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Itching and Painful Keloids - Treatment?
asked 1 year ago by Fayetteville1826 in Fayetteville
Latest answer by Kevin Brenner, MD
Question viewed 628 times
Tags: back, cheeks, chest, cream, itchy, keloid scar, pain, treatment
I have keloids on my back, chest and cheek. They all between 5 and 10years old they are large and raised.And are still continuing to get larger. They are very painful and itch. I have had them excised, injected with kenalog and had radiation therapy.And new scars appear daily. Is there some type of treatment that would stop new keloids from appearing? Is there something that can be rubbed on the existing keloids to help with itching and pain?
3 answers to Itching and Painful Keloids - Treatment?
+1
Refractory keloid treatment
Symptomatic keloids that are refractory to treatment are a very difficult problem. Frequently, multi-modality treatments are required. This usually includes surgical excision, intra-operative steroid injection, immediate post-operative low dose radiation therapy and possible even follow-up steroid injections. Particularly if you have failed therapy in the past, aggressive re-treatment is usually required.
+1
Treatment considerations for recurrent keloids
Typically, following removal of a keloid, effectiveness of treatment may be increased with immediate injection of kenalog followed by potential monthly injections as indicated. These need to be followed very closely due to their moderately high risk of recurrence which may be for at least 18 months.
If radiation treatments are elected, they should start within 24 hrs of the surgical removal.
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Painful keloids: How was your radiation timed?
Many times when radiation is applied, it is not done with the right interval leading to a high chance of failure. The radiation must be started within 24 hours after complete surgical excision. Although the success rate is not 100%, it greatly limits the chance of success if you do not time it right. Again, it must be right after surgical removal. That is the first thing. As far as things you can, silicone gel over it can help but not too much. But I...
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Samuel Lam, MD
Dallas Facial Plastic Surgeon
Dallas Facial Plastic Surgeon