Keloids: Treatment Options for Non-Genetic Cases - Dermatology

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Keloids, or "蟹足腫" in Chinese, 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, as in your case. Keloids can be itchy, painful, or cause a sensation of tightness, and they often grow larger than the original wound. While they are not genetically inherited in all cases, some individuals may have a predisposition to developing keloids, which can make treatment challenging.

In your situation, since you have developed a keloid on your back that has grown over the past four to five years, there are several treatment options available. The choice of treatment often depends on the size, location, and symptoms associated with the keloid.

1. Surgical Excision: This is one of the most common treatments for keloids. The keloid is surgically removed, but there is a risk of recurrence, and sometimes the new scar can become a keloid itself. Surgical excision may be covered by health insurance, but this can vary based on the specific policy and the medical necessity of the procedure. It's essential to consult with your healthcare provider to determine if your case qualifies for insurance coverage.

2. Corticosteroid Injections: These are often used to reduce inflammation and flatten keloids. Injections can be administered every few weeks, and while they may not completely eliminate the keloid, they can significantly reduce its size and discomfort.

3. Silicone Gel Sheets: These are applied to the keloid and can help flatten it over time. They are a non-invasive option and can be used in conjunction with other treatments.

4. Cryotherapy: This involves freezing the keloid with liquid nitrogen, which can help reduce its size. This treatment is often used for smaller keloids.

5. Laser Therapy: Laser treatments can help flatten keloids and reduce redness. This method can be effective, but multiple sessions may be required.

6. Radiation Therapy: This is sometimes used after surgical excision to prevent recurrence. It is typically considered when other treatments have failed.

7. Pressure Therapy: Applying pressure to the keloid with specialized dressings can help flatten it over time. This method is more commonly used for new scars but can be effective for keloids as well.

Given that your keloid has been growing and causing discomfort, it would be advisable to consult with a dermatologist or a plastic surgeon who specializes in scar management. They can evaluate your specific situation and recommend the most appropriate treatment plan. Additionally, they can provide information on whether surgical options are covered by your health insurance.

It's also important to note that while treatments can help manage keloids, there is no guaranteed method to prevent recurrence. Therefore, ongoing monitoring and possibly a combination of treatments may be necessary to achieve the best results.

In summary, while keloids can be a frustrating condition, there are several treatment options available. Consulting with a specialist will provide you with the best course of action tailored to your specific needs.