Origin and treatment of keloid scars
- A normal, thin scar
- An atrophic or wide and spread scar
- A hypertrophic or thick scar within the boundary of the initial incision
- A keloid scar
The keloid scar
Causes of keloids
Sebaceous glands and keloids
Treatment of keloids
The first thing I tell my patients with keloids is “you have a 50% chance that the treatment will work and a 50% chance that the keloid will come back and be even worse than before.” That is usually enough to scare away all but the most serious patients.
- Excision – cutting it out
- Pressure therapy – helps mold the collagen fibers
- Silicone gel therapy – flattens scar through unknown mechanism
- Injection with steroids – reduces scar’s inflammatory response and scar formation.
- Injection with 5-Flurouracil – reduces the rate of fibroblast cell division and hence scar formation
- Radiation therapy – kills the fibroblasts—and everything else around them
The patient shown here was treated via excision of the keloid, injection of steroids and 5-FU, as well as a silicone cream treatment. So far so good.
For more information on scars, check here: https://abdulsguide.com/tavmd/scar_revisions.html