Keloids after steroid injections

For severe cases, the keloid can surgically excised and given x-ray treatments to the site immediately afterwards, usually the on the same day. This works in about 85% of the most severe cases. Electron beam radiation can be used, which will not go deep enough to affect internal organs. Orthovoltage radiation is more penetrating and slightly more effective. There have not been any reports of this causing any form of cancer in many years of use, but it is very expensive. Silicone pads and creams are sold over the counter for use on keloids. These do benefit hypertrophic scars but will not cure a true keloid. However, they can reduce pain, swelling and itching from a keloid. They usually take 3 months or more to work.

But don’t be discouraged. In elective cosmetic surgery, preoperative planning allows us to place scars in the most inconspicuous positions.  These wounds also tend to heal most favorably due to the ideal conditions under which they are placed.  Best of all, you will know the exact location prior to your surgery.  Remember, scarring is only one consideration when you are thinking about a cosmetic procedure.  Only a detailed consultation with a plastic surgeon can help you make an informed decision regarding the suitability of any procedure.

Hi Dr Tan, I have 2 keloids; one on my ear, another one on my chest.
The keloid on my ear has been there for 4 years. I’ve had surgery twice at TTSH (year 2010 & 2013) and several steroid injections after the surgery. It was fine until recently the bump increased to almost 1cm.
The one on my chest has been there for almost 4 years as well. but i have not had any treatments for that, it’s approx 2cm big. i’ve seen positive treatments on cryotherapy or laser treatments… may i know the price of the treatments? i would also like to visit your clinic for appointment. isit better if i call or walk-in? thanks!

Silicone gel sheets and silicone occlusive dressings have been used with varied success in the treatment of keloids. The sheets can be worn for as long as 24 h/d for up to 1 year, with care to avoid contact dermatitis and skin breakdown. The silicone does not appear to enter the skin; therefore, the antikeloid effects appear to be secondary to both occlusion and hydration. Studies have demonstrated that silicone gel increases the temperature of the scar, possibly increasing collagenase activity. Increased pressure, hydration of the stratum corneum, and direct pressure on the wound also may be modes of action. In some studies, the response rate has been as high as 79%, showing substantial reduction in erythema, scar elevation, and pruritus. [ 9 ] However, complete resolution has not been noted.

Keloids after steroid injections

keloids after steroid injections

Silicone gel sheets and silicone occlusive dressings have been used with varied success in the treatment of keloids. The sheets can be worn for as long as 24 h/d for up to 1 year, with care to avoid contact dermatitis and skin breakdown. The silicone does not appear to enter the skin; therefore, the antikeloid effects appear to be secondary to both occlusion and hydration. Studies have demonstrated that silicone gel increases the temperature of the scar, possibly increasing collagenase activity. Increased pressure, hydration of the stratum corneum, and direct pressure on the wound also may be modes of action. In some studies, the response rate has been as high as 79%, showing substantial reduction in erythema, scar elevation, and pruritus. [ 9 ] However, complete resolution has not been noted.

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