Keloids are raised, thickened areas of scar tissue that form at the site of an injury or incision. Unlike regular scars that gradually fade and flatten over time, keloids can continue to grow and extend beyond the original wound, forming large, firm, and sometimes painful nodules. Keloids can appear anywhere on the body but are most commonly found on the chest, shoulders, earlobes, and upper back. While keloids are not typically harmful, they can be cosmetically distressing and cause discomfort due to itching or tenderness.
Raised, firm, and thickened areas of scar tissue.
Itching or tenderness in the affected area.
Shiny, smooth surface of the scar.
Pinky or red color in the early stages, which may darken over time.
Gradual enlargement of the scar tissue beyond the original injury or incision.
Possible pain or sensitivity in the keloid area.
The exact cause of keloid formation is not fully understood, but they are thought to result from an overproduction of collagen during the healing process after a skin injury. Several factors can contribute to the formation of keloids:
Genetics:
A family history of keloids significantly increases the likelihood of developing them. People with darker skin tones (such as African American, Hispanic, and Asian populations) are more prone to keloid formation.
Skin Injuries:
Any form of trauma to the skin, such as cuts, burns, piercings, surgical incisions, or acne scars, can trigger the formation of keloids. Even minor skin injuries can sometimes lead to keloid growth.
Inflammation:
Prolonged inflammation or infection at the site of a skin injury can increase the likelihood of keloid formation. The body produces an excess amount of collagen as part of the inflammatory healing process.
Hormonal Changes:
Keloids are more likely to form during periods of rapid skin growth or changes in hormone levels, such as adolescence or pregnancy.
Wound Healing Process:
Some individuals may have a genetic tendency that causes their skin to produce excessive collagen during the wound healing process, leading to the formation of keloids.
At Skinfine Clinic, we understand the discomfort and emotional distress that keloids can cause. Our expert dermatologists specialize in the treatment of keloids and can offer personalized care options to reduce the appearance of keloids, relieve symptoms, and improve your skin’s appearance. Whether your keloid is new or has been present for some time, we have advanced treatments to help manage and reduce its size and prominence.
Corticosteroid Injections:
One of the most common treatments for keloids, corticosteroid injections can help flatten the keloid, reduce redness, and relieve itching and pain. Multiple injections may be needed over time to achieve the desired result.
Cryotherapy:
Cryotherapy involves freezing the keloid with liquid nitrogen to reduce its size. It is often used for smaller keloids and may require several sessions for optimal results.
Laser Treatment:
Laser therapy can be used to reduce the color, size, and texture of keloids. Fractional CO2 lasers or pulsed dye lasers can target the blood vessels in the keloid and improve its appearance by stimulating collagen remodeling.
Surgical Removal:
In cases where keloids are large or particularly bothersome, surgical excision may be an option. However, there is a risk that the keloid could return, especially if the wound is not properly cared for after surgery.
Silicone Gel Sheets or Silicone Gel:
Silicone sheets or gels are often recommended for keloid prevention after surgery or injury. They help flatten and soften the scar tissue by hydrating the skin and reducing collagen production.
Pressure Therapy:
Applying constant pressure to the keloid using custom-made pressure garments or bandages can help reduce its size over time. This treatment is most effective when used consistently after surgical excision.
Radiotherapy:
For severe cases of keloids that do not respond to other treatments, low-dose radiotherapy may be used to prevent keloid recurrence after surgery. This is typically considered a last resort due to potential side effects.
Dermal Fillers:
For some individuals, injectable fillers like hyaluronic acid can help reduce the appearance of keloids by adding volume to the skin and smoothing the scar tissue.
Microneedling:
Microneedling can help reduce the appearance of keloids by stimulating collagen remodeling in the skin. It is used to improve the texture and appearance of the scar and may help break down excess collagen that forms the keloid.
Natural Remedies:
While not a substitute for medical treatment, certain natural remedies like aloe vera, vitamin E, and onion extract may help reduce inflammation and promote healing. However, these should only be used as complementary treatments alongside medical therapies.
Avoid Scratching or Picking:
Do not scratch or pick at the keloid, as this can cause further irritation and lead to the formation of a larger keloid.
Protect from Sun Exposure:
Protect the keloid from direct sun exposure, as UV rays can darken the scar tissue and make it more prominent. Use sunscreen to prevent pigmentation changes.
Early Treatment:
Treating a keloid early, as soon as you notice it forming, increases the likelihood of successful treatment. Early intervention can help prevent the keloid from growing large.
Proper Wound Care:
Taking proper care of wounds by keeping them clean and protected from infection can help prevent keloids from forming in the first place.
If you’re dealing with a keloid, Skinfine Clinic offers advanced treatments to reduce its appearance, alleviate discomfort, and help restore your skin’s smooth texture. Our experienced dermatologists will work with you to create a tailored treatment plan designed to effectively manage and minimize the appearance of your keloid. Book a consultation with us today to learn more about your options for keloid treatment and take the first step toward clearer, smoother skin.
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