Keloid
I worked part-time during my sophomore year and accidentally got a wound that developed into a keloid.
I had surgery, but it grew back.
After three to four years, can it still be treated? How much would it cost, and does health insurance provide any subsidies? Are there places in Penghu for treatment?
Re Dai Yu, 20~29 year old female. Ask Date: 2009/07/08
Dr. Huang Ruiyun reply Dermatology
Hello: Keloids should not be surgically removed, as this may worsen the condition.
Health insurance can cover localized injection treatments.
You can visit the dermatology department at Penghu Hospital or any dermatology clinic in Penghu.
Wishing you peace and good health.
Reply Date: 2009/07/08
More Info
Keloids, which are raised scars that develop at the site of an injury, can indeed be treated even after several years. The treatment options available for keloids vary in effectiveness and cost, and they can be influenced by factors such as the size and location of the keloid, as well as the patient's overall health. In Taiwan, there are several methods for treating keloids, and while some may be covered by health insurance, others may not be.
Treatment Options
1. Surgical Excision: This is a common method where the keloid is surgically removed. However, there is a risk that the keloid may return after surgery. This method is often combined with other treatments to minimize recurrence.
2. Steroid Injections: Corticosteroid injections can help flatten keloids and reduce inflammation. This treatment is usually administered over several sessions and can be effective for many patients.
3. Cryotherapy: This involves freezing the keloid tissue, which can help reduce its size. Cryotherapy is often used in conjunction with other treatments, such as steroid injections.
4. Laser Therapy: Laser treatments can help reduce the redness and size of keloids. This method is less invasive and can be effective, especially for newer keloids.
5. Silicone Gel Sheets: These are applied to the keloid and can help flatten and soften the scar over time. They are a non-invasive option and can be used alongside other treatments.
6. Radiation Therapy: In some cases, low-dose radiation therapy may be used after surgical excision to prevent the keloid from returning.
Costs and Insurance Coverage
The costs of keloid treatments in Taiwan can vary widely depending on the method chosen. Surgical excision may cost several thousand New Taiwan Dollars (NTD), while steroid injections and laser treatments can also add up over time. It's essential to consult with a healthcare provider to get a more accurate estimate based on your specific situation.
Regarding health insurance coverage, the National Health Insurance (NHI) in Taiwan may cover some treatments, particularly if they are deemed medically necessary. However, cosmetic procedures or treatments that are considered elective may not be covered. It's advisable to check with your healthcare provider and the NHI for specific details about coverage for keloid treatments.
Availability of Treatment in Penghu
In terms of availability, while larger medical centers in cities like Taipei or Kaohsiung may have more specialized services for keloid treatment, there are also clinics and hospitals in Penghu that can provide treatment. It would be best to consult local dermatologists or plastic surgeons who can assess your keloid and recommend appropriate treatment options.
Conclusion
In summary, keloids can be treated even after several years, and there are multiple options available in Taiwan. The choice of treatment will depend on various factors, including the keloid's characteristics and your personal preferences. Costs can vary, and while some treatments may be covered by health insurance, others may not. If you're located in Penghu, it's advisable to seek out local medical professionals who can provide the necessary care and guidance. Always consult with a qualified healthcare provider to determine the best course of action for your specific situation.
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