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Keloid & Hyperthrophic scar treatment

Keloid & Hyperthrophic scar treatment

The London Keloid Clinic, Harley Street, has a very high success rate of treating keloid & hypertrophic scars. Keloids are elevated fibrous scars that extend beyond the borders of the original wound and do not regress. Hypertrophic scars are similar, but are confined to the wound borders and usually regress over time. Scar hypertrophy usually appears within a month of injury, whereas keloids may take three months or even years to develop

The common causes of keloids are either genetic, because of a wound infection or around the location of a wound. Keloids commonly appear around wounds on the chest, shoulders, jaw lines, mid line of stomach and ears. Some keloids can form after a couple of years after ear piercing. Keloidd can happen in all skin types although commonly in dark skin. Many keloid patients have a family history of keloids.

There are treatment options for ear keloid treatment including topical cream, silicone patches, Steroid injection, surgical removal, pressure earrings, chemotherapy and radiation. There are factors involved in suitable treatment for each individual patient such as the size of keloid, the area where the keloid is located and patient preference etc.

At the London keloid scar clinic, we have highly experienced doctors in keloid treatment who will examine and discuss the suitable treatment for each individual patient.

Choices of keloid & hyperthrophic scar treatment


  1. The LCC signature triple therapy of keloid removal, steroid injections and silicone sheeting.
  2. A course of specific Steroid injections for keloid and hyperthrophic scar
  3. Laser/IPL treatment for keloid and hypertrophic scar.

After a full medical consultation where the doctor will check your medical history and examine your keloids, the treatment options will be discussed and the best treatment option for you. The doctor will explain the procedure, after care as well as possible complications. You will be given opportunities to ask all the questions you have before you proceed with the treatment.

Treatment option 1


The LCC signature combination treatment for Ear Keloid.

We understand that steroid injections alone are not as effective treatment for large keloid nodules. Therefore, keloid removal is highly recommended. The main aim is to get rid of the keloid tissue immediately as most large keloid nodules do not flat down easily with steroid injection alone or may need a number of sessions of steroid injections to flatten them down. This could take many years of monthly injections.

The very high success rate of our signature treatment created by our expert, Dr. Salinda Johnson, stems from her research and experience of treating over many thousands of ear keloid patients. It features a combination of the treatments below.

Step 1. Keloid removal


Pre-treatment instruction:

  • Avoid taking blood thinning medication, food and supplements for two days prior the
    treatment includes alcohol, ibuprofen, Vitamin C, E, St Johns’s wort in order to help prevent risk of bleeding.
  • Ensure eating food normally before the treatment. This will help prevent risk of fainting during the treatment from low blood sugar.
  • Prepare time to spend at the clinic at least 2 hours.

Procedure:

The keloids and around the area will be disinfected with antiseptic solution. Local anaesthetic injection will be administered to numb the area. You may feel slight discomfort during the injection. However, the anaesthetic will immediately numb the area and the numbness will last up to 4 hours. Keloids will be removed by the specific shaving method or excision & stitches that aim to remove all the keloid tissue or as much keloid possible yet preserve the natural shape of your ears. The specific electro-surgical machine that the doctor uses will shave the keloid whilst stopping any bleeding at the same time. Therefore, there will be very minimal bleeding and it should be painless. Please note: the keloid removal will not necessarily cure the keloid.

Steroid injection: Immediately after the removal, the specific steroid for keloid will be injected in a certain part of the wound. The antibiotic ointment will be applied and the wounds will be then covered with plaster.

After the treatment:

  • A specific wound care kit will be provided
  • Antibiotic tablets will be provided to prevent infection
  • A follow up appointment will be arranged four weeks after the treatment
  • Emergency telephone number will be given.
  • A clinic nurse will contact you one or two days after to check how you are and answer any questions you may have

Step 2. Preventative measures for keloid recurrence


Once you come back for a follow up appointment with the doctor at four weeks after your keloid removal, the doctor will examine the wounds and if they’ve healed well, the doctor will start the keloid recurrent prevention.

A course of a minimum 5 steroid injections into the treated area every 2-4 weeks apart. The doctor will advise how often you will need to come back for further injections.

SILICONE SHEETING: Silicone sheets are thought to work by increasing the temperature, hydration, and the oxygen tension of the occluded scar, causing it to soften and flatten. This technique should be avoided on open wounds, but can be applied as soon as the skin heals. To be effective, sheets must be worn over the scar for 12 to 24 hours per day for two to three months. The sheet and the scar should be washed daily with mild soap and water.

Treatment option 2


A course of steroid injections for keloid

A specific steroid has been used for keloid treatment for many years. Triamnicolone Acetonide is the most specific steroid used to stop the growth and flatten keloid, hypertrophic and raised scars.

There are different concentrations of Triamnicolone acetonide range from 10-40 mg/ ml which are suitable to treat different type of raised scars. Our doctor will examine your scars and select the best suitable concentration of Triamnicolone for you.

As the maximum result of an injection will be at one month after, we usually recommend having the injection once a month until the keloids are completely flat. Then patients can observe if the keloid grows back or not. Top up injections may needed if the keloid grows back. The risk of recurring keloids depend on many factors including the severity of the keloid itself.

Procedure:

  1. You will have a detailed medical consultation and examination by our experienced doctor prior to the treatment.
  2. Topical or local anaesthetic may be applied/injected to help reduce discomfort of the injection prior to the steroid injection.
  3. Steroid will be injected into the scar tissue.
  4. The treated areas will be covered with plasters which should be kept on at least one hour.
  5. Review appointment will be scheduled for one month after the treatment.

It is recommended you should have an injection once a month until the keloid is completely flat. Then you can observe if the keloid grows back or not. If it starts to grow back, you may need to have the steroid injection to maintain the flattening effect. Depending on the severity of the keloid, it may not grow back or you may need the maintenance injection every few months or years.

After the treatment

You may experience some discomfort at the treated areas over the next few days. Mild swelling of the scars can be expected the next day. Then the scar will gradually flat down and over the next four weeks you will see the maximum result from the injections.

There are many factors involved in the chance of keloid recurrence including severity, location etc. However, on average 70% of our patients have successfully treated without recurrence of the keloids.

Risks and complications

Common risks and complications are just temporary for steroid injection including local side effect like discolouration, thinning of the skin and depression on the treated area and around the area. It is very rare that it becomes a permanent effect. However, if you have large keloids that need large amounts of steroid injection, it may cause some systemic side effect although it’s rare.

Treatment option 3


Laser/IPL treatment for keloid scar

After the keloid has been flattened by either treatment option, laser or IPL (intense pulse light) can help improve and treat the redness discolouration of the scar.

At the London Keloid Clinic, we have laser therapists who will offer you a patch test prior to the treatment. Lasers specifically for this type of red scar treatment are ND-YAG laser and IPL.

A course of 6 sessions of laser treatment is usually advised. However, the therapist will examine the scars and advise you accordingly during the detailed consultation.

“My team share my passion for the aesthetics industry and only through this passion are we able to provide our patients with a truly outstanding experience.”

Dr Salinda Johnson

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