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Can Keloids Be Cured with Topical Steroid Ointment or Cream?
if keloids ( About 2x2c) can cure by topical steriod, what kind of steriod can be used?And how to apply? Any complications of long term used? how long will be the time of treatment?
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3 Doctor Answers |
Asked by
Law
in Myanmar
+1
Using cortisone injections and topical creams for raised scars and hypertrophic keloid scars
Raised scars should be approached with a disciplined program that is proven to work. I do not employ cortisone cream in the treatment of keloid scars and hypertrophic scars, as it is not effective compared to intralesional injections.
+1
Topical Steroids Typically Insufficient For Keloid Removal
I totally agree that topical steroids in general are like using a flyswatter to kill an elephant (ok sorry for the mixed metaphor). i typically have planned surgery and radiation to follow in less than 24 hours after the excision. you must time it to have it work. watch the attached video to understand this better.
best,
sml
see video
+1
Treatment of keloids
Smaller keloids can be flattened with a more concentrated kenalog (steroid) injection. Some doctors will add 5-fluorouracil to the mix. In my experience it is better to debulk or complete cut out larger keloids (like your 2x2cm one) and then use modalities to stop the keloid from coming back. These modalities are application of pressure with more kenalog injections as needed or radiation treatments to scar line. Topical steroid mostly that which is impregnated into a tape that is applied...
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