Keloid steroid injection success

Cortisone injection, in my practice, is used for hypertrophic or keloid scarring and reduction in inflammation. These type of scars are indicative of over-stimulation of collagen.  Cortisone is injected to slow collenogenesis and decrease inflammation.  A decline in reddness is also noted if discoloraton has occurred.  The area injected may be swollen for a few minutes.  Following the initial edema and absorption of the fluid, the tissue should not be more swollen than pre-injection.  After a few days, the inflammation for which one is treating, should begin to diminish.  Results are exptected to last weeks, or hopefully forever.

The most important way to prevent keloid scars is to discuss your concerns with your physician. Patients that have a history of keloids or strong family history will have a treatment plan that begins with meticulous surgical dissection. Closure of surgical wounds will be performed in a cosmetic manner.  During the recovery process, a compressive dressing will be applied to reduce overgrowth of collagen fibers of which the scar is comprised. Your doctor will also have you apply scar cream to wound several times daily. The most common scar cream is Mederma which is available over the counter. In some cases a specialty compounded scar cream prescription may be dispensed. 

Anyone who is steroid-dependent can experience a rapid deterioration in their health if they encounter a gastric infection, especially where this involves a fever. Addison's disease or a pituitary condition, CAH and other forms of adrenal insufficiency are all vulnerable to adrenal crisis in these circumstances. If you or a loved one are steroid-dependent and not absorbing or keeping oral medication down, you need injected steroids rapidly. Knowing how and when to give an emergency intramuscular hydrocortisone injection can save the life of someone with Addison's disease or other forms of steroid-dependence.

Cost for keloid scar removal varies from patient to patient and is dependent upon the size(s) and location(s) on the body. Some patients may have one small ear keloid while other patients have numerous keloids. Some have scars, which are quite large, disfiguring and painful on either their face or body, or both. When consulting with Dr. Slupchynskyj, he will examine all keloids carefully; review your medical history as well as any previous treatment with another doctor. All scar treatment options will be discussed. Pre- and post-operative plans will be reviewed in depth. Following your consultation, a specific fee based upon your unique needs will be discussed.

As others have noted, effective treatment of keloids can be very difficult.  The reason for this is that keloids are an abnormal response to injury, and area of scar tissue that grows beyond its natural boundaries.  On examination of a piece of Keloid tissue under a microscope, it looks substantially different than the average scar.  The initial phase of treatment is to slow the inflammation, ergo the use of several spaced injections.  The next option is to excise the scar surgically (50% recurrence rate) or to treat with radiation.  After excision, the area can be radiated and/or re-injected with steroid. Some Surgeons advocate placement of topical mitomycin and/or topical 5 flurouracil at the time of excision. Despite all of these options, keloids can and do recur.

Keloid steroid injection success

keloid steroid injection success

Cost for keloid scar removal varies from patient to patient and is dependent upon the size(s) and location(s) on the body. Some patients may have one small ear keloid while other patients have numerous keloids. Some have scars, which are quite large, disfiguring and painful on either their face or body, or both. When consulting with Dr. Slupchynskyj, he will examine all keloids carefully; review your medical history as well as any previous treatment with another doctor. All scar treatment options will be discussed. Pre- and post-operative plans will be reviewed in depth. Following your consultation, a specific fee based upon your unique needs will be discussed.

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