Aesthe Clinic Samut Songkhram

Keloid Treatment

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Keloids may occur after acne, surgery, piercings, injections, burns, trauma, or other forms of skin injury. They may appear firm, elevated, darker or redder than the surrounding skin and can sometimes be associated with itching, tenderness, tightness, or discomfort.

At Aesthe Clinic Samut Songkhram, treatment begins with medical assessment to determine the type of scar, its location, symptoms, previous treatment history, and the likelihood of recurrence before discussing appropriate management options.

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Keloid Treatment

Understanding Keloids

Keloid or Hypertrophic Scar?

Scar formation is part of the body’s natural healing process. In some individuals, however, the scar-forming response continues beyond what is required for normal wound repair.

This can result in a keloid that gradually extends beyond the borders of the original injury.

Keloids commonly occur on areas such as:

Chest
Shoulders
Upper back
Earlobes
Jawline
Neck
Areas affected by acne or previous procedures

Keloids can vary considerably in size, thickness, colour, symptoms, and growth pattern.

Keloid or Hypertrophic Scar?

Not every raised scar is a keloid.

A hypertrophic scar generally remains within the boundaries of the original injury, while a keloid grows beyond the original wound margins.

Distinguishing between these types of scars is important because treatment planning and the risk of recurrence may differ.

Medical assessment is recommended before treatment.

TREATMENT OPTIONS

Intralesional Medical Treatment

Medication may be administered directly into the scar to help reduce excessive scar activity, thickness, or related symptoms.

Laser or Energy-Based Treatment

Intralesional Medical Treatment

Selected laser or energy-based treatments may be considered for particular aspects of a keloid, such as colour, texture, thickness, or associated symptoms.

Suitability depends on the scar and individual skin characteristics.

Silicone-Based Scar Care

Intralesional Medical Treatment

Silicone-Based Scar Care

Silicone-based products may be used as part of scar management in selected cases, particularly for ongoing scar care.

Pressure Therapy

Surgical Treatment

Silicone-Based Scar Care

Pressure may be considered in certain anatomical areas and is sometimes used as part of a broader keloid-management strategy.

Cryotherapy

Surgical Treatment

Controlled cooling treatment may be considered for selected smaller keloids depending on the scar characteristics and individual suitability.

Surgical Treatment

Surgical removal may occasionally be considered for selected keloids.

However, surgery alone may be associated with recurrence, and additional measures may therefore be considered as part of the treatment plan.

KELOID TREATMENT

Treatment Goals

The goal of treatment may differ between individuals.

Depending on the keloid, treatment may aim to:

Reduce scar thickness
Improve scar texture
Reduce redness or discolouration
Reduce itching or discomfort
Improve the appearance of the scar
Limit further enlargement where possible

Complete disappearance of a keloid cannot be guaranteed.

Treatment response and the possibility of recurrence vary between individuals.

Recovery and Aftercare

Recovery depends on the treatment method used.

Temporary effects may include:

Redness
Swelling
Tenderness
Bruising
Temporary skin sensitivity
Changes in pigmentation

Patients should follow the specific aftercare instructions provided by the clinic.

Follow-up appointments may be recommended to evaluate treatment response and determine whether further treatment should be considered.

Risks and Limitations

Keloids have a tendency to recur, even after apparently successful treatment.

Potential risks vary according to the treatment used and may include:

Temporary pain or tenderness
Skin colour changes
Skin thinning or textural changes
Irritation
Infection
Uneven scar response
Recurrence or further scar growth

Some patients may require several treatment sessions or long-term scar management.

The physician should discuss relevant risks, limitations, and alternatives before treatment.

Frequently Asked Questions

KELOID TREATMENT

Can a keloid be completely removed?

Treatment may reduce the size, thickness, symptoms, or appearance of a keloid, but complete and permanent removal cannot be guaranteed. Keloids can recur after treatment.

How many treatment sessions are needed?

The number of sessions depends on the size, location, duration, treatment method, and individual response.

Will the keloid come back after treatment?

Recurrence is possible. The likelihood varies according to the characteristics of the keloid and the treatment approach used.

Can old keloids still be treated?

Older scars may still be considered for treatment, although response can vary. A physician can assess whether treatment may be appropriate.

Can acne cause keloids?

Yes. In people who are prone to keloid formation, inflammatory acne can sometimes lead to raised scars, particularly on the jawline, chest, shoulders, or back.

Should I remove a keloid surgically?

Surgical treatment may be considered in selected cases, but surgery alone may be associated with recurrence. The advantages and limitations should be discussed with a physician before proceeding.

Is treatment painful?

Discomfort varies according to the treatment used and the location of the scar. The clinic can explain what to expect before treatment.

Can keloids be prevented?

Not all keloids can be prevented. People with a previous history of keloids should inform healthcare professionals before undergoing procedures that may injure the skin.

Individualized Care for Raised and Overgrown Scars

Keloid Treatment

Keloid Treatment

Schedule a Consultation

Ask About Keloid Treatment

Keloid Treatment

Understanding Keloids

Keloid or Hypertrophic Scar?

Keloid or Hypertrophic Scar?

Keloid or Hypertrophic Scar?

Keloid or Hypertrophic Scar?

Keloid or Hypertrophic Scar?

KELOID TREATMENT

TREATMENT OPTIONS

TREATMENT OPTIONS

Intralesional Medical Treatment

Intralesional Medical Treatment

Intralesional Medical Treatment

Laser or Energy-Based Treatment

Intralesional Medical Treatment

Intralesional Medical Treatment

Silicone-Based Scar Care

Intralesional Medical Treatment

Silicone-Based Scar Care

Pressure Therapy

Surgical Treatment

Silicone-Based Scar Care

Cryotherapy

Surgical Treatment

Surgical Treatment

Surgical Treatment

Surgical Treatment

Surgical Treatment

Why More Than One Approach May Be Considered

Combination Treatment

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KELOID TREATMENT

Treatment Goals

Recovery and Aftercare

Risks and Limitations

Frequently Asked Questions

Consultation

Concerned About a Raised Scar?

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