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Various treatment methods

Prevention: Avoid procedures on Keloid-prone individuals. Use compression and silicone dressings.

Management of scarring: options

  • Intradermal injection of corticosteroids in early stages (most commonly used, several might be required)

  • Silicon sheets/gels applied over long periods

  • Potent topical corticosteroids (best under occlusion)

  • Intralesional cytotoxics (e.g. fluorouracil) or radiotherapy of surgical wounds within 24–48 hrs

  • Consider re-excision of hypertrophic scarring with caution

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