Will flattening or softening the keloid help you feel better? 5-inch glass cut on back of left upper arm. Use of silicone gel to treat hypertrophic burn scars and fresh incisions has yielded encouraging results. Try counseling or meditation to help improve your response to anxiety or stress about your appearance. STRETCH MARKS: This young man experienced a serious case of stretch marks, resulting from rapid weight gain. Using two or more types of treatment often improves results. If you have keloid-prone skin, you cannot always prevent a keloid. ReJuveness silicone sheeting treatment resolves scar contraction and discoloration. Because the reports lacked essential details like how much radiation each patient received and the safety measures that were taken to protect the patient, dermatologists reached out to oncologists (cancer doctors) for more information. A healthcare provider or therapist can help you manage your perception of scarring, especially in highly noticeable areas. Arturo R. Dominguez, MD, FAAD Updated scar management practical guidelines: Non-invasive and invasive measures.J Plast Reconstr Aesthet Surg. Last summer, I got a terrible dog bite on my face. Keloid Scars. Radiation induced mucoepidermoid carcinoma of the parotid gland following post-operative radiotherapy to the earlobe for keloid prophylaxis. Ear Nose Throat J. Liu S, Liang W, Song K, Wang Y. Keloid skin flap retention and resurfacing in facial keloid treatment. doi:10.1007/978-3-030-44766-3_24. doi:10.7759/cureus.12154. Please enable it to take advantage of the complete set of features! 3-inch incision below the right knee. Textbook on Scar Management. Moist exposed burn ointment contains multiple herbs with betasitosterol, which provides hydration and possible benefits to wound healing.38 Another plant extract product contains Centella asiatica and Bulbine frutescens (Alpha Centella cream), which may increase wound strength if used in the first six to eight weeks.39 All of these commercially available products emphasize preventive use because they are unlikely to reverse well-established keloids. Limited clinical trials have failed to demonstrate lasting improvement of established keloids and hypertrophic scars with onion extract topical gel (e.g., Mederma) or topical vitamin E. Remain confined to border of original wound, Arise in any location; commonly occur on extensor surfaces of joints, Commonly occur on the sternal skin, shoulders and upper arms, earlobes, and cheeks, Preventive silicone sheeting as postsurgery care, Multiple preparations available; tolerated by children, Expensive; should be avoided on open wounds; poor study designs, Postsurgical intralesional corticosteroid injection (triamcinolone acetonide [Kenalog] 10 to 40 mg per mL at six-week intervals), May cause hypopigmentation, skin atrophy, telangiectasia, Postsurgical topical imiquimod 5% cream (Aldara), Postsurgical fluorouracil, triamcinolone acetonide, and pulsed dye laser (best outcomes), May cause hyperpigmentation, wound ulceration, Intralesional corticosteroid injection (triamcinolone acetonide 10 to 40 mg per mL at six-week intervals), Inexpensive; available in family physician's office, May cause discomfort, skin atrophy, telangiectasia, Pressure dressing (24 to 30 mm Hg) worn for six to 12 months, Immediate postsurgical treatment needed to prevent regrowth, Combined cryotherapy and intralesional corticosteroid injection, Triple keloid therapy (surgery, corticosteroids, and silicone sheeting), Specialist referral needed; expensive; variable results depending on trial (controversial), Verapamil 2.5 mg per mL intralesional injection combined with perilesional excision and silicone sheeting, Fluorouracil 50 mg per mL intralesional injection two to three times per week, May cause pulmonary fibrosis, cutaneous reactions, Postsurgical interferon alfa-2b 1.5 million IU intralesional injection twice daily for four days, May cause pruritus, altered pigmentation, pain, May cause cancer, hyperpigmentation, paresthesias, Onion extract topical gels (e.g., Mederma), Limited effect alone, better in combination with silicone sheeting.
