{"id":5036,"date":"2020-12-09T16:29:07","date_gmt":"2020-12-09T15:29:07","guid":{"rendered":"https:\/\/dermatim.rs\/minor-surgical-interventions\/keloid-removal\/"},"modified":"2023-11-02T10:13:04","modified_gmt":"2023-11-02T09:13:04","slug":"keloid-removal","status":"publish","type":"hirurgija","link":"https:\/\/dermatim.rs\/en\/minor-surgical-interventions\/keloid-removal\/","title":{"rendered":"Keloid removal"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/dermatim.rs\/en\/dermatology-in-belgrade\/keloids\/\">Keloids<\/a> represent an excessive tissue response to dermal injury. They are diagnosed by a dermatologist. They rarely require pathohistological verification.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"headline-7-989\">Types of keloid treatment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Keloid treatment must be multiple if we want to achieve a good result. <br>Keloid removal treatments are:<br>* Corticosteroid injection<br>* Surgical removal of lesions<br>* Laser treatment<br>* Cryotherapy <br>* Treatment with silicone gel sheets.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"headline-9-989\">Corticosteroid injection<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Injection of depot preparations of corticosteroids or local cytostatics in 50 to 80% of keloids leads to tissue reduction and keloid softening. <br>More than one treatment is needed, and the treatments are carried out at intervals of one month.<br>The therapeutic response is good, but after 5 years relapses can occur, i.e. new tissue overgrowth. <br>There are no criteria to serve as a reference for a doctor to predict keloid behaviour.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"headline-11-989\">Surgical keloid removal<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Surgical excision is used when keloid&#8217;s surface is large comparing to the region where they are located or when the outcome of previous treatments is aesthetically unsatisfactory.<br>After surgical removal of a keloid, it is necessary to treat the scar because the keloid will return completely.<br>In some cases, during the surgery, the wound itself is treated with corticosteroids.<br>Laser treatments should be started immediately after the removal of the surgical sutures.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"headline-13-989\">Laser keloid treatment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Laser treatments enable reduced scar blood flow (Vbeam laser), as well as the transition of scar collagen into regular collagen. Keloids can be treated with <strong><a href=\"https:\/\/dermatim.rs\/en\/laser-treatments\/candela-vbeam-laser\/\">Vbeam laser<\/a> (pulsed dye laser)<\/strong>, <a href=\"https:\/\/dermatim.rs\/en\/laser-treatments\/fractionated-co2-laser\/\">CO2 fractional laser<\/a>, <strong>Q-switch laser<\/strong>.<br>Each of these lasers has a different skin and scar structure as the target, so it is sometimes necessary to combine all of the mentioned procedures. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The end result is collagen remodelling, stopping the keloid growth and eliminating the discomfort that keloids produce.<br>The combination of kenalog injection and lasers in one treatment is the most successful one.<br>Treatments are performed once a month. The number of treatments is individual, and the success rate is high.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"headline-35-989\">Cryotherapy<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Cryotherapy consists of tissue freezing with liquid nitrogen. The surface layer of keloids is removed without disturbing the deeper structures. It is combined with corticosteroids.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"headline-43-989\">Silicone gel sheets<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Silicone gel sheets are preventing the growth of keloids. In a certain percentage, they reduce tissue growth, but this therapy must be combined with another in order to obtain satisfactory results.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Keloids can be removed using corticosteroid injections, surgery, laser, cryotherapy, silicone gel sheets.<\/p>\n","protected":false},"author":14,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","class_list":["post-5036","hirurgija","type-hirurgija","status-publish"],"acf":[],"_links":{"self":[{"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/hirurgija\/5036","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/hirurgija"}],"about":[{"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/types\/hirurgija"}],"author":[{"embeddable":true,"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/comments?post=5036"}],"wp:attachment":[{"href":"https:\/\/dermatim.rs\/en\/wp-json\/wp\/v2\/media?parent=5036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}