keloid removalWhich Keloid Scar Treatment Works Best?

Keloids are such a frustrating condition because there is little that can be done to prevent them, and even with keloid scar removal, they sometimes return.

There is no permanent cure, however there are techniques for removing  scars using keloid surgery, laser, and keloid removal cream. Which is the best scar treatment for you? Well everyone is different, so there is no universal answer.

Below are some of the common keloid scar removal methods currently used today. Please note that just because they are listed here, it does not necessarily mean they work. This is simply a list of the more well known treatments used today.

Keloid Surgery
The benefit of this approach is that it is probably the only effective way to remove large keloids. The drawback is that the keloid might return. It is unknown the exact odds of the scar returning, but a figure that is often mentioned is a 50% chance. So in other words, it’s like flipping a coin as to whether or not it will come back. That being said, if it does return, you can often undergo the same procedure again. In order to increase your odds of success, many healthcare professionals recommending using surgery in combination with other treatments, such as steroid and injections and silicone sheets, which we will discuss further in a moment.

Laser Treatment for Keloids

This generally is not a recommend method for larger keloids since the laser beam only treats the surface of the scar. However if your scars are thinner, this may be a technique that could help. Discuss you exact situation with a dermatologist to find out.

Keloid Radiation

This is considered an effective method when it is used right after surgical removal – it’s recommend to do so within 7 days.  However it can also be used by itself.  Because the device used emits low radiation, the risk of developing cancer from this method is low.

Cryosurgery for Keloids

What is cryosurgery? It’s basically freezing off the unwanted tissue. This technique is used for a number of skin problems, including wart removal. It’s even used for certain cancers, such as prostate. Although it’s effective for many of these other ailments, it’s generally only used for smaller keloids. The reason for this is because it causes blanching of the skin underneath.

Gels, Creams, and Pastes

There are various scar gels and creams which may help, but they are most effective against newly formed scars, and even then their effectiveness may be limited. One popular gel used is  Contractubex. This is by prescription only. It actually contains three main ingredients. One is an ingredient extracted from onion bulbs. Another is allantoin, which helps with the growth of new tissue by helping to protect and sooth it. The other ingredient is heparin, which is most commonly used intravenously to prevent bloodclots, but in the case of this gel, it is used for its anti-inflammatory and water retention qualities.

There are also over the counter products sold under various brandnames by different manufacturers. Many of them also use onion bulb extract (allium cepa). Another common active ingredient found in many creams and gels is silicone. As an alternative, there are also silicone sheets which can be stuck on or taped on to the problem area. Of course one of the drawbacks of this is that you need to wear a sheet constantly, and it’s often recommend that patients where the silicone sheet for several weeks to several months. However many argue that the sheets are more effective than the cream/gel based versions of silicone. Many over the counter products on that market contain one of or both of these things. It’s important to note that you should never get your hopes up on product claims that promise you the world and fall short on delivering. Remember, there is no cure and no 100% surefire keloid removal method. That being said, it never hurts to research these products and if the price is right, give them a shot.

Steroid Injections For Keloids

These are most effective during the early stages of scar development. So if you have just been injured, talk to a dermatologist about whether or not starting steroid injections would be appropriate. It’s important to note that bigger and/or tougher keloids can be much harder to inject and often involve pain. This is why they use anesthetic before the injection, but after it wears off, the area can still hurt quite a bit.

Is There Such Thing As A Best Keloid Removal Treatment?

Usually a combination of two or more of the above methods is considered to be the most effective. For example, surgical removal along with steroid injections and silicone cream used after the operation. Each person is different, and keloid scars come in all shapes and sizes. So what might work for one person may not work for another.



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