Treatment of keloids

Written by Liu Gang
Dermatology
Updated on September 04, 2024
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The formation of keloids is somewhat related to an individual's scar constitution. Once keloids have formed, there is a lack of a perfectly effective treatment plan. The most commonly used treatments are topical ointments, which can't completely solve the problem. The most frequent treatment involves local application of steroid medications, which can be chosen based on the size of the keloid to be treated 2-3 times, or even four to five times. After treatment, the keloids will gradually shrink, become softer, and smaller, but they will not completely disappear. If the keloid proliferation is not particularly severe, one can also visit a dermatology department at a formal hospital to use fractional laser treatment. Currently, there are many other drug treatments available, but their ultimate effects are not certain, so it is best to prevent such conditions in individuals prone to keloids, avoiding external injuries or scars.

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What should not be eaten with hypertrophic scars?

Hypertrophic scars, in themselves, result from constitutional issues, meaning they are tied to an individual's physical condition and have certain hereditary elements. This condition significantly affects appearance, and certain dietary items can further irritate hypertrophic scars. Thus, it is recommended to avoid certain stimulating foods such as bamboo shoots, beef, crucian carp, and seafood, as these can impede the healing of hypertrophic scars. Moreover, if symptoms are pronounced, or if irritation is prominent, it is also advisable to avoid spicy foods, alcohol, and smoking. Such irritants can notably aggravate the skin, potentially leading to localized scar sensitivity.

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What are hypertrophic scars like?

Hypertrophic scars are actually directly related to a scar-prone constitution, and generally, when such scars occur, they are divided into several types. The first type is caused by regressive changes, and the outcomes in this situation are generally quite ideal. However, improvement in these cases usually needs to be tailored to the specific circumstances. If the issue with hypertrophic scars is more pronounced, it can be addressed with laser surgery to achieve effective treatment. Of course, it requires specific analysis; not every issue in this regard necessitates intervention, but it should be addressed promptly. Moreover, if a scar-prone constitution persists, it might have some direct impacts. Decisions on improvement can be made based on the specific size of the scar area.

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Can hypertrophic scars be effectively treated?

Hypertrophic scars are related to constitutional issues, generally directly associated with congenital genetic factors. Thus, while it is possible to improve the condition of hypertrophic scars, it is impossible to completely remove them, as altering such constitutional issues entirely is very challenging. When dealing with hypertrophic scars, one can choose various methods to alleviate the condition, such as improving local tissue vitality through massage, which can promote skin regeneration and thus mitigate the effects of hypertrophic scars. Additionally, treatments for hypertrophic scars can include laser surgery or the use of medications that invigorate blood circulation and disperse blood stasis. Importantly, preventing wounds and thus avoiding scar formation is crucial for optimal prevention. (Use medication under the guidance of a doctor, and do not self-medicate).

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Can hypertrophic scars be massaged?

Hypertrophic scars are relatively common in clinical practice. For instance, a patient who has undergone surgery may develop hypertrophic scars at the incision site, or a patient who has suffered a trauma may develop hypertrophic scars at the site of the injury. Once hypertrophic scars have formed, they can be massaged without any issues. Massage does not lead to a worsening of hypertrophic scars, nor does it cause inflammation, carcinogenesis, or other related conditions. However, it is important to remember to massage gently and not use excessive force.

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What should I do if a keloid is itchy?

Keloids can be very itchy when at home. You can use some cryotherapy such as applying ice for treatment. However, if the results are unsatisfactory, it might be necessary to visit a hospital for a comprehensive treatment, including medication. Treatment based on the condition can control these symptoms. The itching occurs because the skin's metabolic system is damaged, causing metabolic products to accumulate in the scar.