How to treat keloids?

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How to treat keloids?

As the American Academy of Dermatology explains, a keloid is a type of scar, which unlike traditional scars, grows much larger than the original wound

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As the American Academy of Dermatology explains, a keloid is a type of scar, which unlike traditional scars, grows much larger than the original wound. It is like a scar tissue that keeps growing in an uncontrollable manner. A keloid warrants treatment by an experienced Dermatologist in Jail Road Lahore. Read on to know more about keloid treatment options:

What are the signs and symptoms of keloids?

Keloids form due to the exaggerated response of the skin in response to injury. If the skin is prone to keloid, even small cuts, punctures and insect bites result in keloids. Keloids often form in the region of previous trauma and extend beyond the boundaries of the injury. In appearance, they are shiny, with rounded and smoothed out elevations, pink or brown in color. Though they are not strictly painful, they can be uncomfortable or itchy especially if they are large in size. If keloids form over joints, they interfere with movement and joint function. In people with keloids over a highly visible area can often be a cosmetic concern.

How are keloids diagnosed and treated?

A healthcare professional can diagnose keloids upon examination. For confirmation, they may remove a piece of tissue for examination under the microscope; this is known as biopsy. Once a keloid is diagnosed, treatment may be started.

In most cases, multiple therapies are started at a time, as combination of medication gives better result than single drug. Commencement of therapy soon after appearance of keloid has better prognosis.

The treatment options are:

Surgical removal:  this is the recommended treatment in case of very large or very old keloids. Even though the recurrence of keloids is high even after surgery, the benefits have to be weighed with the risks. If surgery is combined with other techniques, the recurrence becomes less likely.

Cryosurgery: is the freezing of the keloid with liquid nitrogen. The process is repeated every 20 to 30 days and may result in lightening of the skin. This side effect is the primary reason why this technique is not very useful.

Steroid injection: steroids are anti-inflammatory agents that help with keloids. Following surgery, they are an effective treatment option for preventing keloid formation. If used alone, however, the recurrence rate of keloid is high.

Compression: involves using continuous pressure on the keloid through a tape or bandage that is used for all day and night for a period of half or full year. The purpose of a pressure or compression bandage is to reduce the size of the keloid.

Laser therapy: this is an alternative to surgery for the removal of keloid. There is no evidence, however, to support reduced recurrence of keloid with laser therapy.

Radiation therapy: this technique increases the risk of cancer, and its use is debatable. Whether or not to use radiation for keloid depends on the discretion of the healthcare professional who weighs the pros and the cons of the treatment for the patient. Its best to use this technique post-surgery, during the time of wound healing as this is the time when the scar formation is likely to reduce.

As mentioned before, keloid recurrence can only be reduced if multiple therapies are combined. Choosing which therapy works best is the job of your healthcare provider or Dermatologist in DHA Karachi.

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