Keloids Options in Medellin

Hypertrophic: Pathological scar, high, tense, pruritic, reddish, and often painful, which does not exceed the limits of the initial wound and presents a tendency to regression, at least partially, at varying intervals.

There are several factors that influence the appearance of hypertrophic and keloid scars. Individuals of black and oriental race are more susceptible.


Frequently individuals with severe alterations present a family history. It occurs more in young people than in adults. The elderly are less affected.

The most affected regions of the body are the shoulders, sternal area, back, face and lobes of the ears. It is common in the same scar to present “normal” and hypertrophic segments or keloids interspersed.







The best treatment to avoid pathological scars is prevention.Although there are prognostic factors to be evaluated, it is very difficult to predict whether performing a surgery may or may not cause hypertrophic and keloid scars.

It is very important the use of sunscreen, hydration of the scars; and in patients with a history of hypertrophic or keloid scars, the use of silicone plates or gels on the scar associated or not with infiltrations with corticosteroids.

There are multiple treatments for scars.

In the case of poorly positioned, irregular, wide scars, a revision surgery is indicated with optimal results.To treat hypertrophic scars and keloids there are multiple therapies, with better results therapies that use a combination of several treatments because they decrease the rates of recurrence.

Among the most common therapies used in the correction of Keloid scarring are:

Conservative treatment:

Compression mesh: With elastic meshes of continuous use, to compress the scars.

Plates and silicone gel: They are used directly on the scar. They can be used alone or concomitantly with the meshes. Its continuous use is recommended.

Compression earrings: Indicated for keloids in the ear lobe.

Intralesional steroids: It is the use of a medicine that infiltrates directly inside the scar causes diminution of its size and improvement in the symptoms like pain and pruritus.

Surgery: Resection of keloids decreases the risk of recurrence.

Radiotherapy: As adjuvant treatment combined with surgery, for keloids that do not improve with other therapies, recurrent or large keloids.

Lipoinjection (lipofilling)

For the treatment of depressions, skin irregularities, scars or depressed scars, revision surgery or the use of filling with body fat through lipoinjection.The fat is extracted with cannulas by liposuction from the excesses accumulated in the abdomen, back, waist and thighs. Then it is properly washed and implanted in the areas through cannula.

Dr. Felipe Muñoz Plastic Surgeon




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