Keloid and Hypertrophic Scar
Keloid and Hypertrophic Scar
Keloid and Hypertrophic Scar
Keloids are overgrown scars left from skin injuries, surgical incisions, lacerations or burns. They can appear anywhere on the body but are most common over the breastbone, on the earlobes & shoulders.
Kleoid is derived from the Greek word cheloides which means crabs claw. They are similar to hypertrophic scars but are mainly seen along the borders and goes with time. Kleoids takes even three months or years to develop they show normal response to dermal injury. Kleoids are mainly seen in dark skinned people, mainly in people of Africa and Asia.
Keloids are seen when scars are formed after skin injury, burn or any other surgical incision. Keloids can be seen on any body parts but the most common areas where they can be seen are earlobes, breastbone and in shoulders.
What are the causes of Kleoids?
When there is a surgical incision, ear piercing, pimples, ingrown hair or any trauma to any area of body inflammation is seen due to which keloids are formed. When body fails to form new tissue known as fibrous protein or collagen during healing Keloids are formed. In some people keloid are genetically seen which, Keloids growth causes scar which is thick and raised. If the Keloids are more in number it can cause itching, stinging or burning sensation. They are mainly of red colour than surrounding skin
Who are at the risk of developing Keloids?
Patients of less than 30 years of age and darker skin are prone to Keloids development. Kleoids are mostly seen in the areas of shoulders, upper arms, earlobes and cheeks. Other causes of Keloids formation are burn, ear piercing which can cause wound healing.
Benefits Of Keloid Removal
- Keloid Removal is a safe, commonly performed procedure.
- Keloid Removal today employs several advanced – improved techniques.
- Keloid Removal results in minimal, visible scarring.
- Keloid Removal surgical & post-surgical techniques today help to minimize Keloid recurrence & improve existing Keloid scars.
- Keloid Removal has enhanced self-esteem & confidence in thousands of people.
Hypertrophic Scars Vs. Keloids
|Remain confined to border of original wound||Extend beyond border of original wound|
|Arise in any location; commonly occur on extensor surfaces of joints||Commonly occur on the sternal skin, shoulders and upper arms, earlobes, and cheeks|
|Regress with time||Grow for years|
|Flatten spontaneously in time||Remain elevated more than 4 mm|
|Appear within one month||Appear at three months or later|
|Less association with skin pigmentation||More common in darker skin types|
Who Is A Good Candidate For Keloid Removal?
Any physically healthy man or woman who suffers with Keloids and desires removal of them could be an ideal candidate for Keloid Removal procedure. You must be mature and realistic in your expectations.
How the treatment of Keloids is done?
There are lot of treatment modalities which are available for the treatment of Keloids. Some of the treatment modalities are:
Corticosteroid injection: Corticosteroid injection are given directly into the tissues at an interval of 1 month to reduce the appearance of Keloids. This injection also reduces the redness, itching and burning of Keloids.
Surgical Keloids removal: Surgically Keloids are removed by scalpel, electric knife or with lasers. This process is used for removing the larger and most extensive scars. There are some treatments which are given after removing Keloids to reduce the recurrence of Keloids after surgically removing it. Some of the treatment include silicone sheet dressing which is directly applied to the skin near incision and compression therapy which reduces the formation of scar. Moreover there are also some drugs such as topical imiquimod, injectable such as bleomycin which helps in dissolving the formation of Keloids.
Laser Keloids removal
Laser treatment are used in removing Keloids in which intraregional steroid injection are given alone or by combining with imiquimod.
Pulsed Dye Laser
Pulsed dye laser is the most effective treatment for Keloids in which short pulsed laser are used and found to be more effective in treating Keloids along with other techniques. In Keloids, pruritus and scars lasers have shown definitely good results and this has been there for six months. Laser directly works on microvasculature and it reduces erythema and purities and also improves the texture of skin.
Treatment of keloids with short-pulsed, 585-nm pulsed dye laser appears to be most effective if used early and in conjunction with other techniques. Laser-treated portions of keloidal median sternotomy scars showed significant improvement in erythema, pruritus, and scar height compared with untreated portions of the same scars, and these improvements persisted for at least six months.The principal effect of a pulsed dye laser is on scar microvasculature, reducing erythema and pruritus and improving skin texture.
Frequently Asked Questions
Why Do People Have Keloids Removed?
Keloids are typically unsightly, can itch, sting or burn and many times inhibit normal function depending upon its location.
Why Do Keloid Form After Injury or Surgery?
This is not completely understood but it is known that Keloids are more common among dark skinned people typically African and Asian. There seems to be a tendency among these ethnic groups for Keloids to form.
What Happens That Causes Keloid Formation?
Keloids form after an injury, being bumped, skin friction or surgery. Keloids form around pimples, tattoos, ingrown hairs and ear piercings. While the body normally knows when to stop producing new tissue following insult people prone to Keloid formation don’t seem to have that same turn off mechanism and tissue keeps growing into Keloid formations.
Which Procedure will be used For My Keloid Removal?
The correct method of removal for you is determined during your personal consultation .Each treatment is individualized to ensure optimum natural looking results.
What Downtime Is Involved In Surgical Keloid Removal?
Patients are typically back to work in 1-2 days with stitches removed in a few days.