Keloids and Skin Lightening Creams: Key Concerns

Issues with whitening creams and keloids?

Hello Dr.
Du, I am unable to open the attached file you sent me.
Could you please forward it to this email address? Additionally, I would like to ask if injecting a keloid will affect the fading of the pigmentation in the future.
Currently, besides having a large keloid, the color is also quite dark.
Thank you for taking the time to respond.

A-Hsuan, 30~39 year old female. Ask Date: 2010/04/22

Dr. Du Zhiqiang reply Dermatology

The injection used for keloid treatment is a corticosteroid, and the standard treatment in major hospitals is to administer it every two weeks or once a month.
After the injection, some of the original melanin may be removed, and due to the thinning of the skin, the blood vessels may become more visible, resulting in a slight redness.
However, complete removal of the pigmentation is almost impossible.
Whitening creams can be tried, but their effectiveness is only moderate.

Reply Date: 2010/04/22

More Info

Keloids, or hypertrophic scars, are raised areas of scar tissue that form at the site of an injury or incision. They can be larger than the original wound and may continue to grow over time. Keloids are more common in individuals with darker skin tones and can be triggered by various factors, including surgical procedures, acne, piercings, or even minor injuries.
When it comes to treating keloids, one common approach is the use of corticosteroid injections. These injections can help flatten the keloid and reduce inflammation. However, there are several key concerns to consider, especially regarding the use of skin lightening creams in conjunction with keloid treatment.

Firstly, the use of skin lightening creams, which often contain ingredients like hydroquinone, corticosteroids, or other agents, can lead to complications when used on keloids. These creams are designed to reduce pigmentation and can sometimes cause thinning of the skin, which may exacerbate the appearance of keloids. If the skin becomes too thin, it may not provide adequate support for the keloid, potentially leading to further complications or changes in the scar's appearance.

Regarding your specific question about whether injecting corticosteroids into a keloid will affect the pigmentation, the answer is nuanced. Corticosteroid injections can help reduce the size of the keloid, but they may also lead to changes in skin pigmentation. In some cases, the treated area may lighten, while in others, it may darken. This is particularly true if the keloid is already darker than the surrounding skin.
If you are considering using skin lightening creams while undergoing treatment for keloids, it is crucial to consult with a dermatologist. They can provide personalized advice based on your skin type, the severity of the keloid, and any other treatments you may be receiving. It is generally advisable to avoid using skin lightening products on keloids until you have discussed it with a healthcare professional, as they can potentially interfere with the healing process and the effectiveness of keloid treatments.

In summary, while corticosteroid injections can be effective in treating keloids, there are important considerations regarding skin lightening creams. The interaction between these treatments can lead to unexpected changes in pigmentation and skin integrity. Always consult with a dermatologist to create a comprehensive treatment plan that addresses both the keloid and any concerns about skin pigmentation. This approach will help ensure the best possible outcomes for your skin health.

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