Dermatology Questions? Ask an Online Dermatologist.
Thank you for your question. My name is***** and I will do my best to provide a useful input.
Would a photograph of the affected area be possible at your convenience?
Thank you for the photograph. Okay so my first choice for a small keloid like this would still be Intralesional Steroid in the form of Triamcinolone. The key to success with this is to inject the full strength of 40 mg/ml once every 3 weeks - usually flattens out the keloid in 3-4 injections. If your doctor has used this strength without success then other modalities can be looked at.
These would include 5-FU injections in the keloid, mixing Hyaluronidase with the steroid and injecting, or Silicone gel sheath. The gel sheath is non-invasive and can work quite well. It needs to be stuck on the keloid area for at least 8-12 hours a day to begin with. Takes 2-3 months to flatten out a keloid. You can even buy it without a prescription.
Other more invasive options are cryotherapy and Fractional Co2 Laser. The former can cause permanent whitening of the skin while the latter needs to be combined with either steroid injections/layering or silicone sheaths for success.
Please feel free to ask if you have any queries. I will be happy to continue further and do everything I can to provide you with the service you seek.
Yes 4 weeks is not a problem. Up to 6 weeks gap is normally okay.
I would suggest the full strength steroid injections as the first option. This can be done by any dermatologist. To make the injections more effective you can also start using the silicone gel sheath as advised.
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That's what I was clarifying - if he has used the dose of steroid I mentioned then one of the other treatment modalities I mentioned must be tried. If he has used a weaker strength of steroid then the full dose must be tried first. Sorry if this is confusing.
The Silicone gel must be used in the form of a sheath, not gel. Yes it is available over the counter. This is an example:
No its not - you need the silicone patch, also called a silicone gel sheath. Silicone gel is different and not very effective for keloids.
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'Silicone gel' and 'Silicone gel sheath' are two different things - I never mentioned 'Silicone gel' as being effective for keloids - please read the first answer again. 'Silicone Gel Sheath' is also called a 'Silicone patch' - This is what you need to get. I sent you a link of the kind of product I am talking about.
Hope that clarifies your doubt. Regards.
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