Q:What is a keloid? A:A keloid is a persistent, infiltrative growth of keloid scars after specific skin trauma, above the skin surface and beyond the original damage, with a hard and tough texture, often accompanied by significant pain and itching discomfort. It seriously affects the quality of life and physical and mental health. Q:What are the principles of treatment for keloid scars? A: Early treatment; timely treatment; comprehensive treatment; dynamic treatment. Q: What are the treatment goals for keloid scars? A: To control the growth of keloid; to reduce the area of keloid; to reduce the pain and itchiness; to improve the quality of life. Q: What are the treatment methods for keloid scars? A: Currently, the main treatments for keloid scars are medication, surgery, radiation therapy, laser therapy, and compression therapy. Q: What are the medications, treatment methods, intervals and courses of medication? A: Glucocorticoids and anti-tumor drugs are the most commonly used drugs for keloid treatment. Local injection of drugs into the scar is simple, convenient and easy to accept. It can make the hyperplastic scar flatten and soften, and the pain and itchiness disappear or reduce. They can be used alone or in combination with other treatments. Q: How does surgery treat keloid scars and I heard that surgery for keloid scars can recur? A: Yes, first of all, surgical treatment is the most effective way to remove keloid scars or reduce the area of keloid scars, with fast results, which can quickly solve the psychological burden of patients and improve the quality of life. Commonly used surgical methods include direct incision and suturing, fractionated excision, and skin soft tissue expander. Surgical treatment of keloids alone is subject to recurrence. To solve the problem of high recurrence rate after surgery alone, it is usually combined with postoperative radiotherapy or medication, which can significantly reduce the recurrence rate to less than 10%. Q: Isn’t radiation therapy used to treat malignant tumors? Will the treatment of keloids cause serious side effects? A: First of all, radiation therapy is the most effective treatment method to prevent the recurrence of postoperative scar. Different from radiation therapy for malignant tumors, radiation therapy for keloid is mostly superficial X-ray or electron ray treatment, with superficial effect, short course of treatment and low total dose. It can effectively avoid the side effects associated with radiation therapy for malignant tumors and is safe and effective Q: There are many laser instruments, how should I choose? A: At present, the main lasers used for scar treatment are pulsed fuel laser, Nd-YAG laser, and CO2 laser. Different types of lasers are selected according to the different periods of keloid, such as pulsed fuel laser and Nd-YAG laser for early keloid, and CO2 laser for hyperplastic obvious keloid, etc. In recent years, with the promotion and application of artificial fractional laser technology, the treatment effect of keloid has been greatly improved and the treatment time shortened. Q: When and how should compression therapy be applied? A: Compression therapy is an effective complementary means to prevent recurrence and control hyperplasia. It is simple and economical, with mild adverse effects, and easy to implement. Emphasis is placed on early use and long-term use. Its particularly suitable for the treatment of ear keloids. Q:There are so many keloid treatment options, how should I choose? A: Yes, there are numerous keloid treatment methods, each with its own indications. As mentioned earlier comprehensive treatment is the principle. The most suitable treatment plan is chosen according to the actual situation of the keloid, such as laser + drugs, surgery + drugs, surgery + drugs + radiotherapy, surgery + radiotherapy, surgery + pressure, etc. By optimizing the combination of various treatment methods, let us work hand in hand with the doctor and patient to achieve the goal of reducing the scar area, alleviating the symptoms and reducing recurrence.