Currently, there is no completely effective way to treat keloids or to prevent their formation. Traditionally, surgical removal of the scars was recommended. However, 45% to 100% of people will have a recurrence of the scar if surgery is not combined with other treatment (e.g., radiation, pressure dressings), and the new scar can actually be larger and more prominent than the original scar.
A mainstay for both treatment and prevention is the injection of steroids such as triamcinolone directly into the scar. Steroids help prevent inflammation and promote the breakdown of collagen. This helps to make scars less raised, and to decrease pain and tenderness associated with the scar.
Laser therapy is now used to treat many types of skin problems, including keloids. It is often combined with steroid injections to give the best cosmetic result.
Silicon gel dressings are a popular alternative to steroid injections, although there is only limited evidence suggesting the dressings are effective in preventing abnormal scarring in people who are at high risk of developing keloids. Other treatment options include radiation therapy and medications such as interferon*, 5-fluorouracil, imiquimod, and bleomycin.
If you have a history of forming keloids and are having surgery, discuss with your surgeon any strategies to prevent keloid formation. Also, those with a tendency to form keloids may want to avoid any unnescessary piercings or surgeries.
*All medications have both common (generic) and brand names. The brand name is what a specific manufacturer calls the product (e.g., Tylenol®). The common name is the medical name for the medication (e.g., acetaminophen). A medication may have many brand names, but only one common name. This article lists medications by their common names. For information on a given medication, check our Drug Information database. For more information on brand names, speak with your doctor or pharmacist.
All material copyright MediResource Inc. 1996 – 2017. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/condition/getcondition/Keloids