Papers of The 10th Japan Scar Workshop

3. Analysis of Difficult-to-Treat Severe Keloids
- Keloids and Hypertrophic Scars Can Be Treated Completely -

Rei Ogawa, Satoshi Akaishi, Teruyuki Dohi, Shigehiko Kuribayashi, Tsuguhiro Miyashita
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan

We have encountered severe keloid cases, for example, multiple keloids on the whole body, large keloids, keloids combined with infected inclusion cysts, and aggravated keloids after recurrence. Over the past 10 years, our understanding of the pathogenesis of keloids and hypertrophic scars has improved markedly, and thus these previously intractable scars are now regarded as being treatable. There are many therapeutic options, including surgery, radiation, corticosteroids, Nd:YAG laser therapy, anti-allergy and -inflammatory agents, bleaching creams, and make-up therapies. However, at present, we believe that the following combination of therapies most reliably achieves a complete cure: surgery, followed by radiation and the use of steroid tape/plasters.
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