How to treat primary keloids
Jan 25, 2025
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In general, primary keloids can be treated through dietary adjustments, medication, hyaluronic acid fillers, fractional laser therapy, microneedling, and other methods. Ultraviolet radiation may exacerbate changes in the color and texture of scars. When going outdoors, it is recommended to use sunscreen with a high SPF value and to avoid direct sun exposure to the scarred areas as much as possible.
Generally, primary keloids can be treated through dietary adjustments, medication, hyaluronic acid fillers, fractional laser therapy, microneedling, and other methods. If treatment is required, it is recommended to visit a reputable hospital and proceed under the guidance of a doctor. Detailed analysis is as follows:
1. Dietary Adjustment
In terms of diet, it is recommended to consume more foods rich in vitamin C and vitamin E, as these nutrients aid in skin repair and regeneration. Meanwhile, spicy and irritating foods should be avoided to prevent stimulating scar hyperplasia.
2. Medication
It is recommended to use medications such as asiaticoside cream, sodium heparin cream, and compound dexamethasone acetate cream under a doctor's guidance. These medications can help the skin heal better and reduce scar formation.
3. Hyaluronic Acid Fillers
Injecting sodium hyaluronate into depressed scars can quickly improve the skin's surface depression, making the skin smoother. The general reference price for hyaluronic acid fillers is 1,000-5,000 yuan per injection, with visible improvement within 1-2 days after injection. Mild redness, swelling, pain, or bruising may occur at the injection site.
4. Fractional Laser Therapy
Fractional laser therapy works by creating microscopic holes in the skin with a laser, triggering biochemical reactions that stimulate collagen fiber proliferation in the basal layer while smoothing the scar edges, making the scar flatter. The general reference price for fractional laser therapy is 1,000-3,000 yuan per session, with noticeable improvement typically seen after about 2-4 weeks. Localized redness, swelling, or pigmentation may occur after treatment.
5. Microneedling
Microneedling creates tiny punctures on the skin surface, disrupting collagen fiber bundles in the superficial dermis, thereby stimulating increased collagen production, promoting skin self-repair, and gradually smoothing depressed areas. The general reference price for microneedling is 500-2,000 yuan per session, with visible improvement usually occurring after 1-2 months. Pain and redness or swelling may occur.
Ultraviolet radiation may worsen scar color and texture changes. When going outdoors, it is recommended to use high SPF sunscreen and avoid direct sun exposure on the scarred areas. If spending prolonged time outdoors, wearing hats, scarves, or other coverings to protect the scar is advisable.
