Keloids / Hypertrophic Scars
After skin injury sometimes the wound heals with production of excess repair tissue that is collagen, which then gets deposited in these scars.
The excess collagen is deposited within the borders of the original injury.
They extend in a claw-like fashion beyond border of original injury, Itching and pain can be present common sites are chest, earlobes, shoulders, upper back.
- Creams: Topical agents containing silicon can be useful.
- Intra Lesional Injections: Long acting steroids are injected directly into the scar. A series of injections is usually required to gain the maximal effect- generally given at 2-3 weeks intervals.
- Flurouracil injections they can be combined with steroid injections.
- Laser treatment.