Effective Treatment Options and Costs for Keloids in Teens - Dermatology

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Treatment methods for keloids and their approximate costs?


Hello, doctor! I am 17 years old and have keloids on my chest, which are hereditary.
I recently learned about a treatment called cryotherapy and I’m wondering if it is effective.
Since I am still a student, I would also like to ask how much the treatment might cost so I can prepare for it.
Thank you for your help!

Xu Tongxue, 10~19 year old female. Ask Date: 2015/07/27

Dr. Wu Yuxin reply Dermatology


Treatment for keloids, when administered through injection, is generally covered by health insurance.
Cryotherapy is also performed by physicians, but the effectiveness needs to be evaluated after treatment, as individual responses to treatment can vary significantly.

Reply Date: 2015/07/27

More Info


Keloids, which are raised scars that occur due to an overproduction of collagen during the healing process, can be particularly distressing for teenagers, especially when they are located in visible areas like the chest. The treatment options for keloids vary in effectiveness and cost, and it's important to consider both when deciding on a course of action.

One of the most common treatments for keloids is corticosteroid injections. These injections can help flatten the keloid and reduce itching or discomfort. Typically, patients may require multiple sessions, and the cost can range from $100 to $300 per session, depending on the provider and location.

Another effective treatment option is cryotherapy, which you mentioned. Cryotherapy involves freezing the keloid with liquid nitrogen, which can help reduce its size. This method is often used in conjunction with corticosteroid injections for better results. The cost of cryotherapy can vary widely, but it generally falls within the same range as corticosteroid injections.

Surgical removal is another option, but it carries a risk of the keloid returning, sometimes even larger than before. If surgery is performed, it is often followed by other treatments, such as radiation therapy or corticosteroid injections, to minimize the chance of recurrence. The cost of surgical procedures can be significantly higher, often ranging from $1,000 to $3,000, depending on the complexity of the surgery and the facility where it is performed.

Silicone gel sheets and silicone ointments are also commonly recommended for keloid treatment. These can be applied directly to the keloid and may help flatten it over time. They are generally less expensive, with costs ranging from $20 to $50 for a month’s supply.

In terms of effectiveness, studies have shown that a combination of treatments often yields the best results. For instance, combining cryotherapy with corticosteroid injections can enhance the flattening effect of the keloid. It's also important to note that individual responses to treatment can vary, and what works for one person may not work for another.

As for the costs, it's crucial to check with your healthcare provider or dermatologist about the specific treatments they recommend, as prices can vary based on geographic location, the provider's experience, and whether the treatment is covered by insurance. Since you are still a student, you may want to inquire if your school or local health services offer any programs or assistance for dermatological treatments.

Lastly, while keloids are often hereditary, they can also be influenced by other factors such as skin type and the location of the injury. It's essential to have a thorough discussion with a dermatologist who can assess your specific case and recommend the most appropriate treatment plan tailored to your needs.

In summary, effective treatment options for keloids include corticosteroid injections, cryotherapy, surgical removal, and silicone-based treatments. The costs can vary widely, so it’s advisable to consult with a healthcare professional to explore the best options for your situation.

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