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Keloids - Treatment

Alternative Names

Hypertrophic scar; Keloid scar; Scar - hypertrophic

Treatment:

Keloids often do not need treatment. They may be reduced in size by:

  • Corticosteroid injections
  • Freezing (cryotherapy)
  • Laser treatments
  • Radiation
  • Surgical removal

Expectations (prognosis):

Keloids usually are not medically dangerous, but they may affect the appearance. In some cases, they may become smaller, flatter, and less noticeable over a period of several years.

Exposure to the sun during the first year after the keloid forms will cause the keloid to tan darker than the skin around it. This dark color may be permanent.

Removing the keloid may not be permanent. Surgical removal may cause a larger keloid scar.

Complications:

  • Cosmetic changes that affect the appearance
  • Discomfort, tenderness of the keloid
  • Irritation from rubbing on clothing or other forms of friction
  • Limited mobility (if the keloids are extensive)
  • Psychological distress if the keloid is large or disfiguring
  • Return of the keloid

Calling your health care provider:

Call your health care provider if:

  • You develop keloids and want to have them removed or reduced
  • You develop new symptoms
  • Reviewed last on: 10/5/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Juckett G, Hartman-Adams H. Management of keloids and hypertrophic scars. Am Fam Physician. 2009;80(3):253-260

Habif TP. Benign skin tumors. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 20.

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The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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