DermTV – How to Treat a Keloid Scar [DermTV.com Epi #279]


[music]
Hello, I’m Dr. Neal Schultz [pause] and welcome to DermTV. At DermTV, I get a lot of questions about
keloid scars and the best news I can give you if you think you have keloid
scars is that most people who think they have them really don’t, they
really have hypertrophic scars, which are much easier to treat. Let me explain.
If you have an injury or even a surgical procedure that creates a cut
that’s repaired in the shape of that line and you get a hypertrophic scar,
the hypertrophic scar is the approximately the size or the footprint of
the original injury, it’s raised but it’s generally the area of the injury.
If you get a keloid in response to that injury it’s not only raised but
it has no relationship to that line so it starts to grow but almost looks like
a cauliflower type of shape, it almost acts like an independent autonomous
tumor that grows. In another episode I discussed the treatment of raised
hypertrophic scars; unfortunately those treatments usually do
not work for the treatment of keloid scars. So just rubbing the keloid scar
with firm pressure doesn’t make it better, using over the counter silicone
gels and sheets doesn’t help; even my lasers don’t help keloid scars.
The best way to treat keloid scars is with injections of concentrated cortisone
right into the scar. They’re repeated at 2 to 3 week intervals,
they cause the scar to become softer when they get softer they absorb more
of the cortisone and the cortisone melts the extra collagen, the fibrous
tissue in the scar and reduces its size. If that doesn’t work then
the only other option is having the keloid scar surgically excised but when
you surgically excise it you create another injury and people prone to
forming keloids, form them in response to all injuries. So, we’re always
concerned that removing the keloid surgically will result in an additional
keloid. To help prevent that, during the surgical procedure, we inject
concentrated cortisone into the surgical site so the cortisone is there
to help prevent a keloid from recurring. And after the skin heals, it’s
monitored carefully by both the patient and the physician so at the earliest
signs of raising up of the skin, as if the keloid were trying to reform,
it’s again injected with cortisone to drive it back down and to control
it and often that will result in a superior cosmetic result. But
keep one thing in mind, if you think you have a keloid scar, at home treatments
are not going to help you, it’s time to see a dermatologist.

Comments 10

  • Put your NO I need it

  • pilees halp me

  • I have this problem in my Chest plz help me

  • please, Am a nigeria i need help.. i had injury and it forms to hypertrophic scar.. pls i reaklly need your help… thes ar my contact info… Email- [email protected] phone- 08163520323

  • i have multiple keloid scars. the real problem for me is this scars is painful. i feels like thousand of needles piercing in that big ugly scars… the scars getting bigger each day. damn hurt!

  • اب (keloid)کے مریضو کے لۓ خوشخبری اب 100٪ گارنٹی کے ساتھ2 مہینے میں ہر قسم کے جلد پر نمايا اندرونی اور بیرونی زخم بزریعے طب نبوی سے علاج کروائے انشاء الله نوٹ =ہر قسم کے اپریشن سے پہلےہم سےضرور مشوره کریں 03405167050 whatsapp

  • Does anyone else have keloids in the shape of penises? Not trying to be funny I have actually been tormented by people making fun of me. I have them on my shoulders and on the backs of my shoulders. Sometimes they hurt and they have grown.

  • Sir, which one use kenakort injection??
    Bcz so many type of kenakort injection of diferent 2 company,
    Plz mention the name of kenakort ….

    N one query also , i had surgery 6 month before n again keloid grow larger than older one, then work on kenakort injection? I have keloid only one in my chest

  • Lemon juice vitamin e oil works like a charm.My scar is flat and almost invisable

  • This has been very helpful.

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