
Keloids are raised, thickened scars that form when the skin heals after an injury, burn, surgery, or even an acne breakout. Unlike regular scars, keloids extend beyond the wound’s original borders and can continue to grow over time. They are often characterized by their shiny, smooth appearance and may be red or darker than the surrounding skin. While keloids are not harmful, they can be unsightly and sometimes cause discomfort, itching, or pain. For those bothered by their keloid scars, there are several treatment options available to help reduce their size or remove them entirely.
Book OnlineWhat Are Keloids?
A keloid is an overgrowth of collagen during the healing process, leading to an excessive buildup of scar tissue. Unlike normal scars, keloids do not stop growing once the wound has healed, and they can spread beyond the initial injury site. Keloids are more common in individuals with darker skin tones but can affect anyone. Some areas of the body, like the chest, shoulders, earlobes, and back, are particularly prone to keloid formation.
Why Remove a Keloid?
While keloids are not dangerous, they can cause aesthetic concerns, and in some cases, physical discomfort. Individuals may seek keloid removal for reasons such as:
- Cosmetic Appearance: Keloids can be raised and discolored, making them an unwanted feature on the skin, especially in highly visible areas like the face, chest, or ears.
- Pain or Discomfort: Keloids can sometimes cause itching, tenderness, or even pain, particularly if they are located in areas that are frequently moved or rubbed.
- Psychological Impact: The presence of keloids, especially in noticeable locations, can affect self-esteem and confidence. Some individuals may seek removal for emotional and psychological relief.
Keloid Removal Treatment Options:
There are several methods available for keloid removal, and the most suitable option depends on the size, location, and severity of the keloid, as well as the patient’s preferences.
1. Surgical Excision:
Surgical excision involves cutting out the keloid under local anesthesia. While this method can be effective in removing the scar, there is a risk that the keloid may return, sometimes even larger than before. To minimize this risk, the surgeon may recommend combining excision with other treatments, such as steroid injections or radiation therapy, after the procedure.
2. Steroid Injections:
Steroid injections, often used in combination with other treatments, can help shrink the keloid and reduce inflammation. These injections are usually given at regular intervals and can help soften the keloid and reduce its size over time. This method may not completely remove the keloid but can significantly improve its appearance and make it less noticeable.
3. Laser Treatment:
Laser therapy uses focused light to target the keloid tissue, helping to flatten and soften the scar. This treatment can also reduce discoloration and improve the texture of the skin. Laser treatments are often combined with other methods, such as steroid injections or surgical excision, to provide more comprehensive results.
4. Cryotherapy (Freezing Therapy):
Cryotherapy involves freezing the keloid tissue with liquid nitrogen, which helps reduce the size and flatten the scar. This method can be particularly effective for smaller keloids. However, it may require several treatments to achieve the desired results, and there is a possibility of pigmentation changes in the treated area.
5. Silicone Gel Sheets or Silicone Creams:
Silicone gel sheets or creams are non-invasive options that help reduce the appearance of keloids over time. These treatments are typically used in combination with other therapies, and while they may not remove the keloid entirely, they can help flatten and soften it, leading to a less prominent scar.
6. Radiation Therapy:
In some cases, radiation therapy is used to treat keloids, especially when other methods have been unsuccessful. This treatment involves exposing the keloid to low doses of radiation, which can help prevent the keloid from growing back after excision. Radiation is usually considered a last resort due to the potential risks, including skin damage.
What to Expect During Keloid Removal:
- Consultation: During your consultation, your dermatologist will evaluate your keloid, discuss your goals for treatment, and recommend the best course of action based on your specific condition.
- Procedure: Depending on the treatment option chosen, the procedure may take anywhere from a few minutes to an hour. For surgical excision, the area will be numbed with a local anesthetic, and you may need stitches afterward. Other treatments, such as injections or laser therapy, are generally quick and require minimal downtime.
- Aftercare: After keloid removal, you may need to follow specific aftercare instructions to ensure proper healing and reduce the risk of the keloid returning. This may include keeping the area clean, avoiding sun exposure, and applying prescribed topical treatments. The healing process can take several weeks to months, depending on the treatment.
Potential Risks and Considerations:
While keloid removal is generally safe, there are some risks to consider:
- Recurrence: Keloids may return after removal, especially if not treated with additional therapies such as steroid injections or radiation therapy.
- Scarring: Although keloid removal aims to improve the appearance of scars, there is a chance of developing new scars or worsened scarring after the procedure.
- Side Effects: Some treatments, such as steroid injections, laser therapy, or cryotherapy, may cause temporary side effects like redness, swelling, or skin pigmentation changes.
Is Keloid Removal Right for You?
If you have a keloid that is causing discomfort or you’re concerned about its appearance, it may be worth exploring treatment options. A consultation with a dermatologist can help determine the best course of action to reduce or remove the keloid and prevent it from returning.
Get Expert Keloid Removal Treatment:
At Advanced Dermatology Care, our experienced dermatologists specialize in treating keloids with a range of proven techniques. We’re here to help you restore your skin’s appearance and provide relief from keloid scars.
Disclaimer: Results may vary from person to person.
For more information or to schedule a consultation at our Los Alamitos or Agoura Hills office, please contact us today.