and Treating Keloids After an Accident: Your Questions Answered - Dermatology

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Keloids are a type of raised scar that occurs when the body produces too much collagen during the healing process after an injury or surgery. They can be particularly frustrating for patients, especially after accidents, as they can be both aesthetically displeasing and uncomfortable. Understanding keloids, their treatment options, and what to expect during recovery is essential for anyone dealing with this condition.

After an accident, it is not uncommon for individuals to develop keloids, especially if the injury involved significant trauma to the skin. The formation of keloids can vary from person to person, and while some may experience minimal scarring, others may develop multiple keloids, as you have described. The fact that you have already undergone four injections and one laser treatment indicates that you are actively seeking to manage this condition, which is a positive step.

It is important to understand that keloids can be persistent and may not respond immediately to treatment. The treatments you have received, such as corticosteroid injections and laser therapy, are among the most common approaches to managing keloids. Corticosteroid injections help to reduce inflammation and flatten the keloid, while laser therapy can improve the appearance of the scar by reducing redness and promoting a more even skin texture. However, it is not unusual for keloids to require multiple treatments before significant improvement is seen.

If you find that the current treatments are not yielding the desired results, there are several other options you might consider discussing with your healthcare provider:
1. Silicone Gel Sheets or Silicone Gel: These are often recommended for scar management. They can help flatten and soften keloids over time. They are easy to use and can be applied directly to the scar.

2. Cryotherapy: This involves freezing the keloid with liquid nitrogen, which can help reduce its size. This treatment may be more effective for smaller keloids.

3. Surgical Removal: In some cases, surgical excision of the keloid may be an option. However, it is important to note that surgical removal can sometimes lead to the formation of a new keloid, so this option is typically considered when other treatments have failed.

4. Radiation Therapy: This is sometimes used after surgical removal to prevent the keloid from returning. It is a more advanced treatment and should be discussed thoroughly with a specialist.

5. Alternative Treatments: Some patients explore alternative therapies, such as pressure therapy, which involves applying consistent pressure to the keloid, or using topical treatments that may contain ingredients like onion extract or vitamin E. However, the efficacy of these treatments can vary, and it is advisable to consult with a healthcare professional before trying them.

Regarding your concern about the appearance of the keloids and your desire to wear sandals comfortably, it is understandable to want to restore your skin's appearance. While keloids can be challenging to treat, many patients do see improvement over time with the right combination of therapies. It is essential to maintain open communication with your healthcare provider about your treatment goals and any concerns you may have.

In conclusion, while it may feel discouraging to see that the keloids are still prominent after several treatments, it is not uncommon for this condition to require a multifaceted approach. Be sure to discuss all available options with your dermatologist or plastic surgeon, as they can provide personalized recommendations based on your specific situation. Remember, patience is key in the treatment of keloids, and with the right care, you can achieve a more satisfactory outcome.