Understanding Keloids
Keloids are formed by an overproduction of collagen during the healing process, resulting in thick, raised scars that can extend beyond the original wound site. These scars often appear on the chest, back, shoulders, and earlobes and can vary in size and color.
Indications for Treatment
Keloid scar excision may be appropriate for individuals who experience:
- Physical Discomfort: Keloids can be sensitive or painful, especially in areas subject to friction or movement.
- Aesthetic Concerns: Patients may seek treatment to improve their appearance and reduce the prominence of the keloid.
- Functional Limitations: Keloids located in areas where they restrict movement or function may require surgical intervention.
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Consultation Process
Before proceeding with keloid scar excision, a thorough consultation will take place, which includes:
- Medical History Review: Understanding your medical history, including any previous surgeries and current medications.
- Discussion of Goals: Identifying your concerns and expectations for the procedure.
- Physical Examination: Evaluating the keloid’s size, location, and characteristics to create a tailored surgical plan.
Post-Operative Care
Proper aftercare is essential for optimal recovery. Following the procedure, patients are advised to:
- Attend Follow-Up Appointments: Regular check-ups to monitor healing progress.
- Manage Pain: Use prescribed pain relief and apply ice packs to reduce swelling.
- Follow Wound Care Instructions: Keep the surgical site clean and dry to prevent infection.
Avoid:
- Engaging in strenuous activities for one to two weeks post-surgery.
- Direct sun exposure to the surgical site to prevent pigmentation changes.
Expected Outcomes
Following keloid scar excision, patients can expect a significant reduction in the size and visibility of the keloid. While initial swelling and redness are common, these symptoms usually subside within a few weeks. It is important to note that keloids may recur after excision; therefore, additional treatments such as corticosteroid injections or silicone sheets may be recommended to further minimize this risk.