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Keloid & Hypertrophic Scar

Keloid scars are firm, smooth and dense growths that form on a healed wound. Keloid scars spread outside the area of the wound. Hypertrophic scars are formed if there is any abnormality during the healing process. Hypertrophic scars form a thick layer of skin over a wound.

Keloid and Hypertrophic scar

Keloid Scars

Clotting begins to minimize blood loss after an injury to the skin. Consequently, the collagen and fibrous tissue form the scar tissue. This helps to repair and protect the wound. However, in some cases, this scar tissue grows excessively and forms a smooth, hard growth called keloid.

Generally, keloid scars grow beyond the original wound. They may be itchy. Moreover, they may worsen in appearance and become painful if left untreated.
Appearance - round, oval, or oblong with regular margins; some may have crab claw-like configurations with irregular borders.

  • Colour - pink to cherry red.
  • Texture - soft and doughy to rubbery and hard.
  • Histopathology - composed of collagen clusters

Hypertrophic Scars

A hypertrophic scar forms if the body overproduces collagen during the healing process. Consequently, the excess collagen may lead to an elevated scar. Usually, a hypertrophic scar does not develop beyond the boundaries of the original wound.

Moreover, the elastic strength of the scar helps to increase the strength of the injured skin by cross-linking collagen fibers.
These scars may thicken initially but they eventually subside. However, they always remain elevated above the wound.

  • Appearance - raised above the wound, does not cross the borders of the wound, radial growth.
  • Colour - pale.
  • Texture - flexible.
  • Histopathology - composed of collagen clusters and fibrous connective tissues.

Do & Don't for Getting Keloid & Hypertrophic Scar

DO: Consult a doctor who specialises in treating patients with ethnic skin.
DO: Keep realistic expectations from the treatment.
DO: Use a broad spectrum sunscreen daily.
DO: Use face washes that have glycolic or salicylic acid.

DON’T: Leave the house without sun protection.
DON’T: Ignore initial stages of any skin condition.
DON’T: Scrub your skin too roughly.

 

Treatment Methods

Keloids:

The treatments act by suppressing the inflammation. Additionally, the treatments aim to inhibit collagen and fibrous scar tissue production.

Generally, keloids follow the lines of injury. However, they do not stay restricted to it and can spread to normal skin as well. They tend to be itchy, tender and painful. Moreover, they are capable of interfering with limb movement. Because of these reasons, keloids are difficult to treat, prone to recur, and never regress spontaneously.

Although they are difficult to treat, there are many treatment options to remove or at least improve the appearance of keloid scars. Steroid injections into the scar are most effective for small keloids. However larger keloids require a combination of surgery and other treatments. Your doctor will determine the course of treatment based on the location of the keloid, its size and depth, and the age of the patient.

  • Corticosteroids:

The most common treatment for keloids is injecting corticosteroid directly into the scar. The tissue doesn’t absorb the drug well enough through the skin to be effective. Hence, injections are more effective than topical applications.

  • Cryotherapy:

This method uses liquid nitrogen to freeze and destroy the keloid scar.

  • Compression therapy:

Pressure dressings can be used over the injury site within a month of the wound. This may prevent keloid formation.

  • Silicone sheeting:

They help in fading out the scar. They also make the skin tone even so that the scar matches the skin color. The patient wears the silicone sheets daily for half an hour fover ten weeks for best results.

  • Immunomodulators:

They are natural or synthetic substances that help regulate the immune system. They reduce collagen production and cause the deactivation of fibrous tissue.

  • Retinoid:

Retinoids can help regulate the production of collagen and other skin cell factors. Hence, they are able to counteract the dysfunctional process in keloid stem cells. One can use them both topically or orally.

  • Calcium channel blockers:

In addition to inhibiting collagen and fibroid tissue production, they also reduce vascularity, pliability, height, and width of the lesions. Furthermore, injections of calcium channel blockers like verapamil given after surgical removal of keloids can also help cure or reduce recurrence rates.

  • Antihistamines:

They are anti-inflammatory and antiproliferative agents. Hence, they inhibit collagen synthesis and deposition. Additionally, they provide relief to the pain and itch associated with keloids.

  • Surgery:

Usually, surgery is reserved as a last resort, since it can itself lead to scar formation. Surgery can be followed by corticosteroid or verapamil injections and silicone sheeting to decrease the chances of recurrence.

 

Hypertrophic Scars:

Hypertrophic scars can easily be treated however keloids are persistent. Various types of hypertrophic scars require various types of treatment.

Factors such as

  • Location
  • Depth
  • Size
  • Age
  • Previous treatment and response

Are the key determinants to deciding the method of treatment.

  1. Topical steroids:

    Topical steroids are used for treatment of many skin issues, mainly eczema, hypertrophic scarring, and contact dermatitis. Topical steroids are mainly in the forms of creams or ointments. Moreover, they are available in different strengths of dosages. These help reduce the scarring.

  2. Compression therapy:

    This is mainly used to break down the collagen. Usually, the procedure applies different pressure for each part of the body.

  3. Silicone gel sheeting:

    Silicone gel sheeting is one of the least fussy methods. Moreover, it is a simple and effective method. Usually, patients need to apply it once a day and keep for 12-23 hours. After the initial application, it will not bother you further and is extremely easy to use.

  4. Intralesional corticosteroid injections:

    The dosage depends on the size of the scar.

  5. Laser therapy:

    This treatment improves skin color and texture.

  6. Over-the-counter treatments:

    These include a combination of hydrocortisone, vitamin E, and silicone, various emollients (creams and oils).

  7. Polyurethane or silicone scar reduction patches:

    Polyurethane patches are basically clear as well as self adhesive. They aid in the healing of the scars. Moreover, they reduce the prominence and the colour of the scar.

  8. Oral or topical tranilast:

    These help inhibit collagen synthesis.

  9. Antiangiogenic factors:

    These include vascular endothelial growth factor (VEGF) inhibitors like bevacizumab.

  10. Phototherapy:

    Photodynamic therapy (PDT), UVA-1 therapy and narrowband UVB therapy.

  11. Surgery:

    Invasive measures can be used to reposition or decrease the width of the scar. Although, new scars form instead of healing the old scar completely, which takes more than a year to heal.

TREATMENT MODALITIES


Keloids are not harmful to general health. However, dermatologists can treat them with surgery, laser treatment or steroid injections. READ MORE

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Important Announcement

Covid-19

Video Consultation Service

Video Consultation Protocol
Hello Sir/Mam,

Clear Skin & HairMD Clinics team is pleased to offer ONLINE VIDEO Consultation facility to to help patients with their skin and hair problems.
Our expert Dermatologists, will discuss your queries related to Skin & Hair Problems & guide you regarding medication and care

Video Consultation  - Day & Time will be scheduled according to the mutual convenience of our Dermatologists & you, our esteemed patient.

Basic Information related to Video Consultation Sessions

  1. Counselling will be done with Prior appointment, which should be taken at least 2 days before the session
  2. Consultation session slot will be finalised post the payment confirmation from our accounts team
  3. Video Consulatation session duration - 15 min
  4. Consultation Fee for each session - Rs 700 (Payment Details are shared below for your reference)
  5. Sessions will be done through Whatsapp video call
  6. Before the session, you will need to share your Images and questions related to your skin/hair ailment on WhatsApp of our with our Patient Support Team at +91-74989 06403
  7. Images of the area should cover all sides. Images should be in good light with focus. For e.g. image of face should cover left and right side chin, forehead and cheeks. This will help us contextualise the discussion.
  8. Medicines will be prescribed as per the latest Medical Council of India guidelines for Telemedicine (March 2020) and sent over email and WhatsApp,
  9. Please understand that teleconsultation has its limitations as compared to in-person consultation. Because it is not possible to do detailed physical examination, the teleconsultation process comes with its limitations. The patient agrees with this limitations of teleconsultation. Also because of the inability for detailed physical examination, some medicines cannot be prescribed in a teleconsultation process, as per Government of India - Medical Council of India - latest Guidelines.Some dermatological diseases may require procedural interventions too along with the medicines. It is required by the patient to visit the clinic for the same. In such cases medicines may not be able to give maximum result.

Please fill the form attached or message us on  +91-77980 22622 so that we can guide you about the payment process .

In case you need any additional details, please feel free to call / mails us.

For any additional Queries connect with our Patient Support Team at +91-77980 22622

Timeline for Keloid & Hypertrophic Scar

Keloid scars form 3-4 months after there is damage or injury to the skin. They stop growing after a while. In fact, proper post-injury care can help prevent keloids. Generally, it is better to avoid tattoos, body piercings or cosmetic surgery, if you belong to the high-risk category.

Hypertrophic scars start forming 6-8 weeks after the injury. Usually, they subside after a period of 12-24 months. However, it is ideal to treat these scars in the initial stages as the scar tissue will be more responsive to the treatments.

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Do & Don't for Getting Aging

DO: Consult your dermatologist before trying any product or treatment
DO: Use broad-spectrum sunscreen to prevent photodamage.
DO: Maintain a healthy skincare routine.
DO: Drink 2-3 litres of water daily.
DO: Eat a healthy & balanced diet

DON’T: Use sulphate and petroleum jelly based skin care products.
DON’T: Use skincare products that don’t suit your skin type.
DON’T: Leave the house without sun protection.
DON’T: Smoke and drink.
DON’T: Overuse anti-ageing products.



We are working on the content. For more information contact
Our patient support team on the number given below.
Kindly co-operate with us.

Call : +91-7798 022 622

Do & Don't for Getting Dark Circles

DO: Use a broad-spectrum sunscreen.
DO: Use hats, scarves, and sunglasses.
DO: Eat citrus fruits.

DON’T: Avoid overexposure to the sun.
DON’T: Don't over-exfoliate.
DON’T: Avoid using home remedies.