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     Keloids and Hypertrophic Scars

Keloids

Occasionally scars enlarge spontaneously to form firm, smooth, hard growths called keloids. Keloids may be uncomfortable or itchy, and may be much larger than the original wound. They can arise soon after the injury, or develop months' later.

It is not known why keloids appear. While most people never form keloids, others develop them after minor injuries, even insect bites or pimples. Keloids may form on any part of the body, although the upper chest and shoulders are especially prone to them. Dark skinned people form keloids more easily than Caucasians.

Keloid scars are usually just a cosmetic problem. They never become cancerous

Hypertrophic scars

As wounds heal, scar tissue forms, which at first is often red and somewhat prominent. Over several months, a scar usually becomes flat and pale. If there is a lot of tension on a healing wound, the healing area is rather thicker than usual. This is known as a hypertrophic scar.


Treatment of keloids/ Hypertrophic scars

  • Silicone gels: Application of silicone gels on the area help in resolution over a long period of time from 6-12 months.
  • Silicone pressure dressings: These dressings should be worn for 12 to 24 hours per day, for at least 8 to 12 weeks for improvement in lesions.
  • Intralesional injections: Injecting small amount of certain medications in the keloidal tissue help in resolution of symptoms and decrease in size of the lesion.
  • Cryotherapy: This helps in faster resolution of the lesions in terms of thickness.

         
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