
Surgery alone is generally not the treatment of choice with the majority of keloid scars. Combining surgery with corticosteroid injections and/or external pressure can help reduce the recurrence rate. Surgery – surgical excision of a keloid scar is commonly ineffective as the recurrence rate is very high. 5-FU is also used as a chemotherapy agent normally. This treatment stops fibroblasts from making new scar tissue.
Keylord scarring series#
A series of injections is usually required to gain the maximal effect – usually at 2 – 3 week intervals.ĥ-Flurouracil injections (5-FU) – can also be used alone or in combination with corticosteroid injections into keloid scars. Although, they do not make keloids disappear, they can help to flatten and provide symptomatic relief. This can be combined with corticosteroid injections into the scar.Ĭorticosteroids – Corticosteroid creams and injections (including triamcinolone acetonide) are a common treatment modality for keloid scarring. Clinical studies have shown flattening within a few sessions. Other traditional methods of scar treatment are listed as follows Ĭryotherapy – this involves the application of liquid nitrogen (commonly known as dry ice) to the keloid scar. This combination of fractional CO2 and cortisone is effective for keloid, hypertrophic and burn scars. Furthermore, fractional CO2 lasers re-organise the collagen fibres in scars to help smooth and flatten particular types of scars. This allows cortisone to penetrate evenly into the skin.
Keylord scarring skin#
Instead of direct injection of cortisone, fractional CO2 laser is used to create channels in the skin followed by topical cortisone application. Cortisone acts by stopping excess collagen production that causes scar tissue formation. Cortisone is often injected into scars, however, this can cause skin or fat atrophy which leads to indentations or divots in the area injected. One of the key methods we utilise for treating keloid and hypertrophic scars is our fractional co2 laser combined with topical cortisone. How can I treat hypertrophic and keloid scarring? May have delayed development after injury Table: Differences between keloid and hypertrophic scarring Keloid scars tend to extend from the boundary of the original wound and do not regress, whereas hypertrophic scars tend to not extend from the original would and regress over time.įor more general information on scarring, click here.

The difference between keloid and hypertrophic scars is difficult to determine at times. Their appearance is of a raised, often red/purple coloured scar that can have a firm consistency. Common skin injuries that lead to keloid growth are surgery, ear piercing, lacerations, abrasions, tattooing, vaccinations, injections, insect bites, burns, acne, chicken pox, folliculitis/ingrown hairs, and shingles. They are the body’s response to trauma, inflammation, surgery or burns, and sometimes can occur spontaneously. Keloid and hypertrophic scars result from an abnormal wound healing response in particular individuals. In some cases, scar formation can be excessive beyond what is necessary to heal a wound. Scar formation can be a normal part of the tissue healing process.
