Injected at the site of the lesion effectively cures keloid scars

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor II Tran Van Trong - Specialist in Pediatric Surgery, Plastic Surgery - Aesthetics - Department of General Surgery - Vinmec Danang International Hospital.
Currently, there are many methods applied to treat keloids, in which, local injection of the lesion has good effect, is widely applied, but the effectiveness and safety depends largely on the skill and experience of the doctor. perform.

1. Keloid scars and treatments

Keloid scars are the result of overgrowth of fibrous tissue after skin injury, causing the lesion to float high on the skin surface, spreading beyond the scar boundary. Keloids never decrease over time, are pink or purple, smooth surface, often itchy, sometimes painful to the touch.
Keloids can occur in any area of ​​the body, but are most common in tight, frequently moving areas such as the chest, back, and shoulder blades, but also in areas with less mobility and less tension. like earlobes.
Currently, the treatment of keloids is still a dilemma of medicine in general and of dermatology in particular because of the low treatment response rate and high recurrence rate. There is no single best treatment for keloids.
Although there are many treatment methods applied, so far there is no method that is perfect and completely treats keloids. Therefore, the prevention of keloids is an important issue.
Prophylactic treatment: avoid plastic surgery in patients with keloid scars, especially in the chest area, reduce tension at the incision, try to bring the incision in line with the skin folds and avoid infection. Intra-lesional corticosteroid injection: Use triamcinolone acetonide injection directly into the skin with keloids.

Cryosurgery: Using liquid nitrogen to destroy fibrous tissue on keloids, shrinking and flattening scars. Surgery: remove keloid scars, this method has limited effectiveness, often used in combination with other methods. Laser: Using a special laser pulse to reduce the size and red color of the scar. Radiation therapy: is rarely used due to cancer complications. Physical methods: Compression bandage, cloth compression bandage, scar... Some new therapeutic methods give positive results but need more research such as: Bevacizumab, Light therapy, Etanercept, Quercetin, Prostaglandin E2, Strong Bleach, Gene Therapy, Mast Cell Inhibitor...

2. Injected at the site of the lesion effectively cures keloid scars

Local injection of keloid scars is a safe and effective treatment method, bringing aesthetic value to customers, and is popular in dermatology.
This treatment method uses the drug Triamcinolone acetonide prescribed concentration injected into the keloid lesion, the injection course is 1 injection every 3 weeks x 4-6 injections depending on the lesion.

Local injection method for treating keloid scars can cause some unwanted side effects, common such as: vasodilation, skin atrophy at the injection site, hair growth, menstrual disorders, acne, loss of pigmentation no recovery...
The safety and effectiveness of this local injection keloid treatment depends largely on the skill and experience of the doctor performing it.
When injecting, care should be taken to inject exactly into the scar, not to inject into the healthy skin tissue area to limit the complications caused by the drug.
Can be used topically to treat keloid scars alone or in combination with other methods for higher efficiency such as cryosurgery, 5FU, surgical excision, compression bandages or silicone paste...

3. Why should you choose to treat keloids with local injections at Vinmec Hai Phong?

Currently, the method of treating keloids with local injection of the lesion is being applied at Vinmec.
The advantages of treating keloids by injection at the site of injury at Vinmec International General Hospital include:
Performed in a sterile, safe environment for patients. Performed by doctors with many years of experience. Modern machinery system, meeting international standards. Local injection of keloid scars treated at Vinmec is indicated for cases of keloids, contraindicated in cases of scarring with ulceration, bleeding, infection, eczema accompanied by:
Cushing's syndrome or fake Cushing. Prolonged menstrual disorders, severe acne. Gastro-duodenal disease is progressive. Infectious diseases such as tuberculosis or fungal infections, immunosuppression. Treatment of keloid scars with local injections is evaluated by Vinmec experts as an effective, simple, safe and low-cost method, but customers need to persevere in following the course to achieve results.
Technical procedure:
Patients coming to Vinmec will be advised to perform local injections to treat keloids as follows:
Step 1: The doctor examines, assesses the damage and gives advice on how to perform the procedure. treatment methods, analysis of advantages and disadvantages, side effects of drugs and implementation process.
Step 2: Apply local anesthetic with Emla cream 1 hour before the procedure or mix the scar injection into the local anesthetic.
Step 3: Perform injection at the lesion.
After performing the injection technique, the patient may have pain, this is a normal manifestation, (if the anesthetic is mixed for injection, the pain will be effectively reduced immediately after injection).
For more advice on effective local injection techniques for treating keloids, you can contact the hotline: or register online

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.