Our Advanced Keloid Treatment Modalities

Treating keloids often requires a combination of approaches to achieve optimal results and minimize recurrence. Nairobi Sculpt Aesthetic Centre utilizes state-of-the-art techniques, including:

• Corticosteroid Injections: This is a cornerstone of keloid treatment. Triamcinolone acetonide (a steroid) is directly injected into the keloid, typically every 3-4 weeks. It works by reducing inflammation, breaking down collagen, and inhibiting cell growth, leading to a flatter, softer, and less itchy keloid.
• Silicone Gel Sheeting or Gels: Applied directly to the keloid, silicone products help to hydrate the scar tissue, reduce collagen production, and improve the scar's color and texture. They are often used as an initial treatment or in conjunction with other therapies, especially after injections or surgical removal.
• Cryotherapy (Freezing): This involves applying liquid nitrogen to the keloid to freeze and destroy the scar tissue. It can be particularly effective for smaller keloids and is often combined with steroid injections for better results.
• Laser Therapy:
  • Pulsed Dye Lasers (PDL): Target the blood vessels within the keloid, reducing its redness and often helping to flatten it. PDL is frequently used in conjunction with steroid injections.
  • Fractional Lasers (e.g., CO2, Erbium): Can be used to improve the texture and flatten keloids, stimulating collagen remodeling. They are often used in combination with other treatments.
• Surgical Excision: For larger or recalcitrant keloids, surgical removal may be considered. However, keloid recurrence rates after surgery alone are high. Therefore, excision is almost always combined with adjunctive therapies, such as:
  • Post-Surgical Corticosteroid Injections: Injected at the time of surgery and in subsequent follow-up visits.
  • Pressure Therapy: Wearing a specialized compression garment over the treated area continuously for several months to apply constant pressure, which helps to prevent the keloid from reforming.
  • Radiation Therapy: Low-dose radiation therapy, administered shortly after surgical excision (usually within 24-72 hours), has shown significant success in preventing keloid recurrence, particularly for larger or previously recurrent keloids. This is a specialized treatment offered in collaboration with oncologists.
• Other Modalities: Depending on the specific case, other treatments like 5-fluorouracil injections, verapamil injections, or interferon injections may be considered.

Our approach is highly individualized, recognizing that what works for one keloid may not work for another. We leverage our expertise to select the most effective combination of treatments for your specific needs.

Recovery and Long-Term Management

Recovery and downtime vary significantly based on the chosen treatment method. Injections and topical treatments typically have minimal downtime. Procedures like cryotherapy may result in temporary blistering or discoloration. If surgical excision is performed, there will be a healing period similar to other surgical procedures, often involving dressings and a compression garment.

Keloid treatment is often an ongoing process. While our treatments aim to significantly improve the appearance and symptoms of keloids, complete eradication can be challenging, and recurrence is a possibility, especially without diligent follow-up care. Our team will provide detailed post-treatment instructions, including home care, sun protection, and a schedule for follow-up appointments to monitor your progress and provide additional treatments if necessary.

With consistent treatment and adherence to recommendations, many patients experience significant flattening, softening, and lightening of their keloids, leading to reduced discomfort and a marked improvement in their skin's appearance and their self-confidence.

Who is a Good Candidate for Keloid Treatment?

Individuals who can benefit most from keloid treatment typically:

• Have a diagnosed keloid scar that is bothering them cosmetically or causing physical symptoms (itching, pain, restriction of movement).
• Are in good general health and do not have active skin infections in the treatment area.
• Have realistic expectations about the outcomes, understanding that keloids are challenging but manageable.
• Are committed to a treatment regimen, which may involve multiple sessions and consistent home care.
• Are willing to discuss their full medical history and any previous keloid treatments.

Why Choose Nairobi Sculpt for Your Keloid Treatment?

Successfully treating keloids requires specialized knowledge, experience, and a comprehensive approach. At Nairobi Sculpt Aesthetic Centre, we are dedicated to providing the most effective and compassionate care for keloid management in Nairobi:

• Specialized Expertise: Our plastic surgeons possess in-depth knowledge of keloid biology and extensive experience in applying a wide range of advanced treatment protocols for these challenging scars.
• Multi-Modal Treatment Plans: We rarely rely on a single therapy. Instead, we customize a combined treatment strategy, often integrating injections, laser therapy, silicone, and when indicated, surgical excision with adjuvant therapies like radiation, to maximize effectiveness and minimize recurrence.
• State-of-the-Art Technology: We utilize advanced laser systems and other modern equipment specifically chosen for their efficacy in treating keloids.
• Personalized Care & Follow-Up: Your journey begins with a thorough assessment and continues with dedicated follow-up to monitor your progress and adjust treatments as needed, ensuring the best long-term outcome.
• Compassionate Support: We understand the frustration and self-consciousness that keloids can cause. Our team provides empathetic support, clear communication, and a comforting environment throughout your treatment.

If you are struggling with keloid scars and seeking effective, specialized treatment, we invite you to schedule a confidential consultation with our expert team at Nairobi Sculpt Aesthetic Centre. Let us help you achieve smoother, more comfortable skin and renewed confidence.

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