Keloid Scar Treatment

Recovery

Baseline 
7 months after intralesional steroid injection (Type 5 skin)

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As a general rule keloid scar injections is not covered by OHIP. It is considered a cosmetic condition.

Keloid scars are very dense and injection of steroid into them is known to be uncomfortable. For this reason, we mix the steroid solution with 2% xylocaine anesthetic which helps to reduce the amount of discomfort. The vast majority of patients who undergo the steroid injections are able to tolerate them.

Keloid scars are caused by a genetic predisposition to forming them. There are areas of the body which are more susceptible to forming keloid scars such as the shoulder areas, and the mid chest. Some people who are genetically susceptible to keloid scars can form these cars anywhere on the body. The initial condition which causes the keloid scar is minor injury or trauma or even acne in the area of the skin that is acceptable.

In our practice we usually inject steroid into keloid scars every six to eight weeks. With each treatment the patient generally sees improvement and shrinkage and flattening and improved colouring of the scar. Patients can continue treatments at six-to-eight-week intervals until they are satisfied with the results.

In general patients can expect to see improvement in the colour, texture and thickness of the keloids scar within four to six weeks. Response to treatment varies.

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