Keloids: Causes, Treatments, and Specialist Guidance - Plastic Surgery

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Keloids are a type of raised scar that occurs when the body produces too much collagen during the healing process. They can develop after an injury, surgery, or even spontaneously without any apparent cause. In your case, it seems that after your thyroid surgery, the healing process led to the formation of a keloid, which is characterized by its thick, raised appearance and can be itchy or painful.


Causes of Keloids
Keloids form due to an overproduction of collagen, which is the protein that helps wounds heal. Several factors can contribute to the likelihood of developing keloids, including:
1. Genetics: Some individuals have a genetic predisposition to keloid formation. If you have a family history of keloids, you may be more susceptible.

2. Skin Type: Keloids are more common in individuals with darker skin tones.

3. Location of the Injury: Certain areas of the body, such as the chest, shoulders, and earlobes, are more prone to keloid formation.

4. Age: Keloids are most commonly seen in young adults and adolescents.


Treatment Options
If you are dealing with a keloid, there are several treatment options available, although results can vary from person to person. Here are some common approaches:
1. Corticosteroid Injections: These can help flatten the keloid and reduce inflammation. Multiple sessions may be required.

2. Surgery: Surgical removal of the keloid is an option, but there is a risk of the keloid returning, sometimes even larger than before.

3. Cryotherapy: This involves freezing the keloid with liquid nitrogen, which can help reduce its size.

4. Laser Therapy: Laser treatments can help flatten keloids and improve their appearance.

5. Silicone Gel Sheets: Applying silicone gel sheets over the keloid can help flatten it over time.

6. Radiation Therapy: This is sometimes used after surgical removal to prevent the keloid from returning.


Specialist Guidance
To address your keloid effectively, it is advisable to consult a dermatologist or a plastic surgeon who specializes in scar management. They can evaluate your specific case and recommend the most appropriate treatment plan based on the size, location, and characteristics of your keloid.


Next Steps
1. Schedule an Appointment: Look for a dermatologist or a plastic surgeon in your area who has experience with keloids. You may want to ask for recommendations from your primary care physician or search for specialists online.

2. Prepare for Your Visit: Bring any medical records related to your thyroid surgery and any previous treatments you may have tried for the keloid. This information will help the specialist understand your situation better.

3. Discuss Treatment Options: During your appointment, discuss the various treatment options available and their potential risks and benefits. Make sure to ask about the likelihood of recurrence after treatment.

In summary, keloids can be a frustrating condition, but with the right treatment and guidance from a specialist, you can find a solution that works for you. Don't hesitate to seek help, as early intervention can often lead to better outcomes.