Intralesional steroid injection is a commonly used treatment for scars and keloids. It involves the direct injection of a corticosteroid medication, such as triamcinolone, into the scar or keloid. The steroid helps reduce inflammation and suppresses the body's immune response, which can lead to a reduction in the size and appearance of the scar or keloid.
Intralesional steroid injections are effective in flattening and softening hypertrophic scars and keloids. The treatment works by reducing collagen production and preventing excessive scar tissue formation. The injection can also alleviate symptoms such as itching or tenderness associated with scars and keloids.
Keloids are raised, thickened, and often overgrown scars that form at the site of a previous injury or wound. They are a result of an abnormal healing process, where the body produces excessive collagen during wound healing.
Keloid surgery: Your dermatologist can surgically cut out the keloid. While this may seem like a permanent solution, it’s important to know that nearly 100% of keloids return after this treatment.
To reduce the risk of a keloid returning after surgical removal, most patients have another treatment after surgery. Wearing a pressure garment or getting cryosurgery can help reduce the risk of a keloid returning.
Cryosurgery: If you have darkly pigmented skin, this may not be recommended. Cryosurgery can cause a permanent light spot on brown or black skin. If your dermatologist recommends cryosurgery, a very cold substance will be used to freeze the keloid from the inside out while saving the skin beneath the keloid. This can reduce the hardness and size of a keloid. Cryosurgery works best on small keloids.
Subcision is a minor in-office surgical procedure that’s used to treat acne scars. It involves inserting a small needle into your skin to release the acne scar from the underlying tissue. This allows your skin to rise and to diminish the appearance of the acne scar.
1. Depressed Scars
1. Chicken pox
Subcision isn’t suitable for all types of acne scars. For instance, it might not be helpful in treating raised (hypertrophic) scars and keloid scars.
A medium chemical peel is a cosmetic procedure used to improve the appearance of scars and certain types of keloids. It involves the application of a chemical solution to the skin, which causes controlled damage to the outer layers of the skin, promoting exfoliation and regeneration.
While medium chemical peels can be effective for scars and keloids, it’s important to note that the results may vary depending on the severity and type of scar or keloid. The procedure may not be suitable for all scar types, and certain scars or keloids may require other treatment approaches, such as surgical excision, laser therapy, or intralesional steroid injections.
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