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Keloid Scars & Hypertrophic Scar

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?

For a person who has a keloidal tendency, one has to be very careful to avoid any skin injuries. If you are having a surgical procedure, it is important to mention to the surgeon your tendency to make keloid as you will need treatments after your operation to prevent the surgical scar from becoming a keloid.

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?

Keloid scars will not go away on their own. They will, however, go through phases of activity and inactivity.

What is the difference between a Keloid and Hypertrophic Scar?

A keloidal scar will extend beyond its original scar into otherwise normal skin, while a hypertrophic scar does not extend into normal skin.

What is the treatment for Keloids?

There are many different levels of Keloid treatments.

  • 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.

To Keloid scar creams work?

The commonest used keloid scar creams generally incorporate silicone gels and have a marginal effect. The use of silicone gels or other scar management creams does not have the same efficacy as intralesional steroid injections.


* All prices quoted apply to surgery done at World Class clinic in Mumbai, India and are subject to variation based on prevalent exchange rates.

While the cost of Intralesional Steroid Injections at the Reforme Medical Clinic, Cardiff, UK, will be determined after your consultation with Dr. Prashant, the charges generally start at £150.

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Disclaimer: The content on this website is purely generated for awareness and educating purposes only. This shall not be considered as a substitute for professional advice or prescription. Every individual and their case is different, so the results mentioned on the website may vary from person to person.

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