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Common Issues
Common Treatments


Keloid: Treatment, Procedure, Cost and Side Effects

What is the treatment?

A Keloid can be characterized as a scar tissue or fibrous tissue formation over the wound in order to protect and repair the injury. This is caused at the time of skin injury. In certain cases, there is a rapid growth of scar tissue, forming smooth and hard growths known as keloids. These scars tissues can be much larger than the original wound itself. Keloids are most commonly found on the cheeks, earlobes, shoulders, and chest. However, these scar tissues can affect any part of the body. Although, these tissues will not harm you in any way, they may develop cosmetic concerns.

When you develop a keloid scar, it is safe to assume that it was the body’s attempt to heal itself. The decision of treatment may be a tricky one. After the removal of scar tissue, it may recur, and sometimes it grows back in an even larger form. There are a number of treatments associated with keloid. It includes corticosteroid injection to reduce inflammation, radiation therapy to shrink keloids, surgery, laser treatments for the removal of scar tissue, using silicone gel pads or pressure after an injury, or to freeze the tissue to kill skin cells.

How is the treatment done?

Certain family physicians, plastic surgeons and dermatologists generally diagnose and treat the scar tissues called keloids with the occasional help of therapeutic radiologists.

Corticosteroid injections or intralesional steroids are considered safe but are generally painful. Usually, the injections are given once every 4 to 8 weeks into the scar tissues to help flatten them. However, steroid injections tend to make the flattened scar tissues redder by the stimulation of superficial blood vessels. After this treatment is done, the keloid may look better than the previous condition, but even the best results would somehow look and feel a bit different than the surrounding area. The keloids can be flattened by the use of a pulsed-dye laser which also makes it look less red than the treatment of steroids. This treatment is usually safer and less painful, but a number of treatment sessions may be required. On the other hand, surgical treatment method of keloids is associated with cutting the scar tissues. Some surgeons are able to achieve success by applying compression or injecting steroids to the wound site for a few months to be effective. After surgical excision is done, radiation treatment has been found to be quite effective. Doctors have reported that radiation for the treatment of keloids is safe and highly effective.

Who is eligible for the treatment? (When is the treatment done?)

An individual who does not have any underlying or severe illness or disorder can have this treatment done. Also, a person who wants his scar tissue removed and have clear skin, is included on the list of people who are eligible.

Who is not eligible for the treatment?

Children, pregnant women, those who have an underlying medical condition which is still untreated, or those affected by a chronic illness are not eligible for receiving the treatment of keloids.

Are there any side effects?

Common side effects include scarring, burning sensation, redness of the treated area, swelling, or moderate to severe irritation to the feeling of a sunburn. In case of rare side effects there will be a change in skin pigmentation.

What are the post-treatment guidelines?

After the treatment of laser resurfacing or radiation therapy, the treated will be itchy, raw and swollen. Your doctor will apply or ask you to apply a thick ointment on the treated area, or you might have to cover that particular area with a watertight or an airtight dressing. In order to relive pain, your doctor will recommend you a few over-the-counter medications for relief. You should also apply an ice pack on the treated area for swelling and redness. In case you notice something odd or unusual with the colour or texture of the treated area, or are undergoing immense pain, you must immediately contact your doctor.

How long does it take to recover?

It takes approximately 6 to 8 weeks for the scar tissues to become red and shrink with the continuous therapy of steroid injections, radiation or surgery.

What is the price of the treatment in India?

The price of treatment ranges between Rs. 30,000 to Rs. 50,000.

Are the results of the treatment permanent?

Small keloids are easily treated with a number of different methods. Usually, a series of steroidal injections injected into the affected area is the safest and simplest approach. It is important for the patient to understand that the scar tissues will never entirely disappear but will likely become flatter and less symptomatic. It is more difficult to treat larger lesions.

What are the alternatives to the treatment?

Moisturizing oils, interferone, cryotherapy, and chemotherapeutic injections like bleomycin and fluorouracil are the alternative treatment methods for the treatment of keloids.

Safety: Low Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: High Time For Recovery: Medium Price Range:

Rs. 30,000 - Rs. 50,000

Popular Health Tips

Keloid - 5 Ways It Can Be Treated!

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. Laser: The 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. Surgery: Treating 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.  In case you have a concern or query you can always consult an expert & get answers to your questions!

2558 people found this helpful

Keloids - Know About Its Treatment!

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. In case you have a concern or query you can always consult an expert & get answers to your questions!

2747 people found this helpful

Hair Transplant - Know The Procedures!

MBBS, MD - Dermatology , Venereology & Leprosy, FRGUHS
Dermatologist, Bangalore
Hair Transplant - Know The Procedures!

Hair loss due to androgenetic alopecia or pattern baldness is a condition that affects both men and women equally. Surgical hair transplantation is the only solution for restoring the lost hair in pattern baldness when medical hair restoration does not offer you a good hair re-growth. If you have well-defined and clearly established areas or patterns of baldness on the crown with healthy dense coverage of hair at the sides and the back of the head, you are probably suitable for a hair transplant surgery. Hair that is transplanted in the frontal region of the skull generally offers the best results. However, a hair transplant procedure can also be carried out on any other area of your head if you have some bald patch there.

It is best to have detailed information about the hair transplant procedure before you make plans to undergo a surgery. It is only after you have read through all the information that you can understand and appreciate the significance of surgical hair restoration. The information will also help you decide whether you are the right candidate for the hair transplant surgery. Receiving a hair transplant can improve your appearance and self-confidence.

All those who can opt for a hair transplant:

  1. Men with male-pattern baldness
  2. Women suffering from hair thinning
  3. Anyone who has lost some hair from a burn or scalp injury

Hair replacement isn’t a good option for:

  1. Women with a wide-spread pattern of hair loss throughout the scalp
  2. People who don’t have enough “donor” hair sites from which to remove hair for transplant
  3. People who form keloid scars (thick, fibrous scars) after injury or surgery
  4. People whose hair loss is due to medication like chemotherapy

Two types of procedures

It's worth noting that there are new surgical techniques involved in hair transplants:

  1. FUE - Follicular Unit Extraction: The hairs are individually extracted from the back of the head and re-planted across the area. This is a lengthy, pain-staking process but the result is minimal scarring and a very natural-looking hairline.
  2. FUT - Follicular Unit Transplantation: This technique involves taking a larger area or 'strip' of hair from the back of the head, dividing it into smaller units and then re-planting those units in the desired area of hair loss. Scarring can be slightly more conspicuous at the back of the head as a larger area has been removed but an expert surgeon will minimise incision marks to ensure rapid healing.

Hair transplant do, of course, utilise your own natural hair and re-growth can be expected within 4 weeks of surgery. Great care must be taken during your recovery period to protect the newly-transplanted hair. However, once it is deemed safe to resume normal activities, the results can be life-transforming. A successful hair transplant is permanent and can restore confidence and self-esteem. If you wish to discuss about any specific problem, you can consult a dermatologist.

3795 people found this helpful

6 Ways To Treat Scars Due To Breast Augmentation!

MBBS, MD - Dermatology
Dermatologist, Pune
6 Ways To Treat Scars Due To Breast Augmentation!

A breast augmentation surgery can leave you with bigger and fuller breasts, but can also leave you with a few scars. These scars typically appear on the lower half of the breast, under the arm or around the areola. Scarring depends on the type of skin, as well as how well your skin heals after the surgery. Like any other, the scars caused by breasts augmentation surgery can be treated in a number of ways. Some of these are:

  1. Silicone gel scar treatment: This involves applying silicone gel onto the scar and allowing it to dry. For best results this needs to be applied daily and left on, for as long as possible. Silicone gel shrinks the scar while simultaneously flattening it and lightening it.
  2. Silicone sheeting: Silicone sheeting is a strip of silicone available in a variety of shapes depending on the type of surgery undergone. It is a self-adhesive and can be reused. This is typically used to treat scars on creases or areola scars. Both silicone gel and silicone sheeting are most effective when used within 6 months of the surgery.
  3. Cortisone creams: Cortisone is a hormone that helps fight inflammation. Creams that contain cortisone when applied on a scar can help lighten it and reduce its size. If you plan to use cortisone creams to treat scarring, ensure that the wound has healed completely before applying the cream.
  4. Dermabrasion: This is a minor surgical process through which the upper skin layer is removed. This is especially useful in cases of raised scars but not suitable to sunken scars.
  5. Massaging the affected area: A soft circular massage of the operated area can help drain the lymph nodes beneath the skin. This helps reduce inflammation and softens the skin. This also helps break down dense collagen and prevents the formation of a raised scar. However, do not attempt to massage your breasts without consulting your doctor first.
  6. Laser treatment: Lasers can be used on new as well as old scars. The number of sittings required for laser treatment depends on the size and type of scar. When used on keloid scars, laser treatment can help flatten the scar and reduce redness. Lasers can also be used to stimulate the production of collagen to help the body heal itself. Further, ablative lasers can be used to vaporize scars and are the preferred form of treatment for sunken, irregular shaped scars. If you wish to discuss about any specific problem, you can consult a Dermatologist.
2381 people found this helpful

Know More About Types Of Scars!

M.Ch (Plastic)
Cosmetic/Plastic Surgeon, Chennai
Know More About Types Of Scars!

Scars are referred to as marks left on the skin or body tissue, caused by an accident or injury. Scars are part of the natural healing process that takes place after an injury. When the white blood cells attack bacteria, they cause physical changes to the underlying skin cells around the area, thereby leading to the formation of a scar.

There are different types of scars, caused due to different factors. Some of the commonly occurring scars are:

1) Atrophic scars - These types of scars are flat against the upper layer of the skin. This type of scarring is caused by hyperpigmentation and is marked by discolored parts and patches of the skin. Initially, they are red, dark and raised. With the help of medicines and passage of time, they gradually fade away.

2) Hypertrophic scars - These types of scars appear to be elevated or raised and are caused as a result of a disparity in the production of collagen (connective tissues). These scars do not extend beyond the outline of the original wound, and can remain for a period 2-5 years. Hypertrophic scars turn flatter and paler with the course of time and with the help of requisite medication.

3) Keloid scars - Keloid scars tend to appear when the skin goes through an aggressive healing process. This causes thick, dark, clustered scars to form, which are often in contrast with the surrounding skin. Secretion of excess collagen on the affected area can also be a cause of keloid scars. Although medications are used, the most effective way to remove keloid scars is through surgery.

4) Scar contractures - This type of scar is caused due to burns. Burns present on the joints and creases stiffen the affected area, causing difficulty in movement and flexibility. Deep contracture scars may in some cases lead to dysfunctions in nervous and muscular activities.

5) Acne scarsAcne and pimples are acute skin problems, and the marks they leave behind are long lasting. Acne scars are caused due to severe acne and show differing patterns when it comes to their shape, type, and depth. In fact, the treatment for acne scars varies depending on these factors. If you wish to discuss about any specific problem, you can consult a Cosmetic/Plastic Surgeon.

3340 people found this helpful

Popular Questions & Answers

Hi Sir, I have keloid on my chest last 2 years can I take homeopathic medicine that is thiniminium 3X tablets or advice something else Thanks you.

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.

I have got 2 to 3 of spots like pimples on my chest, which is slightly irritating my skin. I am told they are called keloid, can you suggest what can I do to heel it. Thanks.

Dermatologist, Kolkata
You have many options for keloids- (1) intralional steroid injection. (2) topical potent steroid. (3) topical mucopolysacharide.

I have keloid on my shoulder. Tell me how to cure it?Is apple cider vinegar is really works for keloid scar to cure properly?

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. U 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.
3 people found this helpful

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.

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.

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.

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.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Know More About Acne
Acne - Causes, types and treatment

Hello friends myself Professor Dr. Rashid Akhtar, doctor teaching Origin of medicines since last 14 years. Today our topic is Acne.

Acne is inflammation of skin, inflammatory skin disease especially inflammation of sebaceous gland. This inflammatory disease is nowadays affecting almost eighty percent population of our country especially the age group of 12 to 14 and most commonly in adolescence age group. The causes of these inflammations varies from simple physiological condition to environmental conditions related to endocrynal conditions as well as certain dietary or lifestyle conditions.

The types of acne varies from acne simple, acne Rosaceae, acne keloid and other types related to hormonal releases. Some systemic diseases are also related to this acne problem. Treatment of acne if it is due to lifestyle conditions then we have to improve our diet exercise and water intake. This condition improves acne in those conditions where environmental conditions are required. Certain acne is related to age where at certain age of adolescence when hormonal changes occurs acne frequently appears and it goes away with the age and especially persist for one year.

While certain times it disappears itself, Certain type which leads to complications, mostly treatment is required when these acne persist as well as if this acne produces some later effects. Treatment of acne in homeopathy if it is in inflammation and painful is simple. Arnica Montana is one of the very best medicine. if it is associated with conditions which leaves marks after acne then Thuja Occidentalis is important medicine. But those acne which are related to hormonal conditions they should be treated by proper homeopathic consultations because which requires correction of systemic conditions. If we are not treating properly with the correction of systemic conditions then this acne is one of the indication of future hormonal troubles especially in females these are one of the indicative of at adolescence age.

These are the indicative of PCOD. Polycystic ovarian disease and polycystic ovarian conditions are especially when thyroid hormones and ovarian diseases are together. They are involved, they produces initially acne then here on the face and disturbance of menses. If we are taking it seriously with proper homeopathic systemic disease and we treat it with accordingly the directions of chronic disease. Then we can prevent the future coming of PCOS and PCOD.

If you want further information on this topic then you can consult me on Lybrate.
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