What is Keloid?
Keloids are overgrowths of connective tissue on the scarred skin. Normally, when the skin is injured, there will be a healing process, where fibrous tissue or what is often called connective tissue is formed over the wound to repair and protect the wound. It’s just that in some cases, this connective tissue grows excessively, until it is thickened, protruding, widens with a smooth surface, and is palpable to the top. This is what is called a keloid, in other terms keloid is a thickened scar.
These keloids can be much larger in size than the original wound, and in most cases they are often found in the upper chest, shoulders, neck and even face (in the area around the lower jaw). But in fact, this keloid can grow on any part of the body as long as there is a wound that preceded it.
Basically, this keloid is not too dangerous, it’s just that its presence will really interfere with your appearance and cause itching. The presence of this keloid can reduce the aesthetics of the skin, especially if it grows in the facial area and if this happens to women, it will certainly disturb their beautiful appearance.
In some cases, there are some people who have keloids and it is easy to develop keloids on their body due to talent or heredity. In people or patients who suffer from hereditary keloids, usually the parts of the body that are often affected by keloids are the upper body of the chest, upper arms (usually injection marks, smallpox and so on), and the abdomen (cesarean section incisions). Meanwhile, in people who do not suffer from keloids because of heredity, the growth of keloids may not only grow in that part. For this reason, it is better if before we can treat keloid wounds, it is better if we first identify what is the cause of keloid scars.
Causes of Keloid
Actually, until now the factors that cause keloids are still not certain, but it is suspected that these keloid sores occur as a result of inflammation. There are several factors that can trigger keloids to occur, including:
1. Genetics or Race
This keloid is related to the genes HLA-B14, HLA-B21, HLA-BW16, HLA-BW35, HLA-DR5, HLA-DQW3, and blood group A. This keloid is more common in people with dark skin genitic inheritance than people. with genetics of bright colored skin, this is evidenced by the number of case findings regarding keloids which are found in many African people who suffer from keloids in more numbers than white people from the west.
Keloids are common in children and young adults from 10 to 30 years of age. Meanwhile, both men and women have no difference in having keloids.
Usually the BCG vaccination will cause thickened scars which are often referred to as keloids.
4. Type and Location of Trauma
Keloid sores often occur in wounds that have been healing for a long time and in areas with high skin stretch, such as the chest, shoulders, neck and limbs.
As for several other activities that can trigger this keloid, it can be caused by:
- Surgical wound wounds
- Ear piercing
- Scratch Wounds
- Chickenpox wounds
- Acne scars
How to Prevent Keloid?
The best way to prevent keloids is not to experience a single event that causes them to occur. A person who already has keloids should not undergo elective surgery or cosmetic procedures on the skin such as pricks / piercings. When keloids occur, preventive measures are very, very important, because the treatments currently being carried out offer a lot of hope.
How To Get Rid Of Keloids?
Actually, the act of removing keloids doesn’t need to be rushed, it’s just that there are some medical indications that suggest getting immediate treatment if the keloid is irritated to the point of pain, itching and irritation. The indication for treating other keloids is based on the request of a patient with a cosmetic background, especially if the keloid attacks the part of the face which incidentally is the part that is most often shown.
Here are some proven methods for getting rid of keloids.
1. Cortisone Injections (Intralesional Steroids)
This method of injecting cortisone is classified as safe and painless. These injections are usually given to patients once a month until the patient gets maximum results. This keloid injection is safe because the dosage used is very small and has been proven to be effective in helping treat keloids. It’s just that, injections of steroids into the body can make keloids flat, causing a red rash, this occurs as a result of stimulation of the formation of fewer blood vessels. These keloids will appear smaller after routine injections, but even the best results will still leave scars in the form of skin that looks rough when compared to other normal skin.
2. Laser use
Keloid therapy using this laser will be more effective at flattening keloids and reducing the red rash that is caused when undergoing cortisone injections to remove keloids. This therapy is safe and will not be too painful, it’s just that it takes several sessions to achieve maximum results, this is also a factor in the cost of this therapy so expensive.
3. Surgical Operations
This keloid therapy may be classified as a risky procedure, because cutting the keloid can trigger new keloids as a result of the incision when cutting the keloid. Some surgeons have had success by injecting steroids or applying pressure dressings to the wound after cutting the keloid.
4. Use of Silicone
Treatment this way is to use a silicone sheet that is placed on the affected area for several hours a day for several weeks or months. The results obtained also varied, and even some doctors who had applied a similar method with compressive bandages using materials other than silicone succeeded in doing so.
Interferons are proteins produced by the immune system that help fight viruses, bacteria and other threats. In the new study, the action of injecting intreferon into the body has shown promise in reducing the size of the keloid, although it is not certain whether the effect will last long. Research on treatment by taking this method is still ongoing using a variant of this method, namely by including the use of lmiquimod topica (Aldara), which stimulates the body to produce interferon.
Here are some effective methods to get rid of keloids. A beautiful face and well-groomed skin is actually a dream for anyone, therefore maintaining and caring for the health of the body and skin is something that must be maintained.