Keloid Treatment Advice

Learn about keloid scar treatment options. Discover keloid symptoms, what they look like, formation and how to prevent them. Read more at Elastoplast today.

A keloid scar is a raised, thickened scar that forms due to excessive collagen production during the healing process after an injury. They can appear rubbery and shiny, varying in color from pink to dark brown. Keloids can develop from various skin injuries, including cuts, surgical incisions, and acne. While they are generally not a health concern, they can cause discomfort and may be cosmetically undesirable. Keloids can last indefinitely and may grow larger over time. Diagnosis is primarily clinical, based on appearance and medical history, with a biopsy sometimes performed to rule out other conditions.

• Raised, thickened appearance above the skin
• Shiny or rubbery texture
• Color variations (pink, red, dark brown)
• Itching or tenderness in the affected area
• Discomfort or pain, especially if the keloid is large
• Possible expansion beyond the original wound site

Treating keloid scars involves various options, including corticosteroid injections, silicone gel sheets, cryotherapy, laser therapy, and surgical removal. However, keloids can re-develop after treatment, making ongoing management necessary. Consulting a healthcare professional is essential to determine the best treatment plan tailored to the individual's needs.

Corticosteroid cream and topical corticosteroids are used to treat keloids by reducing inflammation and flattening the raised scar. They work by decreasing the inflammatory response, softening the scar tissue and improving the overall appearance of the keloid. Regular application can lead to gradual reduction in size and color, but significant improvement may take several weeks or months. Typically, they are applied directly to the keloid as directed by a healthcare provider, often in combination with other treatments.

Steroid injections, specifically corticosteroid injections, are an effective treatment for keloids. They work by reducing inflammation and collagen production, leading to a flattening of the scar. Injections are typically given every 4 to 6 weeks, with treatment lasting several months, depending on the keloid's response.

Potential side effects include local reactions such as pain and swelling, skin thinning or discoloration, and temporary changes in skin texture. While systemic effects are rare, they can occur with high doses or frequent injections. It's important to discuss these aspects with a healthcare provider before starting treatment.

Silicone scar sheets are a non-invasive treatment for keloids and scars. They work by creating a moist environment that hydrates the skin, regulates collagen production, and acts as a protective barrier against irritants.

To use them, the sheets are applied directly to the scar, typically worn for 12 to 24 hours a day, and can be cut to fit the scar's shape. Treatment usually lasts several weeks to months. Overall, they are an effective and cost-efficient option for improving the appearance of keloids and scars.

We recommend applying Elastoplast Scar Reducer strips as a safe and efficient way to effectively reduce raised and coloured hypertrophic scars or keloid scars using polyurethane.

Pressure bandages or dressings are used in managing keloids, especially after surgeries. They work by applying consistent pressure to the scar area, which helps flatten the keloid and prevent excessive collagen formation. This compression also regulates blood flow, reducing inflammation and promoting controlled healing.

These bandages should be applied directly over the keloid and typically worn continuously for several weeks to months, with regular changes every few days as directed by a healthcare provider. Overall, pressure bandages are an effective treatment option for minimising scar formation and promoting optimal healing.

We recommend using our Elastoplast Hi-Stretch Support and Compression Bandages as a highly elastic compression bandage, which offers good compression for soft tissue injury treatment.

A pressure earring is a specialised device used to prevent keloid formation or manage existing keloids in the earlobe, particularly after ear piercings. It applies consistent pressure to the surrounding tissue and is typically worn for several weeks to months, as advised by a healthcare provider.

The pressure helps flatten tissue and reduce the likelihood of keloid formation, or minimise the size of existing keloids. However, while effective, pressure earrings can be uncomfortable for the wearer due to the constant pressure applied to the earlobe.

Laser treatments are commonly used to manage keloids, particularly for flattening larger scars. They work by targeting keloid tissue with focused light energy, breaking down excess collagen and promoting a more even skin texture.

Patients typically require 3 to 6 sessions, spaced several weeks apart, to achieve optimal results.

Potential side effects include temporary redness, swelling, and discomfort, as well as possible changes in skin pigmentation. Although rare, there is a risk of scarring or worsening of the keloid. Overall, laser treatments can be effective, but it's important to discuss potential side effects and treatment plans with a healthcare provider

Surgical removal of keloids may be recommended for large, painful, or functionally restrictive scars, especially if they do not respond to other treatments. It is often combined with adjunctive therapies like corticosteroid injections, silicone sheets, or laser therapy to enhance outcomes and reduce recurrence risk.

However, keloids have a high recurrence rate, with studies showing that 50% to 80% of cases may recur after surgery, sometimes resulting in a larger keloid scar. Therefore, it's important to discuss a comprehensive treatment plan with a healthcare provider.

Keloid scars are caused by a dysfunction in the wound-healing process, where the body produces an excessive amount of collagen in response to skin injury. This overproduction leads to the formation of raised, thickened scars that extend beyond the original wound site.

Spontaneous Keloids:

• Spontaneous Keloids: In some cases, keloids can develop without any apparent injury or trauma, known as spontaneous keloids. These can occur in areas of the skin that have not been previously injured.

Keloid-Prone Skin:

•  Keloid-Prone Skin: Some individuals have skin that is more prone to keloid formation, often due to genetic factors.

Risk Factors:

• Skin Color: Keloids are more common in individuals with darker skin tones, such as those of African, Hispanic, or Asian descent.
• Genetics: A family history of keloids increases the likelihood of developing them, indicating a genetic predisposition.
• Keloids are more frequently seen in younger individuals, particularly those between the ages of 10 and 30.

Overall, understanding the causes and risk factors associated with keloids can help in their prevention and management.

• Avoid Unnecessary Surgery: Limit surgical procedures to only those that are essential, as surgeries can trigger keloid formation.

• Good Wound Care: Properly clean and care for wounds to promote optimal healing and reduce the risk of scarring.

• Minimise Skin Injuries: Be cautious to avoid cuts, scrapes, and other injuries to the skin, especially in areas prone to keloids.

• Prevent Skin Conditions: Manage skin conditions like acne to reduce the risk of acne scarring, which can lead to keloid formation.

• Use Pressure Dressings: Consider using pressure dressings on healing wounds to help flatten scars and minimize keloid risk.

• Consult a Healthcare Provider: Seek advice from a healthcare professional for any concerns about skin injuries or keloid risk, especially if you have a family history of keloids.

By following these preventive measures, individuals can reduce their risk of developing keloids.