Keloids are a type of painful and/or itchy scar tissue that may form over a wound from an injury or surgical procedure. They can also form due to a piercing, acne, chickenpox and even a scratch. Most often, they appear on the chest, back, shoulders and earlobes.
Living with keloids can be difficult and even embarrassing. Keloids and hypertrophic scars can be troublesome not only due to their aesthetic effects, but also due to functional disturbance they may cause.
Hypertrophic scars are wide, thick scars that grow within the borders of the original incision. Keloid scars, on the other hand, grow beyond the confines of the original skin incision or scar. Keloids can grow to become massive, causing emotional harm and functional damage in affected patients.
Comparison of traditional keloid scar treatment vs. the Clear Keloid Treatment.
Hypertrophic scars are treated with steroid injections, coverage with silastic sheets, surgical removal, or a combination of these remedies. In general hypertrophic scars are easier to manage, and have a lower risk or recurrence. Keloids have a greater chance of recurrence. Keloids are managed by steroid injections when they are very small. Larger keloids require surgical removal followed by steroid injections. Surgery alone is usually not the best option as the keloid may grow back and re-form in the scar area, at times recurring larger than the initial growth.
Surgery alone leads to recurrence rates ranging from 45 to 100%. When surgery is combined with intradermal corticosteroids the recurrence rate in the majority of studies falls below 50%. External radiation following excision, often combined with other therapies, has been associated with recurrence rates of less than 10%. Radiation therapy, using various protocols, has been a safe and efficacious modality in reducing recurrence.