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Treatment
In very rare cases, some keloids dissolve on their own. However, in those at risk for keloid formation, it is common for a keloid to reappear after it has been removed. The main goals of keloid treatment are to:
- Remove the keloid to allow normal healing
- Stop the discomfort caused by pain, burning, itchiness, or tenderness
- Avoid recurrence
- Minimize scarring
Treatment options may vary. Your doctor may recommend more than one depending on your condition.
Corticosteroid Injections
These are made directly into the skin lesion. They are repeated every 3-4 weeks for six months. Steroids relieve itching and pain. They can slow down collagen formation. This will cause the keloid to shrink. This procedure may be combined with surgery to remove any remaining lesion.
Compression Dressings
This process is used to apply pressure to the keloid. The pressure will flatten it. The dressing is reapplied every 7-10 days. The treatment may continue over a period of 3-12 months.
Surgery
Surgery may be done to remove the keloid. It is often done in combination with corticosteroid injections.
Cryosurgery
This method is used to freeze small, contained lesions. Cryosurgery may be done in combination with corticosteroid injections.
Radiation Therapy
This therapy is highly successful. It is limited due to the toxicities.
Interferon-alfa
These injections may reduce recurrence rates after surgery.
Intralesional Fluorouracil
This drug may be of benefit for keloids.
Imiquimod
This cream has been used to prevent regrowth of keloids after removal.