Effective Strategies for Chest Keloid Removal

Posted by The Keloid Plastic Surgery Center

Elevated keloid scar on the chest, a common post-surgical skin condition.

Keloids are hard, elevated scars that may appear on the chest following injuries or surgical procedures, and they can lead to both discomfort and a lack of confidence. Dr. Mendez and Dr. Salloum have a wealth of experience in plastic surgery and provide advice on multiple approaches for reducing these persistent scars, ranging from traditional surgical removal to innovative, less invasive treatments and ways to prevent them.

They also cover the psychological impact that keloid scars can have on an individual and discuss how making certain changes to one’s lifestyle might assist in their management. Our experts’ comprehensive review supplies valuable information about the effective management of chest keloids, giving individuals looking for solutions a sense of hope and various choices.

Getting Rid of Chest Keloids Smoothly

  1. Chest keloids are overgrown scars that can be reduced with treatments like surgery, laser therapy, or steroid injections.
  2. Choosing a skilled surgeon is important for effective chest keloid removal and minimizing the chance of recurrence.
  3. Early treatment of chest keloids can lead to better outcomes, so it’s beneficial to start as soon as they’re noticed.
  4. Post-treatment care, including wearing silicone sheets or pressure garments, plays a key role in preventing keloid scars from returning.
  5. Each individual’s response to keloid treatment varies, making personalized treatment plans essential for the best results.

Chest Keloid Causes and Special Considerations

Causes of Chest Keloids

Keloids on the chest can be particularly persistent and challenging to manage. They develop from skin injuries such as:

  • Surgical incisions as linear chest keloids
  • Acne
  • Past episodes of chickenpox

Just like keloids elsewhere, causes include the body’s overactive healing response, where excess tissue forms creating that typical appearance of keloid scars. The skin over the central chest wall may be more susceptible due to factors such as:

  • Higher tension on chest skin, especially above the sternum, might play a role in their irregular keloid formation
  • Repeated injuries in the area that could worsen keloid development

Special Attention for Chest Keloids

For those dealing with this concern, special attention is critical, particularly because patients often seek presternal keloid treatment due to the scars’ visibility and discomfort. The forms of chest keloids vary, raising the need for customized treatment strategies. Considerations include:

  • How keloids on the chest can impact physical movement
  • The emotional distress caused by the scars
  • The varied sizes, sometimes spanning large areas as a central chest wall keloid
  • The a need for an individualized approach since no two patients with chest keloid are the same, and irregular scar patterns demand precise interventions

Traditional Keloid Removal Techniques for Effective Chest Keloid Removal

To address painful chest wall keloid, various methods can be considered:

Surgical Removal Methods

Medical professionals may recommend surgical removal as an option for keloid scar removal. This strategy focuses on excising larger keloids to minimize their reappearance. Part of the keloid surgery may involve creating a skin flap after scar resection, promoting healing and lessening tension, which could reduce the likelihood of the keloid’s return.

Steroid Injections

Following surgery for a keloid, injections of steroids are commonly administered to diminish the chances of its recurrence. Steroids, when injected into the treated area, can reduce inflammation and soften keloid scars, making them less noticeable. This method might require multiple session treatments and serves as an adjunct or primary treatment option for keloid scar management.

Laser Therapy

It employs powerful beams of light to shrink keloids. Although non-invasive, laser treatment is mainly used to improve the scar’s appearance—texture and color—rather than complete removal. It stands out as an excellent non-surgical alternative for those who might not be candidates for or choose not to undergo surgery and steroids.

The above methods aim to address keloid scars effectively, offering hope for relief and cosmetic improvement for those suffering from painful chest wall keloid.

Close-up of a chest wall keloid.
The treatment of keloid scar tissue will depend on the size 

Non-Invasive Approaches for Effective Chest Keloid Treatment

Non-invasive treatments for keloids, especially in the chest area, are preferable due to lower risks and easier application. Here are some effective non-invasive methods for managing keloids:

Cryotherapy

It involves freezing keloids with liquid nitrogen to reduce their size and soften them. Its precise application makes it useful for treating keloids on the chest without harming surrounding tissue.

Pressure Therapy

Pressure therapy employs uniform pressure to keloids, often through pressure dressings. Continuous wear of these garments can flatten and lighten keloids. Consistent use is key to the effectiveness of pressure therapy.

Silicone Gel Sheets

Silicone gel sheets create a moist environment to help soften and reduce the height of keloids. They are placed over the keloids which consistently exposes them to silicone, known for its scar management properties. There are also various topical silicone products, including gels and sprays, for added flexibility in treatment.

Emerging Technologies in Effective Chest Keloid Management

Emerging technologies in the management of chest keloids offer new hope for patients. The adoption of these innovative techniques could signify a turning point in the effectiveness and personalization of treatment strategies.

Immunotherapy

  • Utility: Utilizes the body’s immune response
  • Purpose: Targets abnormal healing to reduce keloid formation
  • Benefit: May decrease the likelihood of keloid recurrence

Gene Editing Innovations

  • Technology: Techniques like CRISPR-Cas9 allow targeted DNA sequence alterations
  • Potential: Could treat existing keloids and prevent future formations
  • Advancement: This represents a significant stride towards a personalized treatment for keloid scars. 

Lifestyle Changes for Chest Keloid Treatment

Keloids are a common skin concern, and managing them effectively often involves a combination of treatment strategies, including home remedies and lifestyle adjustments. Below, you’ll find practical self-care tips and natural methods that may contribute to healthier skin:

Diet and Nutrition for Skin Health

Eating a well-balanced diet rich in vitamins A, C, and E contributes to skin repair and strength, essential in maintaining healthy skin and managing keloids. This approach underscores the importance of diet and nutrition for skin health.

Importance of Sun Protection

Sun protection measures are vital for keeping keloids from darkening and potentially growing. Using sunscreen with a broad spectrum and covering keloids with clothing or silicone sheets are recommended keloid self-care tips to prevent further sun damage to the skin.

Preventing Chest Keloid Formation

Best Practices in Wound Care

Proper wound care is essential for keloid prevention. After a surgical procedure, keep the following tips:

Key elements of effective wound care after keloid resection:

  • Cleanse the wound gently to avoid irritation.
  • Use pressure dressings to support healing without excessive strain.
  • Apply silicone surgical dressings as they may assist in preventing chest wall keloid lesions.

Identifying and Managing High-Risk Factors

Recognizing individuals with high-risk factors for developing keloids leads to more effective prevention. Genetics is a significant factor; those with a family history of keloids and darker skin have higher susceptibility. For these individuals, diligent wound care after the removal of keloids is paramount to deter regrowth.

The Psychological Impact of Chest Keloids

Social and Emotional Effects

  • Chest keloids can have a marked psychological impact, influencing an individual’s daily social interactions and emotional well-being.
  • Being visible, they can provoke awkward social encounters, leading to increased self-consciousness—a notable social effect.
  • Sufferers may endure stress or anxiety—an emotional effect—due to their condition

Building Self-Esteem and Coping Strategies

  • Improving self-esteem and adopting practical coping strategies are essential steps in alleviating the emotional distress caused by keloids.
  • Adopting positive self-talk, setting attainable treatment objectives, and participating in support groups can empower individuals to handle their condition with more confidence.

Consult with Keloid Experts

If you’re looking into ways to treat chest keloids, you should talk to an expert to find the best method for you. Dr. Mendez and Dr. Salloum are board-certified plastic surgeons with lots of experience and a caring way of treating their patients. They have lots of experience helping people, even those with tough and returning keloids. 

To make sure you get the best care and look into all possible treatments for these painful keloids, it’s a good idea to meet with our specialists. Their focus on keeping patients safe and making results look natural has made them a reliable choice for those who need help with keloids.