Keloids are raised, bumpy, firm or rubbery scars that result from an abnormal healing response to skin injury. Unlike other scars, keloids outgrow the original wound boundaries. This means that an injury as small as a pinprick, such as from an insect bite, spot or ear piercing, can become a large keloid scar. No one yet knows the underlying cause of the abnormal healing that leads to keloid scars; it is an area of ongoing research.
There are a number of treatments for keloid scars.These include:
This involves application of silicone gel or sheets, use of steroid tape or sheets, pressure garments and pressure earring. A nurse can guide you in how best you can massage and manage your scar during the healing phase.
Steroid is administered directly into the scar tissue every six to eight weeks. This helps flatten and soften the scar, it helps reduce discomfort such as pain and itchiness. The number of injections needed varies, larger and or older keloid scars require longer period of treatment.
This surgical procedure can be done to reduce the size of larger keloid scars before commencing regular steroid treatment. The scar tissue is removed from within the keloid boundaries, without harming normal surrounding skin to avoid producing further scaring. This can be done as a minor procedure or as a day case. Further steroid treatment is required following this procedure.
This information has been provided by Flordelyn Selim, Scar Management Clinical Nurse Specialist, Royal London Hospital.