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Dermatology  (Expert Forum)
 | 
Looks like keloid (bad wound)...
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Looks like keloid (bad wound)...

by lamona, May 31, 2007 12:00AM
On November 2006, an Oncologyst removed a little, benign cyst located in my chest.
Some days after, I noticed a malformation on the wound, and on 15th January 2006, I was infiltrated with a corticoid called KENACORT “A” (Triamcinolone) inside the wound

The same procedure repeated one month later, but again, the results where minimal (the wound´s still there, only a little smaller and flatter, but nothing really satisfying…Right now is 1” inch wide)

I´d like to find any way to reduce/lighten it to a “minimum expression” …that’s because I know it maybe can’t totally disappear (but if does, then great!)…
I’ve heard about ointments and some treatments that can help me…(there´s even a silicone patch that I’ve seen on the web here: http://www.healingenhancements.com/index.asp?PageAction=VIEWPROD&ProdID=115) that looks very interesting...have you read anything about it?)

I hope I can find some truly help here.
Thank You
PGA

Don’t forget to see the pic:
http://img504.imageshack.us/img504/9641/chestwoundyg8.jpg

PD: I´m 30 year old, white female. I was known for NEVER developing keloids on my skin, before this wound on my chest
(some say it´s hypertrophy of the skin tissue..not really a keloid)  
PD: I prefer to look for help here because of the nice ratings I´ve read (besides, In the place I´m living right now, unfortunately there’s no specific, efficient help on skin issues.)

by Alan Rockoff, MD, Jun 01, 2007 12:00AM
Even people who don't develop keloids get them on the chest. Cortisone injections flatten keloids, but they also break blood vessels, and you already have enough of those there.  So I wouldn't have any more injections.  Creams don't help.  Laser treatments (pulsed dye lasers) help both scars and redness.  If at some point you can access this, you might look into it.

Best.

Dr. Rockoff
Member Comments (2)

by lamona, Jun 02, 2007 12:00AM
Dr. Rockoff:
Thanks a lot for your Help.
What do you think about the Silicone Strip?...Can it help to improve, even a little, until I go to the US or Mexico for the appropriate Laser treatment?
(Can´t leave this place for any reason until November..hard Job issues)

And, as a second choice, what do you think about drawing a tatoo over the damaged skin? (I love tatoos a lot)...If you agree, when would I do that? - maybe after some improvement due to silicone strip?.....
....Or after Laser? (of course, if Laser don´t satisfy me 100%)

Tatoo would have the only purpose of hiding the wound.

Thanks...Yours, PGA

PD: link to silicone strip:
http://www.healingenhancements.com/index.asp?PageAction=VIEWPROD&ProdID=115
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