Keloid infiltration refers to a treatment approach for keloid scars that involves injecting medication directly into the scar tissue. Keloids are raised, thickened scars that extend beyond the boundaries of the original wound and can be cosmetically bothersome or cause discomfort. Here are some key points about keloid infiltration:

1. Procedure: Keloid infiltration typically involves the injection of medication directly into the keloid scar. The medication used is often a corticosteroid, such as triamcinolone acetonide, which has anti-inflammatory properties. The injection is administered using a fine needle, and the medication is distributed within the scar tissue.
2. Mechanism of Action: The corticosteroid medication works by reducing inflammation and suppressing the immune response in the scar tissue. This helps to decrease the production of excessive collagen, which is responsible for the raised and thickened appearance of keloid scars. By reducing collagen production, keloid infiltration aims to flatten and soften the scar over time.
3. Benefits of Keloid Infiltration:
   • Scar reduction: Keloid infiltration can help reduce the size, thickness, and redness of keloid scars, resulting in a flatter and less prominent appearance.
   • Symptom relief: Keloids can sometimes cause symptoms such as itching, tenderness, or pain. Infiltration with corticosteroids can help alleviate these symptoms.
   • Non-surgical approach: Keloid infiltration is a non-surgical treatment option that can be performed in an outpatient setting. It avoids the need for excisional surgery, which carries the risk of creating new scars or recurrence of keloids.
4. Multiple Sessions and Follow-up: Keloid infiltration is often performed in a series of sessions, spaced a few weeks apart. The number of sessions required depends on the individual’s response to treatment and the size and severity of the keloid. Follow-up visits with a dermatologist or healthcare provider are important to monitor the progress of the treatment and make any necessary adjustments.
5. Possible Side Effects: While keloid infiltration is generally considered safe, there are potential side effects to be aware of, including:
   • Temporary pain or discomfort at the injection site
   • Skin discoloration or hypopigmentation
   • Thinning of the surrounding skin
   • Localized tissue atrophy (rare)
   • Allergic reactions or infections (very rare)

It’s crucial to consult with a dermatologist or healthcare professional experienced in keloid management to determine the most appropriate treatment plan for your specific keloid scar. They will evaluate the scar, discuss the potential benefits and risks of keloid infiltration, and recommend the best course of action based on your individual circumstances.

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