A keloid is an overgrown scar that projects above the skin surface. Skin heals by the formation of scar tissue, which at first is often red and thickened. The scar usually then flattens and becomes paler with time. Unfortunately, sometimes scars enlarge to form firm, smooth, hard growths called keloids.
A hypertrophic scar has increased scar tissue but is confined to the area of injury. Hypertrophic scars may very slowly improve with time, whilst keloids are frequently permanent.
No one knows why keloids form. While most people never form keloids, others develop them after minor injuries and even insect bites or pimples. Keloids may form on any part of the body, although the upper chest and upper back are especially prone to keloid formation. Dark-skinned persons form keloids more easily than Caucasians.
Treatment of keloids is difficult. Surgical removal of a keloid usually results in a second keloid forming, which may be larger than the initial lesion. The first line treatment is to inject a long-acting cortisone into the keloid itself. After injection with cortisone, the keloid becomes less noticeable and starts to soften and flatten. The injection is usually repeated every four to six weeks until satisfactory improvement is obtained.
Another option is to use silicon sheeting. The silicone is usually worn for at least twelve to fourteen hours a day over the scar. Over a three to six month period this can bring about good flattening of the scar and take away a deal of redness.
Vascular lasers may be used to remove the blood vessel component of scars and thereby flattens them. Treatment is relatively straightforward and works best when the scars are treated during the first six months, when they are more vascular. Smaller, hypertrophic scars will respond best.
Irradiation therapy (x-ray) is another effective way of preventing keloid formation following surgical excision. Surgical removal and irradiation may be recommended for a patient with a single scar, where surgical excision is technically feasible.
Very widespread scars may also be treated with a pressure garment. Such garments are uncomfortable but can be slowly effective.
The price of keloids treatment varies for each person depending on the extent of treatment necessary. Booth Dermatology & Cosmetic Care Center of Indianapolis and Carmel accepts CareCredit® financing options that work with every budget! Please speak to our concierge team for more information.
In the past, keloid removal often involved several surgeries. Unfortunately, the keloids usually grew back at each new incision site. With surgical keloid removal, the non-malignant tumors recurred in up to 90 percent plus of cases. When surgical keloid removal is followed by Superficial Radiation Therapy, recurrence drops dramatically to as low as 10 percent—often zero percent in many cases.
The SRT-100™ delivers a precise, calibrated dose of Superficial Radiation Therapy that only goes skin deep. This low-dose of Superficial Radiation Therapy safely destroys the cells that form keloids—keeping the skin smooth as the incision heals. Performed right in the doctor’s office, each non-invasive treatment is painless. Patients usually undergo a series of treatments depending on the incision site.
The SRT-100™ has been approved by the U.S. Food and Drug Administration to treat keloids caused by surgery or injury. Whether you are a patient or physician, discover why its unrivaled efficacy in keloid removal and treatment has earned it the moniker “The Keloid Cure.”
Dr. Sally A. Booth and her staff will be happy to discuss the details with you. Please feel free to call for a private consultation at one of our offices in Carmel or Indianapolis. Dr. Booth and his staff at Booth Dermatology & Cosmetic Care Center provide personalized care to residents of Indianapolis and Carmel with state-of-the-art technology for optimal health, aesthetics, and patient satisfaction. To receive more information or schedule a consultation, call (317) 848-2427 to speak with our friendly staff.