Treatments for Keloid Scars: Q&A with a dermatologist|Dr Dray

TL;DR

This video provides an overview of the most common types of keloids and various treatment options available.

Transcript

my hey guys I hope your week is going on so today I'm going to talk as promised all about treatments for keloids this is a follow-up to my prior videos about scar overview and then lasers for scar so if you missed those videos I will list them down below in the description box make sure you check them out but today I'm only going to be talking abou... Read More

Key Insights

• 🅰️ Keloids are a type of abnormal scar tissue that can occur in anyone, but are more common in African Americans and individuals with darker skin types.
• 🏣 There are various types of keloids, including post-incisional keloids, earlobe keloids, spontaneous keloids, and acne keloidalis.
• ❓ Treatment options for keloids include excision, steroid injections, pressure therapy, cryotherapy, laser treatment, and medication.
• ☠️ Excisions alone have a high rate of recurrence, but when combined with other treatments, the chances of recurrence can be lowered.
• 😇 Silicone gel scar sheets can also be used after excision to reduce the chances of keloid formation.
• 👨‍🎨 Cryotherapy and laser treatment can provide improvement in pain, itch, and size of the keloid, but may have side effects such as skin darkening.
• ☠️ Injecting steroids, such as triamcinolone, into the keloid can help flatten it and reduce symptoms, but it does not completely get rid of the keloid and has a 50% recurrence rate.
• 🍗 Other treatments that have been tried include pressure therapy, interferon injections, and 5-fluorouracil injections, but their effectiveness varies.

Questions & Answers

Q: What are keloids and who is more prone to developing them?

Keloids are abnormal scar tissue that can occur in anyone, but are more common in African Americans and individuals with darker skin types.

Q: What are the different types of keloids?

Some common types of keloids include post-incisional keloids, earlobe keloids, spontaneous keloids, and acne keloidalis.

Q: Are keloids treatable?

Yes, keloids can be treated using various methods such as excision, steroid injections, pressure therapy, cryotherapy, laser treatment, and medication.

Q: Do excisions of keloids have a high rate of recurrence?

Excisions alone have a high rate of recurrence, but when combined with other treatments such as steroid injections, the chances of recurrence can be lowered.

Summary & Key Takeaways

• Keloids are abnormal scar tissue that can occur in anyone, but are more common in African Americans.

• Common types of keloids include post-incisional keloids, earlobe keloids, spontaneous keloids, and acne keloidalis.

• Treatment options for keloids include excision, steroid injections, pressure therapy, cryotherapy, laser treatment, and medication.