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Keloids

What are Keloids?

Keloid scars are firm, smooth, and hard growths that result from an overproduction of scar tissue following an injury. They may appear shortly after an injury or take months to develop. These scars can occur anywhere on the body, often feeling itchy or uncomfortable. While keloids are harmless and non-cancerous, they can be cosmetically or physically bothersome.

Hypertrophic Scars

Hypertrophic scars arise from excessive healing at an injury site, forming red, raised, and thicker-than-normal tissue. Unlike keloids, hypertrophic scars typically remain within the boundaries of the original wound and may flatten and fade over time.

Treatment Options

Keloids and hypertrophic scars often improve gradually or with treatment, though keloids are more resistant and prone to recurrence.

Non-Surgical Treatments
  • Emollients
  • Polyurethane or silicone scar reduction patches
  • Pressure dressings
  • Intralesional injections
  • Cryotherapy
Surgical Treatments
  • Surgical Excision: Keloids can be surgically removed. However, keloids may return after surgery, necessitating follow-up care such as intralesional injections or pressure therapy.
  • Earlobe Keloid Surgery: Surgical debulking is common for keloids on the earlobes.
Post-Procedure Care
  • Attend follow-up appointments as advised (commonly on days 5 and 15, or as directed).
  • Maintain a clean and dry wound environment.
  • Monitor for infection signs, such as redness, swelling, or discharge.
  • Use prescribed pain relief medications as needed.
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