Keloids are raised scars that form due to an overgrowth of tissue at the site of a healed skin injury. They can be bothersome, both aesthetically and physically, but there are several non-surgical treatments available to manage and reduce their appearance. In this post, we will explore these options, evaluate their effectiveness, and help you determine the best approach for your specific needs.

Understanding Keloids

Keloids differ from regular scars in that they extend beyond the original injury site and can continue to grow over time. They can be itchy, tender, and sometimes painful. While surgical removal is an option, non-surgical treatments are often preferred for their minimal risk and non-invasive nature. 

Non-Surgical Treatment Options

Steroid Injections

Steroid injections are a common non-surgical treatment for keloids offered at Williams Surgical Arts, known for their ability to reduce inflammation and shrink the scar tissue.

  • How They Work: Steroid injections can reduce inflammation and shrink keloid tissue by breaking down collagen fibers.
  • Effectiveness: They are often effective in reducing the size and discomfort of keloids, especially when combined with other treatments.
  • Frequency: Typically administered over several sessions spaced weeks apart.

Cryotherapy

Cryotherapy is a treatment that uses extreme cold to target keloid tissue.

  • How It Works: This involves freezing the keloid tissue with liquid nitrogen, causing it to die and gradually fall off.
  • Effectiveness: Best for smaller keloids and often used in combination with other treatments like steroid injections.
  • Considerations: May require multiple sessions and can cause temporary skin discoloration.

Laser Therapy

Laser therapy is a precise and effective method for treating keloids.

  • How It Works: Lasers are used to flatten keloids and reduce redness by targeting the blood vessels in the scar tissue.
  • Effectiveness: Can be very effective, especially for newer keloids, but may require several sessions.
  • Suitability: Suitable for all skin types, though results can vary based on the keloid’s size and location.

Pressure Therapy

Pressure therapy involves applying constant pressure to the keloid using specially designed garments or bandages. This method aims to flatten the keloid by reducing blood flow and collagen production in the scar tissue.

  • Effectiveness: Pressure therapy can be particularly effective for new or small keloids. Results vary, but consistent use over several months can lead to significant improvement.
  • Suitability: This treatment is best suited for individuals with keloids in areas where pressure garments can be easily worn, such as the earlobes or chest.

Silicone Gel Sheets

Silicone gel sheets are a widely used option for managing keloids. These flexible sheets are applied over the keloid and worn for several hours daily.

  • How They Work: Silicone sheets hydrate the scar tissue, which helps soften and flatten the keloid. They also create a protective barrier that reduces collagen production.
  • Effectiveness: Numerous studies have shown that silicone gel sheets are effective in reducing the size and thickness of keloids, especially when used on new scars.
  • Suitability: This treatment is suitable for keloids of various sizes and locations. It’s a safe, hypoallergenic option that can be used long-term.

Topical Treatments

Topical treatments include creams and ointments with active ingredients designed to reduce inflammation and improve scar appearance.

  • Common Ingredients: Corticosteroids, retinoids, and onion extract are commonly found in topical treatments for keloids.
  • Effectiveness: These treatments can help reduce redness, itching, and size of keloids. However, they may not completely remove the keloid but can significantly improve its appearance.
  • Suitability: Topical treatments are ideal for individuals seeking a non-invasive, easy-to-apply option for managing their keloids.

Non-surgical treatments for keloids offer promising options for those looking to manage and reduce the appearance of these scars without undergoing surgery. Whether you choose injections, pressure therapy, silicone gel sheets, or topical treatments, each method has its benefits and can be effective with the right approach.

Aftercare for Non-Surgical Keloid Treatments

Proper aftercare is crucial to maximize the effectiveness of non-surgical keloid treatments and to prevent recurrence. Here are some general aftercare tips:

  • Follow Your Doctor’s Instructions: Always adhere to the specific aftercare instructions provided by Dr. Williams.
  • Keep the Area Clean: Gently clean the treated area with mild soap and water to prevent infection.
  • Moisturize: Use recommended creams or ointments to keep the skin hydrated and promote healing.
  • Avoid Sun Exposure: Protect the treated area from the sun as UV rays can darken scars and impede healing.
  • Wear Pressure Garments: If prescribed, consistently wear pressure garments to help flatten the keloid.
  • Avoid Trauma: Be cautious not to bump or injure the treated area to prevent irritation and further scarring.
  • Regular Follow-ups: Schedule and attend follow-up appointments to monitor progress and adjust treatment as necessary.

Non-surgical treatments for keloids offer promising options for those looking to manage and reduce the appearance of these scars without undergoing surgery. Whether you choose steroid injections, pressure therapy, silicone gel sheets, topical treatments, cryotherapy, or laser therapy, each method has its benefits and can be effective with the right approach.

Contact Us

Interested in exploring non-surgical keloid treatments further? Contact Dr. Williams today to schedule a consultation and find the best treatment option for you. Don’t forget to check out our before-and-after photos to see the potential results for yourself.

Taking the first step towards reducing the appearance of your keloid is easier than you think. Reach out to us for personalized advice and to discuss your specific case. Your path to smoother skin starts here!