There are many treatment options
Source:
What are the treatments for keloids?
The methods now
available to treat keloids are:
·
Cortisone injections (intralesional steroids): These are safe and not very painful.
Injections are usually given once per month until the maximum benefit is
obtained. Injections are safe (very little steroid gets into the bloodstream)
and usually help flatten keloids; however, steroid injections can also make the
flattened keloid redder by stimulating the formation of more superficial blood
vessels. (These can be treated using a laser; see below.) The keloid may look
better after treatment than it looked to start with, but even the best results
leave a mark that looks and feels quite different from the surrounding skin.
·
Surgery: This is risky, because cutting a keloid can
trigger the formation of a similar or even larger keloid. Some surgeons achieve
success by injecting steroids or applying pressure dressings to the wound site
after cutting away the keloid. Radiation after surgical excision has also been
used.
·
Laser: The pulsed-dye laser can be effective at
flattening keloids and making them look less red. Treatment is safe and not
very painful, but several treatment sessions may be needed. These may be
costly, since such treatments are not generally covered by insurance plans.
·
Silicone
sheets: This involves
wearing a sheet of silicone gel on the affected area for several hours a day
for weeks or months, which is hard to sustain. Results are variable. Some
doctors claim similar success with compression dressings made from materials
other than silicone.
·
Cryotherapy: Freezing keloids with liquid nitrogen may
flatten them but often darkens the site of treatment.
·
Interferon: Interferons are proteins produced by the
body's immune systems that help fight off viruses, bacteria, and other
challenges. In recent studies, injections of interferon have shown promise in
reducing the size of keloids, though it's not yet certain whether that effect
will be lasting. Current research is underway using a variant of this method,
applying topical imiquimod (Aldara),
which stimulates the body to produce interferon.
·
Fluorouracil: Injections of this chemotherapy agent, alone or together with steroids, have
been used as well for treatment of keloids.
·
Radiation: Some doctors have reported safe and
effective use of radiation to treat keloids
Comments:
In India, most doctors are using intralesional steroids as the first line treatment, I believe. Compression bandages with silica gel is also a good option given that it is almost free of any permanent side-effects and can be tried before other interventions. Talk to a reputable cosmetologist before finalizing your daughter's treatment.