The treatments to choose from for removal of Keloids are as follows:
Removal with conventional surgery - This unreliable technique requires great care, and keloids that return after being removed may be larger than the original. Keloids return in more than 45% of people when they are removed surgically. Keloids are less likely to return if surgical removal is combined with other treatments.
Dressings - Studies have shown that moist burn wound coverings made of silicone gel sheets reduced the size of keloids over time. It is said that this treatment is safe and painless.
Compression - This involves using a bandage or tape to apply continuous pressure 24 hours a day for a period of six to 12 months. Compression can cause a keloid to become smaller. For keloids that form at the site of an ear piercing, a clip known as a Zimmer splint usually reduces keloid size by at least 50% after one year of compression. Zimmer splints that look like earrings are available.
Steroid injections - Steroid Injections with triamcinolone acetonide or another corticosteroid medicine typically are recurring at intervals of four to six weeks. This treatment has been found to reduce the size of the keloid and the irritation. You should always remember that these type of injections are uncomfortable.
Cryosurgery - This freezing treatment with liquid nitrogen is repeated every 20 to 30 days. It can cause a side effect of lightening the skin color, which limits this treatment's usefulness.
Laser therapy - Laser therapy is an alternative to conventional surgery used to remove keloids. There is no good evidence that keloids are less likely to recur after laser therapy than after regular surgery.
Radiation therapy - Radiation therapy is controversiol. This is because radiation has been found to increase the risk of cancer. Radiation treatments have been found to reduce scar formation when it is used immediately after the initial surgery. That means the radiation therapy should be done during the time a surgical wound is healing. You must remember that you will be at risk of cancer due to the radiation.
Experimental treatments - One experimental treatment that has shown promise is injecting keloid scars with medicines that were developed to treat autoimmune illnesses or cancers. Before having any of the experimental treatments, you should speak with your doctor, weigh the pros and cons and decide if you should have the treatment or not. Remember that the drugs used in the experimental treatments, are various types of interferon and chemotherapy agents 5-fluorouracil and bleomycin. |