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Treatment of Keloid Scars

Treatment of Keloid Scars – Description

Hypertrophic is a wide scar that is limited to the cut. Keloids are ugly scars that have escaped from the limits of the initial incision. They are usually prone, red, and itchy and are caused by an excessive reaction of the body to the trauma.

The size and depth of the wound, the thickness and color of the skin, the direction of the scar, in relation to the wrinkles of the skin of the body, as well as the localization of the scar, are the most important elements influencing its course of healing.

Keloid Scars – Treatment

  • Injectable Therapies

Injectable steroids are used on the scar area to reduce the formation of collagen fibers. The injections should be made once a month while the number of repetitions depends on the response of the wound to the treatment.

  • Surgical treatment

Several surgical correction techniques have been described. They are intended to reduce the keloid and not to extinct it. Keloids affect both sexes equally, although it has been observed that their occurrence is higher in young women than young men. Keloids are 15 times more common in colored people than in Caucasians.


Keloids as lesions are considered benign and are not contagious, but can sometimes cause severe itching, pain and changes in texture. In severe cases, it can affect the movement of the skin. They occur more often in the shoulder, décolleté, and lobe areas.

Preparation before surgery

  1. Photographs of the area are taken.
  2. Classical preoperative check-up includes blood tests, chest X-ray, and cardiac evaluation.
  3. 12 hours before surgery do not eat anything.
  4. 6 hours before surgery do not drink anything.
  5. On the morning of the operation do not take any medication without the anesthesiologist's approval.
  6. Alcohol should be stopped 1 week before surgery.
  7. In the case of general anesthesia, it is necessary to meet with the anesthesiologist before the surgery.
  8. Report previous anesthetic experiences, either positive or negative and inform him/her of any health problems or medication you are taking.
  9. Do not take aspirin, anti-inflammatory drugs, or herbal supplements 10 days before the surgery, as they increase the possibility of bleeding during and after surgery.
  10. 3 days before the surgery and every day after washing your face or body with medicated soap, depending on the planned surgery.

General Complications after surgery

Complications in plastic surgery operations are not common but it is necessary to be aware of them at the first appointment.

  • Hematoma: A hematoma is the accumulation of blood in the wound.
  • Inflammation: To prevent inflammation, antibiotics are administered during surgery.
  • Poor wound healing: If the incision in the operated site is more prominent than expected, it can be corrected 6 months to a year after surgery with local anesthesia. In some cases, the appearance of keloids is possible where specific treatment is needed.
  • Skin necrosis: It is more likely in heavy smokers.
  • Pulmonary embolism and thrombosis.

This text may give rise to new questions. We are at your disposal for any other information.