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Intra Lesional Steroid Treatment for Keloids

Keloids are raised, thickened scars that result from an overproduction of collagen during the skin’s healing process after an injury, surgery, acne, or even minor skin trauma like piercings. Unlike regular scars, which gradually flatten and fade over time, keloids extend beyond the original injury site, becoming large, firm, and sometimes painful or itchy. These scars are more common in people with darker skin tones and can appear on various parts of the body, including the chest, shoulders, earlobes, and face.

Keloids can sometimes grow over time and, though not harmful, they can be aesthetically unpleasing and uncomfortable. One of the most effective treatments available for managing keloids is intra-lesional steroid injections

Intra-Lesional Steroid Treatment for Keloids

Intra-lesional steroid injections are a non-surgical method of treating keloids by injecting corticosteroids directly into the scar tissue. This helps reduce inflammation, limit collagen production, and shrink the keloid over time, making it flatter and less noticeable. The most commonly used steroid for this procedure is triamcinolone acetonide

How Intra-Lesional Steroid Treatment Works

The corticosteroids work by inhibiting collagen synthesis in the scar tissue, which reduces the size and discomfort of the keloid. Over a series of treatments, the keloid becomes softer, flatter, and less visible. In many cases, the itching and discomfort associated with keloids also diminish after treatment.

Why Dermatologists Recommend This Treatment
  • Target the keloid directly The steroid is injected into the scar itself for maximum effectiveness.
  • Are non-invasive No surgery or extensive recovery is required.
  • Have minimal downtime Patients can typically return to their daily routine immediately after the procedure.
  • Reduce recurrence risk While keloids can return, steroid injections help prevent regrowth in many cases.
Key Benefits of Intra-Lesional Steroid Injections
  • Flattens keloids Makes the raised scar less prominent.
  • Relieves discomfort Reduces itching, tenderness, and pain.
  • Minimal side effects Rarely causes skin thinning or discoloration.
  • Convenient Short procedure with no need for extensive aftercare.
Are You a Suitable Candidate?

This treatment is ideal for anyone experiencing symptomatic keloids (itching, pain) or who desires a flatter, less noticeable scar. It is suitable for keloids caused by surgery, acne, burns, or piercings. However, if you have an active skin infection, you may need to delay treatment until the infection is cleared.

Steps of The Procedure
  • Consultation Consultation

  • Photographic assessment Photographic assessment
  • Preparation & Consent Preparation &
    Consent
  • Actual Procedure Actual Procedure

  • Post Care Instructions Post care
    Instructions
  • Client care call Client care call

  • Follow Up Follow Up

Downtime and Recovery Process

The procedure involves minimal downtime. Some patients might notice slight redness or swelling at the injection site, which usually diminishes within a few hours to a day. Multiple sessions are often needed, spaced about 4-6 weeks apart, depending on the size and severity of the keloid.

Results are typically seen after 2-4 sessions, with continued improvement over time.

Optimal Scenarios for Best Results
  • Post-Surgical Keloids Flattening raised scars after surgeries like C-sections or appendectomies.
  • Keloids from Acne or Piercings Reducing keloids caused by acne or ear piercings.
  • Keloids Causing Discomfort Especially helpful for those suffering from itching, pain, or sensitivity in the keloid area.

FAQs About Intra-Lesional Steroid Treatment for Keloids

How many sessions will I need?

Typically, 2-4 sessions are required, with each session spaced 4-6 weeks apart. More severe or larger keloids may need additional treatments.

Is the procedure painful?

You might feel minor discomfort during the injection, but it is typically well-tolerated. Pain relief cream can be used to reduce pain.

How soon will I see results?

Results are gradual. After the first few sessions, you may notice your keloid becoming softer, flatter, and less itchy.

How soon will I see results?

Results are gradual. After the first few sessions, you may notice your keloid becoming softer, flatter, and less itchy.

Are there any side effects?

Some minor side effects include redness, swelling, or slight skin thinning. However, these are temporary and usually resolve within a few days.

Can keloids come back after steroid injections?

Keloids can sometimes return, but regular follow-up sessions help prevent recurrence.


For more information or to schedule a consultation for keloid treatment, visit Skin World and let our dermatology experts help you achieve smooth, comfortable skin. Book your appointment today!
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