Consult Doctors. FREE.

Real Doctors, Expert Answers

Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.

Consult Doctors. FREE.

Real Doctors, Expert Answers

By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE

Consult Doctors. FREE.

Real Doctors, Expert Answers

Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
Admin DXD from Singapore asked a question

How painful is keloid scar treatment?

Request answers from expert doctors:

DxD

We will distribute this question to expert doctors, and notify you about new answers.


Dr Shane Abucewicz Tan
(13 Reviews)
48 answers on DxD

Dr Samuel Ho
(5 Reviews)
27 answers on DxD

I have a keloid, approx 6.5cm wide and 3cm height. I am extremely afraid of needles and I have low level of pain tolerance.

I would like to know the best treatment for my keloid scar located right below my armpit area, I want to feel minimal pain. I heard kenacort injections with lidocaine is the best to minimise pain? What is the pain level? Are the any other least painful options? I scared I’d pass out if its too painful.

I have always wanted to get it treated but I have yet to muster the courage. I need some assurance before I look for a clinic to do the treatment.

DOCTOR’S ANSWER (3)

Dear Elle,

It must be frustrating to have a keloid in places that would make you unable to wear certain clothes.

Do let us know how long this keloid has been, as looking at it, it still looks fairly ‘active’, and I agree that you should consider steroid instillation at a regular basis to reduce the risk of worsening as well as to flatten the lesion.

There is minimal pain really, as I use numbing creams over the lesion before I even do the injection.

Consult your doctor early. This can be treated with intra-lesions steroids and other modalities which they can best advise you on.

0 1143 views 0 Doctors agree Fri Jan 26 2018 08:30:17 GMT+0000 (UTC)

Dear Elle,

Thanks for the question.  I do agree with the answers posted by Dr Winston and Dr Ethan that intra-lesional steroid injections (injecting directly into the keloid) would be the most suitable treatment to reduce the size and thickness of the keloid. Several monthly injections will be needed. The initial injections may be a little more painful  but the pain is usually better with subsequent injections.

There will be some pain with the injection but this is usually bearable. If you are really afraid of the pain, applying some numbing cream prior to the injection may help.

Other less painful options include applying silicone scar gels but these are far less effective that the intra-lesional injections. Excising the keloid also has a high risk of recurrence and is generally not recommended.

0 1143 views 0 Doctors agree Fri Jan 26 2018 08:30:58 GMT+0000 (UTC)

Hi Elle,

Keloids are unfortunately one of the trickiest conditions to treat successfully, as no treatment has been shown to be 100% effective at permanently getting rid of them. Even with optimal treatment, recurrence can occur, sometimes even years after treatment.

Serial steroid injections every few months are one of the most common and effective methods to treat steroids, but there isn’t a single “best” keloid treatment as any treatment should be personalised to the individual. This depends on factors like:

  1. Location of keloid
  2. Size of keloid
  3. Propensity for recurrence

After evaluation of these factors, your doctor will then recommend you on the below treatments, which can be used singly or in combination:

  1. Steriod injections
  2. Lasers
  3. Excisional surgery
  4. Radiation
  5. Silicone sheeting

Pain during steroid treatment is not typically a major complaint of patients – the needle is small, and the steroid itself isn’t painful.

But if your keloid is thick, dense and hard as it appears in the photo, the first few series of injections will likely be more painful then subsequent injections once it has softened up.

To minimise pain, your doctor can apply a topical numbing medication, as well as mix the steroid injections with lidocaine to decrease your overall discomfort.

Cheers

0 1143 views 0 Doctors agree Fri Jan 26 2018 08:31:15 GMT+0000 (UTC)
Not the answer you're looking for? Browse other answers tagged Skin, Hair & Nails Aesthetic Medicine or ask your own question now FOR FREE.

Get Doctor Quotes

We promise that we'll ask our doctor friends to give you their best possible price!
Name of Treatment
Category
Budget
Full Name
Email
Contact Number
Other Information
Contact By Phone
Contact By WhatsApp