Keloids, also known as keloid scars, are overgrown scars from skin damage. Keloid scars are common on the upper chest, shoulders, head, earlobes, piercing, and neck where they occur. In short, Keloids are scars that grow larger and wider than the original injury.
Keloid scars occur in 15-20% of people with sub-Saharan African, Asian, and Latin American ancestry, as well as in people of Caucasian origin. In the United States, in 15% of cases in people of sub-Saharan African descent and in people of European descent, keloid scars occur. They are more common in people with darker skin, especially people of the Afro-Caribbean race.
Keloids are an increased overgrowth of scar tissue that occurs at the site of skin lesions. Keloids can occur after trauma, surgery, blisters, vaccinations, acne or when the body pierces or injures the skin.
Keloid scars occur when skin cells and connective tissue (fibroblasts) begin to multiply and repair the damage. Scars appear all over the body, face, neck, ears, chest, and shoulders.
The laser can be used to smooth the scar, remove abnormal colors from the scar or flatten it. Most laser therapy treatments for keloid scars are performed in conjunction with other treatments, including steroid injections, the use of special bands and use of bands. Pressure therapy is a type of pressure device worn in the area of the scar.
Prevention of keloid scars Patients with a known predisposition to keloid scars include, where possible, avoiding unnecessary trauma and operations such as ear piercings and elective moles removal.
For example, if a keloid scar is large and located in a visible part of your body, your doctor can help you reduce the size and prominence of keloids. People often seek treatment for kelids because they can negatively affect their self-esteem and appearance. Treatment can also be helpful if the scars cause discomfort or impede movement (e.g. If they cover a joint or a large area).
Pressure therapy uses a device or special piece of clothing that puts pressure on the area to reduce blood flow to the area and inhibit keloid regrowth. Your doctor may decide to use a surgical thread to bind the scar and cut off the blood supply so that the scar falls off over time.
Keloids can form from skin damage such as surgery, incisions, piercings, burns, chicken pox and acne. The thick tissue grows around the wound healing, making the scar larger than the original injury. It is possible to prevent the formation of keloids by taking measures to protect the skin from skin damage.
If you tend to have a keloid, it is best to avoid body piercings, tattoos and operations that you do not need. Surgical removal of keloids poses a high risk of relapse and should be combined with one of several silicone films, printing pads or corticosteroid injections.
Alternative post-surgical options for refractory scars include pulsed dyes, laser radiation and imiquimod creams. Intralesional corticosteroid injections to prevent and treat keloid hypertrophic scars are a practical first-line approach for GPs. Intrasional verapamil, fluorouracil, bleomycin, interferon alfa 2b infusion and topical imiquIMOD 5 (Aldara) are reasonable studies of alternative cortical fosteroids for the treatment and post-operative prevention of keloids.
Intralesional steroid injections are the standard treatment for hypertrophic scars and keloids. However, these injections can cause the keloid to become soft and shallow, with a number of undesirable side effects. They are also painful and unpopular with some patients.
Keloids develop without obvious skin lesions, so most people can identify the cause. Keloids, on the other hand, begin as skin lesions and can extend beyond the wound site.
Internal scar tissue can be caused by surgery, abdominal adhesions or health conditions such as Ashermans syndrome and Peyronie’s disease. Autoimmune diseases such as scleroderma cause skin lesions that resemble scars and inflammation on the skin. Dermabrasion softens and smoothes the skin to improve the appearance of scars.
Topical application of moisturizing oils is effective in treating hypertrophic scars, but not keloid scars. Hypertrophic scars do not grow outside the main area of the original injury but keloid scars continue to grow out of control. Cryotherapy involves freezing the scar tissue to kill the cells that make up the scars.
Fibrosis occurs when the body forms excessive amounts of scar tissue, causing adhesions that lead to persistent pain, inflammation and loss of function in tissues and joints. Other symptoms associated with scar tissue include itching, swelling, tenderness and sensitivity.
When the body produces scar tissue from an injury, a person may or may not feel pain in the scar tissue. Scar tissue pain can last for years after a person has suffered the injury and the person can still feel pain because of inflammation and damage to the skin.
Keloid scars can also occur after surgery by a doctor, for example after an operation to reduce the size of the ear, scars after the removal of the ear or suspicious skin growths. Science has failed to explain why some people develop keloid scars after their skin has been damaged, while others do not.
The most important strategy to consider when treating keloid scarring is prevention. 4-7 surgical procedures with abnormal scarring or familial keloid scarring should be taken seriously. Patients with keeloid scars should not always undergo surgery, and avoid areas of predication.5 Areas of the body which are particularly susceptible to keloid formation such as the Deltoid region of the upper arm, upper back and sternum. With the Keloid Removal Treatment (SRT) 100TM, which has an incredible healing rate of 90%, you can regain your confidence that painful keloid scars are not permanent.
Naeini FF, Najafian J, Ahmadpour K. Bleomycin tattoo is a promising therapeutic method for large keloid and hypertrophic scars. Asilian A, Darougheh A, Shariati F. A new combination of triamcinolone 5-fluorouracil, pulse dye and laser for treatment of keloids and hypertension scars. Successful treatment of earlobe keloids with imiquimod and tangential shaving excision.