Keloid treatment : Curing the incurable
- Dr. Suraj Nair
- Feb 19
- 2 min read
Keloids are raised, thickened scars that extend beyond the original wound site due to excessive collagen production. They can be itchy, painful, and aesthetically concerning for many people. While keloids are harmless, their appearance and discomfort often prompt individuals to seek treatment. If you're dealing with keloids, here’s everything you need to know about effective treatment options.
Understanding Keloids
Keloids can develop after skin trauma such as cuts, burns, surgical incisions, acne, or piercings. They are more common in people with darker skin tones and tend to appear on the chest, shoulders, earlobes, and back. Unlike hypertrophic scars, which stay within the wound boundary, keloids extend beyond it, making treatment more challenging. Simply put, it means body does not realize when to stop the healing process and collagen production after an injury.
Top Keloid Treatment Options
1. Corticosteroid Injections
Corticosteroid injections (such as triamcinolone) are among the most common treatments for keloids. These injections help reduce inflammation, flatten the scar, and minimize itching. Multiple sessions, usually spaced a few weeks apart, may be needed for optimal results.
2. Silicone Gel Sheets and Ointments
Silicone-based treatments help soften and flatten keloids over time. Regular use of silicone sheets or gels can improve hydration in the scar tissue, reducing its thickness and overall appearance. This method works best when used early in scar formation.
3. Cryotherapy
Cryotherapy involves freezing the keloid with liquid nitrogen to reduce its size. This treatment is particularly effective for smaller keloids and can be combined with other therapies like corticosteroid injections for enhanced results.
4. Laser Therapy
Laser treatments, such as pulsed dye laser (PDL) therapy, can help reduce keloid redness and flatten raised scars. This option is often used alongside other treatments for better results. However, multiple sessions are required, and effectiveness varies by individual.
5. Surgical Removal
Surgical excision involves physically removing the keloid. However, since keloids tend to recur, this method is usually combined with other treatments like radiation therapy or corticosteroid injections to prevent regrowth.
6. Radiation Therapy
Low-dose radiation therapy after keloid removal can help reduce recurrence. While this method is effective, it is usually considered a last resort due to potential long-term risks associated with radiation exposure.
7. Pressure Therapy
Pressure earrings or garments can be used after keloid removal to reduce regrowth. This is especially useful for ear keloids following piercings.
Preventing Keloids
Preventing keloid formation is key, especially if you are prone to them. Here are some tips:
Avoid unnecessary skin trauma, including piercings and tattoos.
Treat wounds immediately to minimize scarring.
Use silicone gel sheets after injuries or surgery to prevent keloid development.
Opt for corticosteroid injections early if a scar starts forming abnormally.
Final Thoughts
Keloids can be frustrating, but with the right treatment approach, their appearance and symptoms can be managed effectively. Consulting a plastic surgeon is crucial to determine the best course of action for your specific case. Whether through medical treatments or preventive measures, there are numerous ways to tackle keloid formation and regain confidence in your skin. Contact Dr. Suraj Nair today.