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Keloid Health Feed

Keloid - 5 Ways It Can Be Treated!

Dr. Nimesh D Mehta 92% (144 ratings)
MD, D.V.D, MBBS
Dermatologist, Mumbai
Keloid - 5 Ways It Can Be Treated!

As per the American Osteopathic College of Dermatology, an estimated 10 percent of individuals encounter keloid scarring every year. While women and men are equally prone to have keloid scars, people with darker skin tone are more likely to experience keloids.

What are keloids and why do they occur?
Keloid is widely recognized as keloid scar or keloid disorder. It is caused when the fibrous tissues also known as scar tissues are injured. In specific instances, the scar tissues grow in excess, and they form a hard and smooth growth, which is known as keloid, which could be bigger than the actual wound. They are customarily found in areas like the chest, cheeks, shoulder, and earlobes. Nonetheless, any part of the body could be affected by keloids. Though they do not pose a threat to health, they can be a cause of significant cosmetic concerns. Another factor why they occur is in the case of overgrowth of the scar tissue that develops over the period of weeks.

Are keloids a cause for concern?
Keloids are often itchy and discomforting. Keloids often cause a major cosmetic concern as they are large and easily spotted. Due to this, several patients encounter stress as they become conscious. Exposure to sun must be avoided in case of keloids as the tanning of the affected area may darken the keloid scar and become more prominent. The response of the treatment for keloids depends majorly upon the anatomical location of the scar. An extremely itchy keloid can be quite distracting. Many patients are skeptical of getting treatment as it may leave a permanent scar.

Common Treatment options for Keloids

  1. LaserThe pulsed-dye laser can be helpful in flattening keloids and making them appear less red and intense. The treatment is considered as safe and is almost painless, but many treatment sessions may be required. These may be expensive, as insurance plans do not usually cover laser treatments.
  2. Cryotherapy: This is a method in which the keloid is frozen with the help of liquid nitrogen to flatten the keloid. However, it may result in lightening or darkening of the affected area.
  3. Radiation: Radiation is considered as a safe and effective option by several doctors for the treatment of keloids.
  4. Silicone gel or sheeting: In this method, a sheet of silicone gel has to be worn continuously for months in order to treat the affected area. The outcomes of this treatment may vary. Some doctors claim relative success with compression dressings composed of materials that are not silicone.
  5. SurgeryTreating keloids by surgery may prove to be risky as it may activate the development of a more prominent keloid. Some operations have been successful by applying compression or injecting steroids to the wound after the keloid has been treated. Superficial radiation treatment post-surgical procedure has also been considered to be helpful.

A condition that poses no threat to your health, and is purely of cosmetic concern, Keloids do have several treatment options providing the expected results.

9 people found this helpful

I am suffering from keloid on chest and some pimples type on hip and in underwear area. What should i do for this?

Dr. Pavan Murdeshwar 95% (1597 ratings)
MCh - Plastic & Reconstructive Surgery
Cosmetic/Plastic Surgeon, Bangalore
Hello. Definitely it can be treated. Keloids have variety of treatment nowadays depending upon its size, position and response. There are procedures like compression bandages, silicon gel or sheet treatment, intralesional steroids, excision etc. But none can be suggested without examination in proper. You can definitely get rid of it, or at least decrease it in size, and prevent its recurrence. For deciding which treatment will suit you and where it can be done, you can consult or text me online with details and pictures of the lesion.
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I have keloid problem for more than 4 years. Now they became very hard on my chest. I tried Allopathic home and ayurveda. Nothing works for me. Can anyone help me.

Dr. Abhishek Vijayakumar 92% (2047 ratings)
MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Hello, there are various options for keloid like steroid, 5FU botox injections, silicone gel, intralesional excision. Initial treatment with steroid injections every 3 wks helps in most people.
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On my chest keloid are developed 4 years before. This keloid are painful and itching.

Dr. Abhishek Vijayakumar 92% (2047 ratings)
MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Hello, there are various treatmetn for keloids, Silicone sheets, Steroid 5FU botox injections, Intra lesional excision. Initial treatment is steroid injections. Consult a plastic surgeon.
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I have keloid on my ear and also itching problem on it and it is increased day by day. It looks so ugly on my face. How can be it flat and how can I get rid from keloid.

Dr. Abhishek Vijayakumar 92% (2047 ratings)
MCh Plastic Surgery, MS - General Surgery
Cosmetic/Plastic Surgeon, Bangalore
Hello, There are various options for keloids from silicone gel creams, intralesional steroid, 5Fu Botox, Cryo surgery etc. First you can start with intra lesional steroid injection once in 3 wks you may need 4-6 sessions for it to become flat. What you need to understand is there is no cure it only control. Once its flat with treatment you have to observe and repeat treatment when it starts to come back. Surgery when done alone has more than 70% chance of recurrance and infact can become bigger than previous one. So its important to Do intralesional excision and give steroid after surgery. Consult a plastic surgeon.
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My friend has keliods on neck and chest and also on hand is there is any cream or surgery to remove them permanently.

Dr. Jitendra Agrawal 91% (1572 ratings)
MS - General Surgery
General Surgeon, Kanpur
surgery can be done but they may re occur , you may use ointment contractubax bd, or intra lesional injection kenacort 0.2 ml once in 15 days plus pressure treatment.
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I am having keloid in my chest and looks awkward. Can you suggest any medicine which can cure?

Dr. Pavan Murdeshwar 95% (1597 ratings)
MCh - Plastic & Reconstructive Surgery
Cosmetic/Plastic Surgeon, Bangalore
Hello. Definitely it can be treated. Keloids have variety of treatment nowadays depending upon its size, position and response. There are procedures like compression bandages, silicon gel or sheet treatment, intralesional steroids, excision etc. But none can be suggested without examination in proper. You can definitely get rid of it, or at least decrease it in size, and prevent its recurrence. For deciding which treatment will suit you and where it can be done, you can consult or text me online with details and pictures of the lesion.
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What is the treatment for keloid on chest? They appear swollen and reddish brown.

Dr. Omkar Shahapurkar 95% (5996 ratings)
MD, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
Helo, I can understand your concern. Keloids are best cured by Ayurveda medicines, viz. Bhallatak, Kanchanar and Balaya. These medicines shrink keloid so that there is no scar formation on skin. These medicines are free from side effects. Please let me know your skin type and dimensions of keloid for complete treatment. Get well SOON.
5 people found this helpful
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Keloids - Know About Its Treatment!

Dr. Jagatjit Singh 88% (246 ratings)
MBBS, DHMS-Harvard, Masters in Clinical Dermatology
Dermatologist, Chandigarh
Keloids - Know About Its Treatment!

When an injury happens, the normal tendency of the skin is to repair itself from inside out, until it is completely closed and healed. However, in some cases, due to various reasons, excessively large scars can form. These hypertrophic scars are known as keloids. Here is everything you would like to know about keloids:

Features of keloids:

  1. Benign, fibrous, smooth, hard growths that form over a healed wound
  2. Can be bigger than the original wound
  3. Most commonly found on chest, ear lobes, cheeks, and abdomen
  4. Pregnant women are usually at the risk of developing keloids
  5. Though they do not develop into malignant lesions, they are a cosmetic issue, especially when the visible portions of skin are affected
  6. They are localized, flesh-colored and red in color
  7. They are raised from the surrounding tissue and are prone to repeat injury
  8. It continues to grow with time
  9. Could cause discomfort and irritation when it comes in contact with clothing
  10. Sun exposure or tanning can worsen it and cause tenderness
  11. Common injuries that can lead to keloid formation include burns, surgical incisions, skin piercings, chicken pox scars, tattoos, etc.
  12. Treatment for keloids may not always be effective and need repeat treatments

Treatment options: If the keloid is not in a visible area and does not cause any problem, it is best to leave it untreated and observe for any changes. The following changes could indicate the need for treatment.

  • Change in color from pale pink to red (indicating inflammation)
  • Severe increase in pain/tenderness
  • Sudden increase in size, which could indicate malignancy (keloids are an area where benign growth can turn cancerous)
  • A biopsy can be done to identify if treatment is necessary. This involves removing a small part of the tissue by injection and sending it for laboratory examination.

Treatment options include both nonsurgical and surgical. Nonsurgical methods are tried first before resorting to surgery.

  1. Steroid injections into the keloid to control growth and inflammation
  2. Moisturization to keep it soft and avoid dryness and cracking and bleeding
  3. Freezing the tissue (cryotherapy) to freeze the growth can help in further increase in the size of the tissue
  4. Laser to remove the tissue, especially if it is small. Alternately, this could be used as a secondary measure after the keloid is excised to prevent further growth
  5. Radiation therapy to shrink the growth
  6. Surgical excision, where the keloid is quite visible or large. This could be followed by radiation or laser to prevent further growth.

Also, in people who are prone to develop keloids, surgical incisions can be treated for a longer time with pressure dressings and silicone pads.

4 people found this helpful

I'm 28 years old, having keloid on right arm. On the advice of AIIMS doctor, I applied Contractubex ointment on keloid for about 7 months but no relief is visible. please advise suitable treatment for it.

Dr. Jasbir Singh 90% (105 ratings)
MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Mohali
Hi lybrate-user Keloids are a difficult condition to treat. You need multiple injections in the keloid, at regular intervals, for the best response. Sometimes, surgery is also helpful.
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