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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.

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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BEFORE & AFTER

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Atul Kadam
Atul Kadam
11:25 15 Feb 20
I had a great experience here... Doctors are very... cooperative and explains the problem in detail. It has definitely improved my skin for which I had consulted here. Hope to see the same service going forward in the treatmentread more
Rohini Gilbile
Rohini Gilbile
10:44 15 Feb 20
Good experience
Parag Satav
Parag Satav
07:19 15 Feb 20
Since last two month I enrolled here for skin... treatment (pimple/dark spot).#I feel good improvement in skin. Doctor as well as staff is very good.Specially I would like to mention the staff who did the treatment. I feel its they treat very well. Took their own time, giving suggestions while treatment, asking about the of treatment intensity etc. It was good experience till now. Also I got concession though I paid lump sum amount. Also equipment's for treatment seems to be highly ..Overall is good experience till now.Seems treatment is temporary..after treatment finish you ll back to as we're.. not a permanent. Cost is too muchread more
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akash mulik
12:36 12 Feb 20
Very good experience
Sunil Gangawane
Sunil Gangawane
06:46 12 Feb 20
Good experience
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Devyani choudhari
10:12 10 Feb 20
Recommended! Wel maintained records, systematic... work, great doctors and staff.hav patience and regular followup wil definitely help.read more
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Trupti Chavan
08:34 10 Feb 20
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Shaunak Shete
05:57 06 Feb 20
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Ashish Hirolli
06:28 05 Feb 20
Very friendly and accommodating staff.Doctors and... treatment staff were very experienced and treatments showed results. Their staff also calls and makes sure the the patient is comfortable post treatment and medications are being taken timely. The appointments timing's were flexible for me, As it's open all day.read more
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Sanjay Bajaj
10:04 03 Feb 20
So nice experience to deal with your skin related... problems... Expert opinion, all procedures, polite staff , well co ordination all under one roof...read more
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muskan shaikh
09:07 03 Feb 20
The service was good n I love the way how the... doctor interacted with me .read more
Pallavi Gabhane
Pallavi Gabhane
08:23 01 Feb 20
Friendly behavior of doctors and nice... consultation. Well maintained and nice servicesI am taking treatment here for severe acne and the outcome is really amazing...the procedure is bit time taking but you need to have patience for best results.I will recommend this to everyone who wants to get rid of acne..just follow the instructions givenread more
Raj Manjrekar
Raj Manjrekar
07:04 01 Feb 20
I have been visiting for hair treatment. Doctor... and staff both are very friendly and make sure you are comfortable during as well as post your treatment. Also the appointment timings are very flexible. Recommendedread more
ratnadeep utekar
ratnadeep utekar
15:07 30 Jan 20
It's a really best solution for every skin and... hair disease with experienced doctors and advanced technology. Staff is very nice. The best dermatologist in town.read more
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asmita mane thorat
06:34 25 Jan 20
I have been taking treatment since. Last 1 year.... And I have got tremendous change in my skin. Thanks clearskinread more
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Aishwarya Janbandhu
08:31 24 Jan 20
Service is very good ,staff is also very helpful... and Dr.Deepali ma'am is very nice ,her behaviour towards her patient is so good that you will feel better at the first time only.read more
Narasaiah Muppalla
Narasaiah Muppalla
12:29 23 Jan 20
Good experience
Avinash More
Avinash More
14:22 11 Jan 20
This is my second visit at hair md..before coming... here i faced a lot of depression because of my hairfall..but after meeting Dr. Vikram ..I am feeling confident now ..he is very polite and has good knowledge of his domain ..read more
Sudiksha Jaiswal
Sudiksha Jaiswal
10:39 11 Jan 20
I have been coming to Clear skin for 4 yrs now,... for routine skin cleanups and hair treatments. I have kind of stopped using any beauty treatments at salons. Expert team of Dr's is very thorough with treatment options and execution. Dr. Chavhan has always been my go to Dr for any sort of skin and hair problems. My skin has never felt better. Clear skin is lifestyle for me now. Highly recommend clear skin.read more
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Jaymin Modi
08:11 11 Jan 20
Results were more than satisfactory as off the... second sitting.read more
Raviraj Hase
Raviraj Hase
06:15 04 Jan 20
Had a treatment on Acne and scars. Had a good... treatment. Doctors are nice and very explanatory. Dr. Rose and Dr. Monali are very knowledgeable and give correct treatment.Had a good experience.read more
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Keloid & 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.

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.

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 : +91-7498 906 403

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 : +91-7498 906 403

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.