11 doctors weighed in:
I have a keloid on my back. 8 months ago I got shots to make it shrink. It got smaller but is back and painful or itchy. What is the best treatment?
11 doctors weighed in

Dr. Mike Bowman
ENT - Head & Neck Surgery
3 doctors agree
In brief: See your surgeon
Another shot is probably a good option, especially if you responded well to the previous injection.
There are other options though. Best to intervene sooner rather than later. See your surgeon as soon as possible. Good luck!

In brief: See your surgeon
Another shot is probably a good option, especially if you responded well to the previous injection.
There are other options though. Best to intervene sooner rather than later. See your surgeon as soon as possible. Good luck!
Dr. Mike Bowman
Dr. Mike Bowman
Thank
Dr. Terri Hill
Surgery - Plastics
3 doctors agree
In brief: Repeat injections
Intralesion corticosteroid injection, such as triamcinilone, remain the most effective non-surgical treatment for keloids and are also fo benefit to prevent new keloid formation following surgical removal.
Most likely your keloid is back because the injection treatment was stopped once a good response was noted but before the keloid had been fully treated. Additional injections may be needed.

In brief: Repeat injections
Intralesion corticosteroid injection, such as triamcinilone, remain the most effective non-surgical treatment for keloids and are also fo benefit to prevent new keloid formation following surgical removal.
Most likely your keloid is back because the injection treatment was stopped once a good response was noted but before the keloid had been fully treated. Additional injections may be needed.
Dr. Terri Hill
Dr. Terri Hill
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Dr. John Stork
Anesthesiology
3 doctors agree
In brief: That's it.
The shots were probably intralesional corticosteroids, which is probably the best therapy.
In cases of failure, the keloid can be excised, but rates of recurrence are very high. Laser therapy and interferon have also been used, but with mixed results.

In brief: That's it.
The shots were probably intralesional corticosteroids, which is probably the best therapy.
In cases of failure, the keloid can be excised, but rates of recurrence are very high. Laser therapy and interferon have also been used, but with mixed results.
Dr. John Stork
Dr. John Stork
Thank
1 comment
Dr. Darryl Blinski
My protocol is 6 monthly sessions of injections of steroids, than possible excision+ steroid injection+radiation.
Dr. Michael Matthew
Surgery - Plastics
1 doctor agrees
In brief: Another injection
Frequently more than one steroid injection is required.
Surgery and radiation are options but a full discussion is needed with your surgeon.

In brief: Another injection
Frequently more than one steroid injection is required.
Surgery and radiation are options but a full discussion is needed with your surgeon.
Dr. Michael Matthew
Dr. Michael Matthew
Thank
Dr. Todd Sisto
Breast Surgery
1 doctor agrees
In brief: Conservative re-
-excision and low-dose radiation.

In brief: Conservative re-
-excision and low-dose radiation.
Dr. Todd Sisto
Dr. Todd Sisto
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Dr. Steven Harris
Surgery - Plastics
In brief: Limited options
Unfortunately, true keloids are very, very difficult to treat.
Hypertrophic scars respond to injections but keloids rarely do. The difference: keloids are bigger than the original scar and overlap or overhang the surrounding normal skin. Hypertrophic scars are thick, wide and itchy, but never overhang. Excision and radiation together can help a true keloid but even this combination often fails.

In brief: Limited options
Unfortunately, true keloids are very, very difficult to treat.
Hypertrophic scars respond to injections but keloids rarely do. The difference: keloids are bigger than the original scar and overlap or overhang the surrounding normal skin. Hypertrophic scars are thick, wide and itchy, but never overhang. Excision and radiation together can help a true keloid but even this combination often fails.
Dr. Steven Harris
Dr. Steven Harris
Thank
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