Keloid disorder is a complex genetic illness that predisposes individuals to form keloid lesions Although we still do not know the exact genetic abnormality that caused this illness, we fully understand that the genetic predisposition to keloid disorder has a wide spectrum. There are individuals who suffer from mild form of the disorder who in their lifetime only develop hypertrophic scarring, or one or few slow growing keloidal lesions, to those who have a very severe form of the disorder and end up developing numerous large keloids. There are also many individuals who fall somewhere in between these two extremes.
Hypertrophic scarring is defined by a visibly raised scar tissue formation along the surgical incision lines. This condition is most likely due to the same genetic disorder that all keloid patients have, but in a very mild form.
Most hypertrophic scars improve over time, even without any treatment. Steroid injections into these scars can expedite the healing process and reduce the swelling of these scars.
Below is a video recording of intralesional steroid injections and treatment of a 2 weeks old scar in a patient who had developed the mild #hyperthrophic scar. This patient was a known keloid patient, who had previously developed a keloid. This scar, within two weeks, already looked like it was transforming into a keloid. In this case, Dr.Tirgan injected the length of the scar with very low dose steroid, to hopefully prevent keloid formation and also the expedite and stimulate normal wound healing. At a follow-up visit a few weeks later, the scar appeared completely flat and without any evidence of keloid formation.