Keloid

Keloids are overgrowths of dense fibrous tissue that develop after a wound has healed. They can arise from acne scars, piercings, injections, or even minor cuts, forming thick, raised, red, or rope-like scars that are often unsightly. The exact cause of keloid formation remains unclear, though it may involve abnormal cellular growth signals. Genetics and individual susceptibility also play a role.

Prevention

Prevention is limited. Once a scar has formed into a keloid, the best approach is to avoid further injury to the area. Minimizing sun exposure is also recommended, whether you are prone to keloids or not.

Treatment Options at Yoskarn Clinic

At Yoskarn Clinic, we offer several effective options to treat keloids, tailored to your scar size, location, and desired results:

1. Steroid Injections

   • Steroid shots are injected directly into the keloid to flatten the scar.

   • Treatment is typically repeated monthly until the desired effect is achieved.

   • Touch-ups may be necessary if the keloid begins to grow again.

   • Pigmentation changes may occur as a side effect.

2. Laser Treatment

   • Focuses primarily on reducing redness of the keloid.

   • Some patients may also see a reduction in size.

   • Laser therapy is often more effective when combined with other treatments like steroid injections.

3. Surgical Removal

   • Surgical excision is used for larger keloids or when other treatments are insufficient.

   • To minimize recurrence, techniques like serial resection are employed, followed by low-dose radiotherapy for 3 consecutive days.

   • New scars are managed with silicone sheets or pressure dressings to prevent keloid regrowth.

Your treatment plan will be customized based on the size of your keloid, the desired results, and your tolerance for risk. Prof. Somyos Kunachak and our experienced team will guide you through the most effective combination of therapies to improve the appearance of your keloid scar.