Would kenalog work for keloid belly button scars? (Photos)

Question

I have keloid scars on belly button 5 months post TT I have been told kenalog injections will help the scars appearance to get better is that true ? How long does it take to show improvement and what are the side effects ? If nothing is done will the keloids get worse ?

Raffy Karamanoukian, MD, FACS · Answer

Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment. 
Best, 
Dr. Raffy Karamanoukian
Realself 100 Surgeon

Ira H. Rex III, MD · Answer

I think there is a reasonable chance your scarring may improve. In general, it takes about six weeks before you see significant change.

Ven Erella, MD · Answer

Thank you for your question. Based on the picture you do not have keloid scar. May be widened and pigmented. I recommend you to see your PS for scar management.

Daniel Bortnick, MD · Answer

hi and thanks for your question. You do not have a keloid or even really a hypertrophic scar. There are many causes and potential causes of your appearance. However, it is not a poor outcome. You could treat with lasers, scar massage, silicone strips or even topical steroids like temovate or similar creams even consider steroid impregnated tapes like Cordran. Some of these are expensive. You might have a topical cream compounded that contains Vit K, Vit C, and Retin A, his would help bleach the scar color. I would try to avoid Kenalog injection especially early after surgery as even small doses can thin he dermis and make the scar worse. In some cases it does help but your scar appears to be one that I would proceed cautiously. Make sure you avoid sun exposure for at least a year. Discuss all the options with your plastic surgeon. Finally if you are really unhappy consider a small surgical scar revision under local anesthesia in the office. Good luck!

Paul C. Dillon, MD · Answer

I use Kenalog quite a bit and I find it very effective.  However, you do need to give it time (6 months)

Remus Repta, MD · Answer

Thank you for the question and photos.  I do not believe you have a Keloid scar as much as it is a hyper pigmented scar.  Keloid scars are pretty big and "ropey" and usually grow beyond the boundaries of the incision.  If the area is getting better I would wait.  Lasering the scar to reduce some of the pigment may be advisable.   Kenalog may thin and hypo pigment the area too much.Good luck with your belly button scar.Dr. Remus Repta

Would kenalog work for keloid belly button scars? (Photos)

Answers (6)

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