Keloid Scars & Hypertrophic Scar
Earlobe cyst, Ear Lobe Keloid, Keloid disorder, Keloidal Scar
Keloids are a scar complication of any kind of injury, whether accidental, tattoos, or surgical, in a person who has Keloid Disorders.
The normal evolution of a scar generally goes through a red and lumpy stage, followed by a gradual fading of any increased pigmentation and a gradual flattening of the scar. After the scar maturation is complete, the scar blends into the adjoining skin.
However, a person with a Keloid Disorder will develop a lumpy scar that can be red, pigmented, painful, and itchy in the area of injury, and this scar will continue to grow much beyond the margins of the injury or scar.
A hypertrophic scar is a variant of scar healing in which the scar behaves like a keloid, but the extent of the scar is limited to the original injury or scar.
Frequently Asked Questions
How can I prevent Keloids?
Your surgeon might prescribe you silicone gels or silicone sheets, or other pressure devices to reduce the chance of keloid formation.
Do Keloids go away on their own?
What is the difference between a Keloid and Hypertrophic Scar?
What is the treatment for Keloids?
- Intralesional Steroid Injections this is a synthetic glucocorticoid injection injected into the keloid body; it causes a slowing down of the growth, reduction of itching and pain, and a gradual flattening of the keloid. The injection has to be given once a month and repeated till satisfactory flattening has occurred.
- Intralesional 5FU is an anti-cancer drug that is often combined with steroid injections if the steroid injections are not working on their own.
- Intralesional Excision and subsequent steroid injections, in this treatment, the bulk of the keloid is surgically removed from within its margins, and the wound stitched up. Once the stitches are well healed, intralesional steroid injections are used to prevent the keloid from recurring.
- Intralesional Excision and Radiotherapy, this modality is rarely used for extremely resistant and bothersome keloids. After the scar of surgical removal of the keloid has healed, radiotherapy is administered to block the keloidal tendency.
- Intralesional Excision and Skin Graft this modality consists of removing the bulk of the keloid and covering the raw area with a skin graft. Similar to above, once the healing is complete; the patient has to have intralesional steroid injections.
Do Keloid scar creams work?
An accurate estimate of the costs is only possible after an in-clinic consultation with Dr Prashant. We charge a £75 deposit to secure your consultation with Dr Prashant, this amount will be deducted from the costs of the treatment you go on to have at our clinic. Keloids managed by Kenacort injections are charged at £200/injection, most patients need 2 – 3 injections, done a month or two apart. Earlobe keloids can be removed by Excision and Suture followed by steroid injection the costs of this starts at £699 onwards.