surgical Considerations: If you have keloid-prone skin, any surgical procedure, including minor surgeries, can potentially lead to keloid formation. This means that even routine surgeries could result in keloids, which may complicate the healing process and lead to aesthetic concerns. Surgeons often take extra precautions with patients who have a history of keloids, such as using specific suturing techniques or recommending post-operative treatments to minimize the risk.

4. Management Options: For those who are prone to keloids, there are several management strategies. These may include silicone gel sheets, pressure therapy, corticosteroid injections, or even laser therapy specifically designed to flatten keloids. In some cases, surgical removal of keloids may be considered, but this can sometimes lead to recurrence, so it should be approached cautiously.

5. Consultation with Specialists: Before undergoing any skin treatment or surgery, it's essential to have a thorough consultation with a dermatologist or a plastic surgeon experienced in managing keloids. They can assess your skin type, discuss your concerns, and recommend the safest and most effective treatment options tailored to your needs.

In summary, if you have a history of keloids and are considering cosmetic procedures to address acne scars, it is vital to proceed with caution. Discuss your keloid history with your healthcare provider, explore alternative treatment options, and consider the potential risks associated with any skin treatments or surgeries. Understanding your skin's unique characteristics will help you make informed decisions and achieve the best possible outcomes while minimizing the risk of keloid formation.

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