Keloids can tend to appear to grow over time without even piercing the skin, almost acting out a slow tumorous growth; the reason for this tendency is unknown. Cryotherapy refers to the application of extreme cold to treat keloids. This treatment method is easy to perform, effective and safe and has the least chance of recurrence.
Van den Kerckhove et al. compared the effects of 10 and 15 mmHg pressure garments. They observed that 15 mmHg of pressure tends to accelerate scar maturation. Some authors have recommended the use of pressures between 20 and 40 mmHg, based on the theoretical 25 mmHg arterial capillary pressure level. Although no standard pressure values have been established, some common practices are accepted. The edge of the keloid was marked with gentian violet; then, 0.5% lidocaine was infiltrated to provide local anesthesia in the skin around the keloid.
Following your dermatologist’s instructions can help you reduce the chance of a keloid returning. It will also help you get the best results from treatment.
Children under 10 are less likely to develop keloids, even from ear piercing. Keloids may also develop from Pseudofolliculitis barbae; continued shaving when one has razor bumps will cause irritation to the bumps, infection, and over time keloids will form. Persons with razor bumps are advised to stop shaving in order for the skin to repair itself before undertaking any form of hair removal. The tendency to form keloids is speculated to be hereditary.
Most people, especially sub-saharan Africans and African Americans, have a positive family history of keloid disorder. Development of keloids among twins also lends credibility to existence of a genetic susceptibility to develop keloids. Marneros et al. reported four sets of identical twins with keloids; Ramakrishnan et al. also described a pair of twins who developed keloids at the same time after vaccination. Case series have reported clinically severe forms of keloids in individuals with a positive family history and black African ethnic origin.
You may experience discomfort, tenderness, or possible irritation from your clothing or other forms of friction. They’re most commonly found on the chest, shoulders, earlobes, and cheeks. Even after successful treatment, some keloids return.
Between 90% and 100% of patients who use this treatment as directed after keloid surgery can prevent another keloid. Between 50% and 80% of keloids shrink after being injected. Many of these keloids, however, will regrow within five years. To improve results, dermatologists often add another therapy to the treatment plan. Appropriate pressure levels are required for garment pressure treatment.
Sun exposure or tanning may discolor the scar tissue, making it slightly darker than your surrounding skin. Keep the scar covered when you’re in the sun to prevent discoloration. Find out more about sunscreen and other ways you can protect your skin. Your doctor may also recommend corticosteroid injections after surgery to reduce inflammation and lower the risk of the keloid returning. While keloid scars may be itchy, they’re usually not harmful to your health.
The sutures were removed 14 to 21 days after the operation. Dr. You-Bin Wang is an outstanding Professor in the Department of Plastic Surgery at Peking Union Medical College Hospital. He has invented many new surgical methods in keloid treatment and has published many articles in this field. He is also good at cleft lip surgery, nose reconstructive surgery and breast reconstruction. Laser therapy — This is an alternative to conventional surgery for keloid removal.
A full-thickness incision was made along the mark, and the keloid was removed. After achieving hemostasis, the skin around the incisional border was undermined at the deep layer of the superficial fascia for 3-5 cm, and the incision was closed. A skin graft was used if the wound was too wide to be closed primarily.