Will steam baths worsen the appearance of keloid scars?

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.

Hi,Yes, TCA cross uses high concentration of Trichloro-Acetic acid (TCA) to injure the skin to cause subsequent skin inflammation, healing and scar improvement. If incorrectly applied or applied in excessive amount, the TCA may indeed cause excessive skin damage resulting in additional scarring including keloid scars. As with most aesthetic procedures, your doctor’s competence and experience will reduce potential side effects to the minimum. Hope this helps!