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Keloids are a huge problem in burns that require skin grafts. I worked in pediatric burn center. The only way to successfully soften keloids was by using Jobst garments. The garments are made to order. They are tight and come off for max- 1 hour each day. I was told that somewhere a kid burnt both arms, and weeks later- fractured his forearm. The cast stayed on for 7 weeks . Upon removal- there was a tragic difference. The casted arm had soft flat moveable keloids, the opposite arm had served as untreated-- was gnarly. And thats how burn garments became best practice. Usually worn for a year, with inserts to help as needed. (extra pressure)
Jobst garments. How similar are they to those compression stockings for CHF/kidney failure patients? Lol i work in geriatrics so I'm not sure about burns.
[Source](https://www.researchgate.net/publication/264941121_Update_on_hypertrophic_scar_treatment) is an article called āUpdate on hypertrophic scar treatmentā and can be read in full at the link. Abstract:
>>Scar formation is a consequence of the wound healing process that occurs when body tissues are damaged by a physical injury. Hypertrophic scars and keloids are pathological scars resulting from abnormal responses to trauma and can be itchy and painful, causing serious functional and cosmetic disability. The current review will focus on the definition of hypertrophic scars, distinguishing them from keloids and on the various methods for treating hypertrophic scarring that have been described in the literature, including treatments with clearly proven efficiency and therapies with doubtful benefits. Numerous methods have been described for the treatment of abnormal scars, but to date, the optimal treatment method has not been established. This review will explore the differences between different types of nonsurgical management of hypertrophic scars, focusing on the indications, uses, mechanisms of action, associations and efficacies of the following therapies: silicone, pressure garments, onion extract, intralesional corticoid injections and bleomycin.
Keloids are just a type of scar. Thatās why you see them frequently in ear piercings. They can also happen on surgical wounds and other spots, and no one knows exactly what triggers them. All we know is itās not 100% genetic nor 100% environmental and just because you donāt have any doesnāt mean the next time you scar it wonāt turn keloid.
Keloids are basically just scar tissue that keeps growing. No one really knows for sure why it happens, but they can form on any type of wound from piercings to burns to surgical scars.
So I crashed a go cart and had to get stitches and there is still a visible scar on my left middle finger. Will there be a possibility that they start growing on my finger?
So I'm not a doctor and could be wrong, but yes there's the possibility? Keloids aren't determined by any genetic or environmental factors as far as we know, so they can kinda just happen whenever. You never having a keloid before doesn't mean that you'll never have one in the future, but also if you have a keloid on one wound that doesn't necessarily mean that you'll get a keloid on a different one. There really just isn't that much known about them.
Welcome to r/MedicalGore! Our goal is to provide for medical discussion and education while exploring the frailty of the human body. You may see more deleted comments on these threads than you are used to on reddit. Off topic comments and joke comments are frequently deleted by the mods. Further, please be kind and supportive of posts. Any behavior that is aggressive, harassing, or derogatory will result in post deletion and a ban from the sub. Remember! THE REPORT BUTTON IS YOUR FRIEND! Please stop on by our discussion sub, /r/MedicalGoreMods if you'd like to discuss the sub, our rules, content policies, and the like. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/MedicalGore) if you have any questions or concerns.*
Poor man š
Fr. Those things can be so itchy too.
For real! I just commented about mine. They still get aggressively itchy even after 15-20 years!
Keloids are a huge problem in burns that require skin grafts. I worked in pediatric burn center. The only way to successfully soften keloids was by using Jobst garments. The garments are made to order. They are tight and come off for max- 1 hour each day. I was told that somewhere a kid burnt both arms, and weeks later- fractured his forearm. The cast stayed on for 7 weeks . Upon removal- there was a tragic difference. The casted arm had soft flat moveable keloids, the opposite arm had served as untreated-- was gnarly. And thats how burn garments became best practice. Usually worn for a year, with inserts to help as needed. (extra pressure)
Jobst garments. How similar are they to those compression stockings for CHF/kidney failure patients? Lol i work in geriatrics so I'm not sure about burns.
VERY. Doing high risk home health, I see jobst a lot in chf patient
What do you mean "the opposite arm had served as untreated"?
I think it means that the cast served like a compression garment and the unbroken arm didnāt have one and so was untreated?
like the control group in a study
I've seen chemo or radiation used after surgery too, it helped so much
[Source](https://www.researchgate.net/publication/264941121_Update_on_hypertrophic_scar_treatment) is an article called āUpdate on hypertrophic scar treatmentā and can be read in full at the link. Abstract: >>Scar formation is a consequence of the wound healing process that occurs when body tissues are damaged by a physical injury. Hypertrophic scars and keloids are pathological scars resulting from abnormal responses to trauma and can be itchy and painful, causing serious functional and cosmetic disability. The current review will focus on the definition of hypertrophic scars, distinguishing them from keloids and on the various methods for treating hypertrophic scarring that have been described in the literature, including treatments with clearly proven efficiency and therapies with doubtful benefits. Numerous methods have been described for the treatment of abnormal scars, but to date, the optimal treatment method has not been established. This review will explore the differences between different types of nonsurgical management of hypertrophic scars, focusing on the indications, uses, mechanisms of action, associations and efficacies of the following therapies: silicone, pressure garments, onion extract, intralesional corticoid injections and bleomycin.
I have a few keloids. Nowhere near as bad as this but they are very raised, lumpy and still gey very itchy even after 20 years.
God, that poor soul!
What causes this? I thought it was ear piercing and stuff like that?
Keloids are just a type of scar. Thatās why you see them frequently in ear piercings. They can also happen on surgical wounds and other spots, and no one knows exactly what triggers them. All we know is itās not 100% genetic nor 100% environmental and just because you donāt have any doesnāt mean the next time you scar it wonāt turn keloid.
Just to add. Acne scars are another on that causes keloids regularly.
I didnāt know that, very interesting! Thanks for the info š
Oooo send this to Dr Lee right now
That was my first thought too! And to make sure that they film it.
Itās scar tissue. There is nothing to pop.
She does plenty of keloid removals
Not to this extent, they would just come back like OP said. Itās better to get some injection, like cortisone, to try and flatten them.
Aw dude. I, sorry youāre having to deal its this.
Bros building armor
At this point, it almost looks like epidermodysplasia verruciformis.
So how do keloids form, pls give me TLDR explanation
Keloids are basically just scar tissue that keeps growing. No one really knows for sure why it happens, but they can form on any type of wound from piercings to burns to surgical scars.
So I crashed a go cart and had to get stitches and there is still a visible scar on my left middle finger. Will there be a possibility that they start growing on my finger?
So I'm not a doctor and could be wrong, but yes there's the possibility? Keloids aren't determined by any genetic or environmental factors as far as we know, so they can kinda just happen whenever. You never having a keloid before doesn't mean that you'll never have one in the future, but also if you have a keloid on one wound that doesn't necessarily mean that you'll get a keloid on a different one. There really just isn't that much known about them.
i wonder if they removed a larger area of skin and then did a skin graft, if the keloids would still come back....?
I have no idea! I wonder if they'd just start forming on the seam of the graph though
yeah, that might happen...these things suck.Ā
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