Are steroid injections the best treatment for keloid scars?

Tags: woman age 35-44 ears side effects keloid scar

I recently went for a consultation, and the doctor said the best way to decrease the size of the keloid scar I have on the back of my ear is with steroid injections. I know nothing about this. Would these steroid injections bring me the results I want without really bad side effects? I'm kind of worried.


F, 43, New Jersey

I also have two itchy and unsightly keloid scars that over-the-counter treatments could not fade. After trying topical creams and silicone sheets, I ended up going with steroid injections. I worried about side effects as well, but I am happy to share I experienced nothing aside from pain at the injection site. I also had to be careful since the skin around the steroid injection thinned out a bit (totally manageable compared to the keloid). The steroid injections reduced my scar’s itchiness and swelling, and the cosmetic doctor told me steroids break up the scar tissue beneath the surface of the skin. I had one steroid injection per month for six months. Each appointment only took a few minutes and has been the only treatment that kept the scar from returning. Also, since the steroid injections helped soften the scar a bit, the keloid was more receptive to vitamin A and vitamin E applications. Thanks to the steroid treatments, post-injection maintenance was more rewarding.

Well, I think steroid injections could get the job done for you, but you will want to weigh the pros and cons first and then think about some alternative options before deciding that you would like to go with steroids for treatment. Steroid treatments will work about half the time. If you are at your wits end with your keloid scar, and out of options, it might be the way to go. As long as you are aware of the fact that even if it does work, your keloid scar may actually return. As strange as that sounds, it is possible. The other thing to consider is the age of your scar. If it is old, then the chances of the steroid injection working diminish even more. So it may only be worth it if you are hoping to soften the tissues to provide relief. You will also want to think about the side effects that present with the steroid injection like fat atrophy and spider veins. So, bring up these concerns to your plastic surgeon and maybe think about using a silicone gel instead, or at least before you decide upon steroid injections.