(Keloid Scar; Dermal Fibrotic Lesion)
- Upper back
- Back of scalp and neck
- Deep skin wounds, such as those from infections, burns, or surgical scars
- Darkly pigmented skin
- Family history of keloids
- Elevated hormone levels (as with puberty or pregnancy)
|Normal Surgical Scar|
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- Corticosteroid injections—Often given with surgery and repeated every 3-4 weeks for 6 months. Steroids can relieve itching and pain, slow scar formation, and cause some shrinking of the keloid in some people.
- Medication may be injected into the area or applied as a cream after the surgery.
- Silicone gel sheets—A special material creates a watertight seal over the scar for an extended period of time. The silicone creates a moist, ideal environment for the skin to heal while keeping out bacteria and dirt that may worsen scarring.
- Skin hydration (including topical moisturizer) and sunscreen
- Radiation therapy may be delivered after surgery. This therapy is limited as an option because it is toxic to healthy tissue.
- Avoid trauma to the skin.
- Care for cuts or scrapes right away.
- Avoid unnecessary cosmetic surgery.
- Do not tattoo or pierce your ears or other areas of the body.
American Academy of Dermatology http://www.aad.org
American Society of Plastic Surgeons http://www.plasticsurgery.org
Canadian Dermatology Association http://www.dermatology.ca
Health Canada www.hc-sc.gc.ca
Scar revision. American Society of Plastic Surgeons website. Available at: http://www.plasticsurgery.org/Reconstructive-Procedures/Scar-Revision.html. Accessed June 4, 2015.
Conejo-Mir JS, Corbi R, et al. Carbon dioxide laser ablation associated with interferon alfa-2b injections reduces the recurrence of keloids. J Am Acad Dermatol.1998; 39:1039.
Keloid. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 20, 2015. Accessed June 4, 2015.
Malaker K, Vijayraghavan K, et al. Retrospective analysis of treatment of unresectable keloids with primary radiation over 25 years. Clin Oncol. 2004;16:290.
Manca G, Pandolfi P, et al. Treatment of keloids and hypertrophic scars with bleomycin and electroporation. Plast Reconstr Surg. 2013;132(4):621e-630e.
O'Brien L, Jones DJ. Silicone gel sheeting for preventing and treating hypertrophic and keloid scars. Cochrane Database Syst Rev. 2013;9:CD003826.
5/22/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Shaffer JJ, Taylor SC, et al. Keloidal scars: A review with a critical look at therapeutic options. J Am Acad Dermatol. 2002;46:S63-S97.
- Reviewer: Michael Woods, MD
- Review Date: 06/2015 -
- Update Date: 05/22/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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