It is a woman’s nature to love beauty, especially when a young lady who pursues fashion meets all kinds of exquisite earrings, she will definitely put it down and buy it decisively. Wearing earrings is beautiful, but you must be careful when you pierce your ears to avoid keloid scars. In a case shared before, a young lady who loves beauty caused a pimple because of her ear piercing. She completed the operation in our hospital at the end of last year. How is her recovery now? Let’s witness the postoperative results. Aimei’s piercings caused a pimple Xiaowan (pseudonym). She pierced her ears in a jewelry store more than 2 years ago. She put on ear studs before the wound healed, but a few days later she left. An infection occurred in the pierced ears, and finally a small meat bump grew. At that time, I didn’t care too much. I didn’t expect this meat bump to grow bigger and bigger, and now it is the size of a thumb nail. This pimple not only affects the beauty, but also congestion, redness and swelling, often accompanied by itching and tingling, which has a great impact on Xiaowan’s work and life. So at the end of last year, I came to our hospital for treatment. Surgical removal of meat bumps and ears recovered as before. During the face-to-face consultation, Xiaowan learned that meat bumps are actually a benign skin tumor. It may be related to infection caused by piercing and wearing ear studs and not paying attention to disinfection and nursing. In response to Xiaowan’s situation, I formulated a comprehensive treatment plan for her with surgical resection and SRT-100 shallow radiation. Surgical removal of keloids and repair of the appearance of the ears, while suppressing the excessive proliferation of wound fibroblasts and the recurrence of keloids by means of shallow placement, so as to achieve the purpose of treating both symptoms and root causes. After the operation, the keloid on Xiaowan’s left auricle was successfully removed, and a cosmetic suture was made to reduce the tension, which is more conducive to the normal healing of the wound without the influence of tension, so as to obtain a better appearance. At the three-month follow-up visit, it can be seen that the wound has basically healed, and there is no trace of suture. It can be said that the healing situation is very satisfactory. When I visited again 9 months after the operation, from the feedback photos sent by Xiaowan, the appearance of the ears looked complete from different angles, and there was no sign of recurrence. Xiaowan is also very satisfied with the treatment effect and can enjoy life beautifully again. It takes some time to recover after keloid treatment. We will continue to share the follow-up recovery situation of some keloid patients. As long as the scar friends establish confidence, persist in treatment, and actively recover, the effect will gradually appear and reach or exceed the expected effect.
Clinically, I have treated many patients with ear keloids, most of which are caused by piercing in the ears for the sake of beauty and fashion. And such consequences are unbearable, both seriously affecting the appearance, and often accompanied by unbearable itching. Below, the case I share is a patient who has been tortured by ear keloids for ten years. Ten years ago, piercings caused huge keloid scars. Girls are beautiful in nature. Many of them have pierced ears when they were young, and Miss Feng is the same. When she was in junior high school, she had pierced ears in the auricle, but because the piercing did not perform disinfection and post-operative care, the left ear pierced pierced area was infected. Later, a small lump grew and the eyes It’s blocked. Before the operation, Ms. Feng didn’t know that it was a keloid scar, she didn’t take it seriously, and she didn’t get timely treatment. In the first few years, the keloid scar was still small and there was no discomfort. However, in recent years, the keloid on the ears suddenly grew faster and grew bigger, and often experienced severe itching and other discomforts, which had a great impact on her life, work, and social interaction. At this time, Miss Feng realized the seriousness of the problem, which also prompted her to make up her mind that treatment would not be delayed. Combined surgery to remove lumps and restore the appearance of the ears. Miss Feng was introduced by a friend and came to our hospital for treatment. After examination, the keloid scars are congested, red and swollen, and through the epidermis, abundant capillaries can be seen under the skin. The blood supply is abundant and may continue to increase. In view of this, I formulated a comprehensive treatment plan for Ms. Feng with surgical nuclear resection plus SRT-100 shallow radiation. Nucleotomy is mainly to completely remove the internal tissues of the keloid, leaving only part of the surface skin of the scar, so that the ear can retain its complete appearance. The removed keloid tissue was operated on, and the huge keloid on Miss Feng’s ear was successfully removed, and fine cosmetic sutures were performed. Judging from the photos immediately after the operation, the positive appearance is still very good. The dressing was changed three days immediately after the operation. Ms. Feng’s ear keloids recovered well, and the blood supply of the wound skin was relatively normal. I believe that as long as the follow-up care is taken, she will get a good appearance. Many of the keloid patients I have treated in the three days after the operation have been years, ten years or more. Not only did they miss the best time for treatment, but it also increased the difficulty of treatment and the recovery time after surgery. Therefore, if you have keloids, you must not delay, but treat them as soon as possible.
In clinical and even daily life, many people are afraid that after injuries, such as burns, burns, trauma, trauma, acne (acne), ear holes, vaccinations, etc., scars of varying degrees will be left on the wound. There is nothing wrong with the scars. It affects the appearance, but scars are an inevitable product in the process of human wound repair. Broadly speaking, there is no wound healing without scars. The main component of scar tissue is fibrin. The production and deposition of scar tissue collagen increases the strength of the wound, which is beneficial in a general sense. But if your scar has the following characteristics, you should be alert to the formation of keloids: ①The lesion exceeds the original skin damage range; ②It shows continuous growth; ③The skin surface is high, hard and tough, nodules and stripes with red color Cord-like or flaky lumps. Keloids, commonly known as keloids, are the result of the loss of normal restraint and control of collagen anabolic function during the healing process of skin injury, and continue to be in a state of hyperactivity, resulting in excessive proliferation of collagen fibers. It is also called connective tissue hyperplasia. Scars characterized by hyperplasia are often manifested as crab-foot-like infiltration to the surrounding healthy skin. The lesions are bulging out of the skin, uneven, irregular in shape, hard and tough, and itchy and unbearable. In Chinese medicine, it is called keloid swelling or megascar. It is manifested as a benign lumps with different shapes, red, and hard skin. Keloids, especially during the active period of keloids, have a more serious impact on the life of patients. Although there is no treatment that can completely eliminate keloids, there are still some effective treatments to relieve the symptoms of patients and improve patients. Quality of life. The main treatments that are currently more effective are: (1) Radiotherapy can shrink and soften scars. (2) External application of Fujining patch is very suitable for small plaque keloids. It can relieve itching and pain, soften and shrink scars. (3) Glucocorticoid ointment or cream can be used for treatment. Triamcinolone acetonide suspension is injected into the lesion, focusing on injecting the front end of the keloid to prevent it from spreading out. The injection can be diluted with pure triamcinolone acetonide suspension or galidocaine, and it is required to be injected into the scar tissue. (4) Oral Tranilast is effective in treating keloids. Tranilast, formerly known as cinnamon anisole, is an H1 histamine antagonist. It has been found to inhibit fibroblasts during the treatment process. The treatment of keloids requires an increased dose and continuous oral administration for more than half a year. After taking the medicine, it is the first to relieve itching and pain. , The scar becomes thinner, with few adverse reactions. (5) Single treatments such as surgical resection, cryotherapy, and laser often fail to achieve satisfactory results and are prone to relapse and even worsen the affected area, which makes many patients and doctors feel very difficult. But compared to treatment, the prevention of keloids is particularly important and critical. The preventive measures for keloids are mainly in the immature stage before and during the scar formation. The main purpose is to remove various factors that cause scar hyperplasia as much as possible, reduce the growth of scars, and prevent various deformities and dysfunctions caused by scars to the body.
Acne is one of the main causes of keloid scars, and the lower jaw, front chest, back and other parts are the key active areas of acne. Therefore, do not squeeze the acne in these places casually, so as not to induce keloids. You can only suffer, and Mr. Wei will suffer. Squeezing acne on the chest induced keloids. During his puberty, Mr. Wei always had acne on his face. After treatment for countless times, most of the acne was finally eliminated after a few years. I thought I would say goodbye to acne from now on. As a result, annoying acne would pop up from time to time, just like the guerrillas appearing in ghosts, often on the cheeks, jaw, neck, front chest, back and other parts. About two years ago, Mr. Wei had another acne on his chest, and it was very painful, so he squeezed it out. Unexpectedly, it was a small acne that was squeezed out, but the infection eventually grew a small pimple. Later, this little pimple grew and expanded, and it was often accompanied by discomforts such as itching and tingling. Especially in summer, I sweated more and the irritation symptoms were more obvious, and sometimes it was too itchy to sleep. Mr. Wei has also had some treatments, such as applying scar medicine, laser, and drinking Chinese medicine, but the results were not satisfactory. Two years later, the keloids are still entrenched in the chest. Mr. Wei was puzzled, why did he squeeze a acne, but it became so serious? Surgery to get rid of keloids. Life is back on track. This summer, keloids once again tortured Mr. Wei. This made him realize that he could not delay any longer and he should be treated as soon as possible. So, after a friend’s recommendation, he came to our hospital with the idea of giving it a try. After a careful examination during my face-to-face consultation, I pointed out that if the acne (acne) is squeezed, if there are long-term repeated infections, and if the local inflammatory immune response is not controlled in time, it will lead to the continuous scar proliferation effect and eventually form keloids. In view of Mr. Wei’s chest keloids, I formulated a comprehensive treatment plan for him with surgical resection and SRT-100 shallow placement. The advantage of this plan is that while removing the keloid tissues, it can greatly reduce the chance of its recurrence. . After the operation, the keloids were completely removed, and because the lesion area was removed, the itching and stinging symptoms that afflicted him from falling asleep also disappeared. After another month of recovery, the wound has healed well. I believe that after a period of recovery and good care for reducing tension, the treatment expectation can basically be achieved. The front chest is the main active area of acne and the high-risk area for keloids. Therefore, if you have acne on your chest, don’t squeeze it. You can apply some anti-inflammatory and acne ointment, or go to a regular hospital for treatment, so as to avoid squeezing acne inducing scars.
The lower jaw is the hardest hit area for keloids, mostly caused by acne and folliculitis. If you leave it alone, it is likely to grow bigger and bigger, which will not only seriously affect the appearance, but also cause discomfort such as itching, tingling, and even infection. So, how to treat mandibular keloids? Today I will teach you a set of “combination boxing” to deal with it. Facial “acne” strifes over the jaw, causing keloids. Mr. Sun has oily skin. Since puberty, he has been constantly exploding acne. In order to get rid of acne, he has exhausted various methods. It can be said that he is a long-standing acne. “Taxi. Although the acne on the face has been gradually eliminated in the past two years, only one or two can’t make the weather appear occasionally, but the lower jaw has become a new base for acne.  .The two sides started a long-term and repeated competition around the lower jaw. As a result, repeated inflammatory stimuli eventually caused keloids. At first, the few keloids on the right mandible were not very congested and swollen. Mr. Sun mistakenly thought it was a new “acne” and treated them according to the acne treatment routine. However, the operation is as fierce as a tiger, but the effect is about nothing. The “acne” still occupies the lower jaw, accompanied by intense itching and discomfort. Only then did Mr. Sun realize that it was wrong. From the Internet, it turns out that these “acne” are actually a kind of benign skin tumors-keloids. Get rid of keloids, this combination boxing is very sharp. In order to treat the keloids of the jaw, Mr. Sun came to our hospital after some consultation. After I received the doctor, through a careful examination, it was found that the keloid of Mr. Sun’s mandible was congested and swollen. Based on the medical history, it was judged that the keloid was inflammatory and the area was not large. As long as active intervention, it can still achieve good results. Therefore, based on Mr. Sun’s situation, I formulated a non-surgical comprehensive treatment plan for him with drug injection and SRT-100 shallow exposure. By blocking the blood supply of the keloid tissue and cutting off its internal nutrient supply, the continuous proliferation of keloids is prevented, and the goal of eliminating keloids and preventing recurrence is finally achieved.  . After finishing the first treatment, you can see from the return visit photos that the condition of keloid congestion and swelling has improved a lot, the color is not so red, and it has become flatter.  . After the second treatment, the effect is more obvious, not only the color has been greatly improved, but also has been basically flattened, I believe that after the follow-up treatment, the effect will be more ideal. The combination of drugs and shallow placement is really sharp against jaw keloids. Mandibular keloids, if the area is small, can be detected early, and scientifically and effectively treated early, the effect is still very good. Therefore, if you have keloids, do not delay or treat blindly by yourself. You must go to a regular medical institution for medical treatment. .
In January of this year, I shared a case of surgical treatment of a huge keloid in the ear (original link: a big pimple grows out of a pierced ear, love for beauty is not a crime). At that time, the recovery effect was very good two months after the operation, so how is the recovery now? Let’s get to know it together. The pursuit of fashion ear piercing caused a big pimple. Miss Wang, a few years ago because of the pursuit of fashion for beauty, pierced the ears and earlobes. As a result, due to improper care, the pierced ear in the left auricle became purulent and infected, and a small lump grew out of it. It was not very big at first, and Miss Wang didn’t pay attention to it, but in the following years, the pimple continued to grow and it was already half the size of an ear. This fleshy lump has a great impact on Miss Wang’s life. When going out, she must shed her hair and cover her left ear. In order to get rid of ear scars, I tried various methods, but the results were not good, and finally came to our hospital for treatment. Comprehensive treatment with surgery and shallow radiation to remove lumps and preserve beauty. After coming to our hospital for a face-to-face consultation, in view of the huge keloids, I decided to adopt a comprehensive treatment plan of surgical nuclear resection and SRT-100 shallow radiation. Nucleotomy is mainly to completely remove the internal tissues of keloids, and only retain part of the surface skin of the scar, so that the ears can retain their complete appearance. After the operation, the meat bumps on Miss Wang’s auricle were finally successfully removed, and the overall shape of the auricle was completely retained. Seven days after the operation, the wound was still a little red and swollen. This is a normal phenomenon when the wound is healing. Two months after the operation, the redness and swelling of the wound had disappeared and the recovery effect was satisfactory. The overall shape of the ear was no different from normal. Seven months after the operation, the return visit was conducted again. From the photos sent by Miss Wang, the recovery situation was more ideal, and there was no sign of recurrence. She no longer used her hair to cover the keloid scars. The ear is one of the high incidence areas of keloids, but at the same time, as long as effective treatment measures are taken actively, not only the appearance effect is good, but the recurrence rate is also very low. Therefore, if you have keloids on your ears, you must go to a regular medical institution for treatment and take measures to prevent recurrence.
Drug injection is one of the common ways to treat keloids, but many patients report that the pain during drug injection is unbearable. In the patients I met, the response to my injections was different, but the injections in other hospitals were like torture. This is actually related to the doctor’s injection technique and the injection method. An article was published in JournalofCosmeticDermatology ., introducing the potential of needle-free injection to treat keloid scars. Diabetes patients may be no stranger to needle-free injections. The use of needle-free syringes to inject insulin has many advantages: convenient operation, less pain, more accurate dosage, etc. Firstly, it is different from the needle-free syringes used in the treatment of diabetes in scars. Needle-free syringes for pimple need to provide more pressure to get the drug into the dense and hard keloid tissue. Needle-free injection uses liquid jet kinetic energy to inject drugs into soft tissues percutaneously, while compound fluorouracil and triamcinolone acetonide can effectively treat keloids and reduce the adverse reactions of drug monotherapy. The article evaluates the combined use of compound fluorouracil and triamcinolone acetonide through local The safety and effectiveness of jet treatment for keloid scars. By retrospectively analyzing the treatment of keloid scars, the author reviewed the pre-treatment and post-treatment scores of the Vancouver Scar Scale (VSS), the Patient and Observer Scar Assessment Scale (POSAS), and compared the baseline and 3 months after treatment. A comprehensive assessment of the efficacy was carried out on the photos of 21 patients, 39 keloids, all patients had injection pain scores of 1-3, tolerated treatment, 4 patients had ulcers healed spontaneously, keloids decreased in color, hardness, thickness and irregularity, and pain was reduced 69%, 79% reduction in pruritus, and 51%-75% reduction in keloid scars. The author finally concluded that high-pressure injection of 5-fluorouracil combined with corticosteroids can improve the appearance of keloids and reduce symptoms. Diabetes needle-free insulin injection can improve the utilization of drugs to a certain extent, and the effect is better in theory, but the difference between keloids is that in addition to skin conditions, keloids require drugs to be more concentrated on the lesion, rather than through the blood. Transport to the whole body and take effect. Needle-free injection has a better experience and less pain than traditional needle injection, but there is not enough evidence to prove its superiority in terms of efficacy. The shape and depth of keloids are different. For different keloids, different injection schemes are required, which can be subdivided into the concentration of the drug, the depth of the injection, the level of the injection, etc. These all require experienced doctors to control Yes, at present, needle-free injection cannot completely achieve this.
Not long ago, the Journal of Cosmetic Dermatology published an article in which the author studied the correlation between serum interleukin 37 (IL-37) and keloids. Keloid is a dermal fibroproliferative disease characterized by excessive deposition of extracellular matrix components. IL-37 reduces the production of extracellular matrix by inhibiting transforming growth factor (TGF), thereby inhibiting the proliferation of keloid fibroblasts. Therefore, IL-37 can be used for early prevention and treatment of keloids.  . Through the analysis of clinical sample data, the author finally believes that IL-37 levels are negatively correlated with the severity of keloids. In addition, the IL-37 levels of keloid patients are not significantly correlated with age, gender, duration of lesions, and family history. Sex. If it is proved that the reduction of IL-37 level is sufficient and necessary for the formation or aggravation of keloids, can people with a history of keloids be able to judge or prevent keloids by detecting the level of serum interleukin 37? The answer is uncertain, but as more research is carried out, we will learn more about keloid scars.
Yesterday, I saw such a message on Weibo: Xiao Yang, a 19-year-old girl from Ningbo Ninghai, squeezed out an acne on the bridge of her nose. As a result, it caused an intracranial infection and suffered from “cavernous sinus thrombosis.” Phlebitis” was admitted to the hospital. After reading this news, I am really worried about the girl, and I hope she can recover soon. At the same time, I think it is necessary to remind everyone that if you have acne in the danger triangle, don’t squeeze it, otherwise it may be life-threatening. Why does acne squeezing in the “dangerous triangle” cause intracranial infection? You may have heard of the mysterious and dangerous “Bermuda Triangle”, where many planes and ships have sunk or disappeared, and the triangle of the face is also dangerous. “Dangerous triangle” usually refers to the triangular area formed by the line from the corners of the mouth on both sides to the root of the nose. The reason why the facial triangle can cause intracranial infection is because the facial veins in this triangle have communication branches within the skull, which means that blood from the facial veins can flow into the brain. When the face has an infection in this triangle area, such as acne, thrombosis is easy to form in the facial veins, which affects the normal venous blood return, and it flows back to the superior ocular vein, through the orbit, and leads to both sides of the intracranial sella Cavernous sinus, if bacteria enter the facial veins, the bacteria can spread to the skull in this way, causing severe complications of cavernous sinus purulent and thrombophlebitis, and even life-threatening. The hazards of squeezing acne are far more than these. In addition to squeezing acne in the triangle area of the face may cause intracranial infection, acne in other parts should also be careful not to squeeze. If squeezing the acne causes ulceration and infection, it is likely to cause great damage to the skin. The milder can cause acne marks, and the severer can cause keloids (a benign skin tumor). This is because when squeezing acne without cleaning, sterilizing, and anti-inflammatory, when squeezing acne with hands, the bacteria on the hands can easily cause skin inflammation, and then cause ulcer infection. Failure to control local inflammatory immune response in time will lead The continuous scar proliferation effect eventually forms keloids. Once a keloid is formed, if it is not actively intervened, it will continue to erode the surrounding normal skin and gradually increase its proliferation, which not only affects the appearance, but may even cause malignant transformation-scar cancer. Therefore, for keloid scars, we must discover and treat them in time. Treatment of keloids caused by acne. Mr. Zhou developed a lot of acne on his face during puberty, especially the most serious part of the mandible, which was almost one piece. In addition, he often squeezed the acne and induced infection, which caused the jaw to grow. There are many keloids, accompanied by redness, itching and other symptoms. He has also used some externally applied ointments, but apart from the temporary relief of itching and other discomfort, it is difficult to get rid of these keloids. After coming to the hospital for face-to-face consultation, I learned about the cause of the disease through questioning, and combined with the results of the examination, I formulated a non-surgical comprehensive treatment plan for Mr. Zhou with drug injection and SRT-100 shallow radiation. By blocking the blood supply of the keloid tissue and cutting off its internal nutrient supply, the continuous proliferation of keloids is prevented, and the goal of eliminating keloids and preventing recurrence is finally achieved. After the system treatment, Mr. Zhou’s recovery effect is extremely obvious. From the comparison photos he sent back, it can be clearly seen that the almost continuous keloids have basically disappeared, and the skin color has returned to normal. Finally, I would like to emphasize that the key to acne growth in the “dangerous triangle” is to control inflammation, so don’t squeeze acne. If acne develops in the danger triangle, seek medical attention in time to avoid serious injury caused by squeezing acne.
In order to better study the responsiveness of keloids to cryotherapy, a document published in the Journal of the European Academy of Dermatology and Venereology proposed a model. This model is potatoes. These processed potatoes have the same thermal conductivity as human skin, and their response to frozen needles is similar to skin. The researchers conducted three tests on the processed potatoes by freezing. The results did not find that the potatoes were completely frozen. The tissue damage only appeared in the area about 1 cm below the needle. The shape of the damage was biconcave and the frozen needle was caused by the distal exit. The temperature is lower than the proximal outlet, and the damage is greater. The results obtained through experiments with the model are consistent with the characteristics of cryotherapy on the epidermis and dermis of keloids. It shows that potatoes and keloids treated at 37°C have similar responses to cryotherapy. The significance of this model experiment is to better understand the reaction of keloids to cryo-needle, but the experiment is closer to idealization. The true clinical keloids are more diverse and require doctors to have rich experience in treatment of different sizes and Make the best plan for keloids of different depths.
Many young people are trapped by acne, which not only leaves bumpy acne pits on the face, which resemble the surface of the moon, but also induces keloid scars. Face is very important in Chinese people’s ideology, especially now that people’s requirements for beauty are getting higher and higher. Any damage on the skin will cause great attention, let alone scars that appear on obvious parts of the face. . So, how to treat the keloid that affects face? Today, I will share with you a case of treatment of mandibular keloids. Mandibular keloid scars not only hurt face, do you know what kind of experience you have with keloids on your lower jaw? When you meet the girl you like, you can only hide in the corner; I always feel that all around you are looking at you with strange eyes, and even when you go out, you become cautious! Mr. Qian is a patient with jaw keloids. Since puberty, he has been plagued by acne. The acne on his face can be said to be “emerging”. Not only did he leave pitted acne marks on his face, but he also squeezed the acne more than 3 years ago. The infection eventually caused two keloids on the right side of the jaw. At first, Mr. Qian thought he had two more “acne”, he didn’t care too much, so he just applied the anti-acne cream for a few days and didn’t care. But after a few months, these two acne not only did not disappear, but grew bigger and bigger, showing a string-like shape, redness and swelling, and often accompanied by tingling and itching, very uncomfortable. Originally, he was very inferior because of the acne on his face. Now he is even less confident. Even when he talks with people, his eyes are a little dodge. It can be said that keloid scars have caused a lot of impact on his life and work. Mr. Qian has also been treated. He has been given injections, taken medicine, and applied many kinds of ointments, but they have not been removed. Moreover, not long after the treatment, the keloids developed to a certain extent due to stimulation, which made Mr. Qian unbearable. Its disturb. Comprehensive surgical treatment for pimple relief and prevention of recurrence. By chance, a friend of Mr. Qian recommended me to him. This friend of his has a scar on his arm. The effect of the treatment here is very good. Traces. So, with the attitude of trying again, Mr. Qian came to our hospital for treatment. After some examinations, I found that the two keloids were in the form of a string, with a large area, dark red on the surface, and hard in nature. They were typical keloids. Based on this situation, I formulated a comprehensive treatment plan for him with surgical resection and SRT-100 shallow radiation. Surgical removal of keloids and repair of the appearance of the ears, while suppressing the excessive proliferation of wound fibroblasts and the recurrence of keloids by means of shallow placement, so as to achieve the purpose of treating both symptoms and root causes. After the operation, the keloid scars that had troubled Mr. Qian for many years were successfully removed. After another period of recovery, the area that was once entrenched by keloids has basically recovered and leveled. However, Mr. Qian has frequent acne on his face, and he needs to pay attention to controlling oil and acne to avoid causing keloid scars again. The mandible is the place where keloids are prone to occur in male patients. It is mostly caused by folliculitis and acne. Some skin lesions are accompanied by itching and discomfort. At the same time, it seriously affects the patient’s appearance and brings a great psychological burden to the patient. Once keloids are found, you must receive treatment as soon as possible. The treatment time is short, the recovery effect is good, and the treatment cost is lower. At the same time, it reduces the patient’s psychological distress, restores self-confidence as soon as possible, and returns to normal life.
Today, I happened to see an article about keloid scars in “CirculationJoumal”. There has recently been such a case: a 58-year-old patient with keloids (picture A) underwent interventional surgery on the pulmonary vein (picture B).  . 9 months after the operation, severe stenosis of the right upper pulmonary vein and moderate stenosis of other veins in the lung appeared (Figure C). After pulmonary vein angioplasty (Figure D), within the next 15 months, no signs of pulmonary vein stenosis were found again (Figure E). Fibrosis and neointimal proliferation are the potential mechanisms of pulmonary vein stenosis. This risk can be serious and frequent. This mechanism is similar to the mechanism of increased restenosis rate in keloid patients after stent implantation. In addition, there may be a link between keloid scars and postoperative venous thrombosis. Therefore, in addition to affecting the appearance and occasional pain and itching, keloids may also affect internal organs. Keloid scars themselves rarely make people feel anxious, because people usually feel that it has no effect on the body except “not good-looking” and occasionally “uncomfortable”. However, with the emergence of similar clinical phenomena reported in this article and the advancement of research, both medical staff and patients have gradually realized that keloids are not only abnormalities in the lesion site, but their appearance may indicate the mechanism of the body’s wound repair Disorder, and this disorder may affect other parts. If the evidence is sufficient, the previous belief that keloids have no effect on internal organs may be completely overturned.
As the saying goes: “frozen three feet is not cold in a day”, which is very similar to the repair of scars, scars are not formed in a day or two. Therefore, when repairing scars, we must have enough patience and confidence to gradually repair the scars through scientific methods, and finally achieve the purpose of removing scars, especially for difficult pathological scars such as keloids. Today, I will share with you a case of non-surgical treatment of keloids. I hope that everyone can understand each process of scar repair through this example, and have firm confidence in the treatment according to the course of treatment to obtain good results. Scratching the acne resulted in shoulder keloids. Ms. Wang had an acne on her left shoulder more than a year ago, which was painful and itchy. Later, it was so uncomfortable that she scratched it with her hand. I thought it would not be a big deal to pierce an acne, but it caused the acne to rupture and become inflamed. The gradually inflamed area gradually formed harder nodules. Through the mirror, I could see that it was dumbbell-shaped and congested and red. Miss Wang didn’t care at the time either, thinking that the normal state of wound healing would disappear by itself when the swelling subsided. However, after a period of time, not only did it not disappear, but it increased a little, and itching and pain began to appear. At this time, Miss Wang realized the seriousness of the problem and found out that it was keloids caused by acne after checking the Internet. Ever since I got this keloid scar, I used to love her beautifully. I never dared to wear sleeveless clothes or go swimming in summer. I couldn’t wear many strapless sexy clothes. I was in a bad mood and felt unhappy all day long. Ms. Wang has also done some treatments, such as applying external scar ointment and drinking Chinese medicine for conditioning, but the effect is not satisfactory. Later, she went to the hospital for an injection. The painful and itchy symptoms did get alleviated after the injection, but the keloid scars did not go away. She thought the effect was not good, so she didn’t go for treatment. She saw from the Internet that many people said that keloid scars would recur, and the probability was very high, it was difficult to cure, etc., which made her very worried and troubled, and did not know what to do. Non-surgical comprehensive treatment to remove scars and regain flawless skin. Miss Wang usually loves the Internet. Once I accidentally saw a case article on my treatment of keloids from the Internet. From the comparison photos of the articles, we can see that the effect after treatment is very good, which makes her Seeing the hope of healing again. Later, she searched many of my treatment cases or popular science videos through the Internet. Not only did she have a more comprehensive understanding of keloids, but she also recognized my treatment techniques. So, not long after, Miss Wang came to our hospital for a face-to-face consultation. I was checked and found that the keloid on Miss Wang’s left shoulder was congested, red and swollen. Abundant capillaries can be seen under the skin, indicating that the keloid is still in the inflammatory period and has a tendency to continue to grow. In view of this situation, I suggest a non-surgical comprehensive treatment plan of drug injection plus SRT-100 shallow radiation. By blocking the blood supply of the keloid tissue and cutting off its internal nutrient supply, the continuous proliferation of keloids is prevented, and the goal of eliminating keloids and preventing recurrence is finally achieved. Ms. Wang was worried about the efficacy of drug injections because of the poor effect of injections before. After learning about her treatment in detail, I pointed out that drug injection to treat keloid scars requires a process, usually 4-6 times. It is difficult to achieve a complete cure with only one treatment, and you should not be too impatient. In addition, the recurrence rate of keloids simply by injection is extremely high, and combined treatment with radiotherapy and chemotherapy is required to minimize the recurrence. Through my explanation, Ms. Wang dispelled her worries and understood the problem of why the treatment was not effective at the time. She gladly accepted the non-surgical comprehensive treatment plan formulated for her by the professor. In the course of systemic treatment for the next few months, the keloid scars on Ms. Wang’s shoulder gradually atrophied and disappeared, and the symptoms of itching disappeared gradually. According to the recent feedback photos, the keloid on the shoulder has completely disappeared, and the overall treatment effect is very satisfactory. Through this case, it is not difficult to see that the treatment of keloids cannot be impatient, especially for non-surgical comprehensive treatment. It is necessary to adhere to the treatment according to the course of treatment, so as to obtain more satisfactory results. Impatient cannot eat hot tofu.
In previous articles, it has been repeatedly emphasized that keloids using a certain treatment method has a very high recurrence rate. It is precisely because of this that many patients have recurrence after treatment. Ears are one of the hardest hit areas of keloids, and the problem of recurrence is also quite serious. Therefore, the treatment of keloids cannot be done alone, but combined treatment. The following case is very typical: Ear keloids have recurring pain and suffering. Ms. Guo has often sighed and frowned in recent years. Whenever she saw the keloids on the ears in the mirror, she regretted her decision to pierce her ears. A few years ago, Ms. Guo was pursuing fashion. She pierced the auricles of both ears. Unexpectedly, the pierced ears of the left ear were infected. Although the inflammation was controlled after repeated treatments, the pierced ears were blocked. And there are “small pieces of meat” growing inside. This “little meat” was not very eye-catching at first, and Ms. Guo didn’t care too much, but after more than a year, the “little meat” was like a sprouted seed, which grew bigger and bigger and became a “meat bump”, congested. It is red and swollen, and occasionally feels very itchy, which is particularly uncomfortable. Because of the impact on the beauty, Ms. Guo went to a local hospital for a resection. However, not long after the operation, the “meat bumps” grew again, and they grew up faster than before. In addition, the pain and discomfort are more serious, and sometimes it is really unbearable. Ms. Guo scratched with her hands, which resulted in rupture of the infection and stimulated the proliferation of keloids. In order to treat keloids on the ears, Ms. Guo also tried to find other scar removal methods, such as ointments, lasers, injections, etc., and tried a lot of folk prescriptions, but some relapse after treatment, and some simply have no effect. The “meat bumps” on the earlobes continue to increase. Every time she went out, she always felt the strange look from others, which made her feel very distressed. Comprehensive surgical treatment has given his ears a new look, and he has been haunted by keloids for several years. Ms. Guo’s husband knows her distress, and has been paying attention to and looking for a hospital that can treat keloids. After many inquiries, she finally learned that Professor Su Yingjun from the United Rieger Scar Repair Center is good at treating various types of keloids. The idea of trial came to the hospital for consultation. After face-to-face consultation, Professor Su pointed out that if keloids are simply operated on, injections, etc., there will be a very high recurrence rate, which is also the biggest difficulty in the treatment of this disease. Therefore, according to the “China Keloid Clinical Treatment Recommended Guidelines” formulated by the Scar Medical Branch of the Chinese Plastic Surgery Association, a variety of combined treatment methods should be adopted for keloids. Combining with the large area of Ms. Guo’s keloid, Professor Su decided to take surgical nuclear resection to completely remove the internal tissue of the keloid, leaving only part of its epidermal tissue, which can effectively close the wound and also have the appearance of the ear after the operation. Guarantee. At the same time, with SRT-100 shallow radiotherapy, it can effectively inhibit the recurrence of keloids, so as to achieve the purpose of treating both symptoms and root causes. After comprehensive surgical treatment, the ear keloids that had troubled Ms. Guo for many years were successfully removed, and the overall recovery was very good. From the recent return visit photos she sent, the overall appearance of the ear was completely preserved, and there were no signs of recurrence. The treatment effect is relatively ideal.  . It can be seen that keloids can adopt multiple methods to combine treatment plans to maximize their respective treatment advantages and make up for each other’s deficiencies, so as to achieve an ideal treatment effect.  .
Many of the keloid patients I have treated have been delayed for several years, more than ten years, or even decades, and they have to come to the hospital for treatment when they have reached very serious conditions. The reason is that the patient lacks understanding of benign skin tumors such as keloid scars and does not recognize its harmfulness. Therefore, today I will talk to you about some of the hazards of keloids, and I hope that patients with such problems will pay attention to early treatment. What are the hazards of keloid scars? 1. Image-impaired keloids bulge on the surface of the skin, red or dark red in color, and are mostly round, crab-foot-shaped, string-shaped, etc., which look very obvious and affect the appearance. If they grow on the ears, jaw, chest or Limbs and other parts that are easily exposed can easily arouse the strange look of others. 2. Itching is unbearable in the early stage of keloid scars, the symptoms of itching are not obvious, as the keloids gradually grow up, some patients will experience itching and tingling and other uncomfortable symptoms, which will gradually increase. Especially in rainy weather or high temperature weather, keloids may become more painful and itchy, even affecting patients’ sleep. Many patients come to the hospital for treatment because of the pain.  .3. In rare cases where normal skin is eroded, keloid scars will gradually disappear with the age of the patient. In most cases, keloids have a continuous growth trend. If not treated correctly, scars will gradually erode the surrounding area. The normal skin causes adjacent keloids to become one piece, and the skin lesions are getting larger and larger, which may last for several years or even decades.  .4. The keloids that may become cancerous will become thicker as they grow, blocking the sebaceous glands, which may lead to sebaceous cysts. If bacteria invade and cause sebaceous cyst infection, suppuration, and ulceration, keloids can cause severe pain, and severe repeated ulceration can easily stimulate the malignant transformation of keloid tissues and eventually form scar cancer. Keloids should be treated as soon as possible and should not be delayed. After explaining the hazards of keloids, I hope that the majority of keloids will have more knowledge about this disease and do not delay. Should be like the following Ms. Liu, early detection and early treatment. Ms. Liu, more than two years ago, there were two acne on her chest. She squeezed it out without taking it too seriously. As a result, keloids were induced. At that time, the area of keloid scars was small. Ms. Liu mistakenly thought it was acne and simply applied some anti-acne ointment. However, after a few months, the keloid scars did not disappear. Instead, they grew larger and eroded normal skin to both sides. Not only affects the appearance, but also often accompanied by intense itching. After learning that this is a keloid scar from the Internet, I was worried that it would increase, so I came to the hospital for treatment. After examination, I found that the keloids were congested, red and swollen, and abundant capillaries could be seen under the skin, indicating that the keloids were in an inflammatory period, and sufficient blood supply would also promote the continuous increase of the keloids. For this reason, I formulated a non-surgical comprehensive treatment plan for Ms. Liu with drug injection and SRT-100 shallow radiation. By blocking the blood supply of the keloid tissue and cutting off its internal nutrient supply, the continuous growth of the keloid can be prevented, and finally the goal of eliminating the keloid and preventing recurrence. After systemic treatment, keloid scars were completely removed, and no recurrence was seen in the two-year follow-up visit. From the latest feedback photos sent, the skin color of the original treatment area has basically returned to normal, and the appearance effect is very satisfactory.  . Once a keloid scar grows, it is difficult to go away on its own, and it continues to develop. Early treatment can prevent the continued proliferation of scars and reduce the erosion of normal skin by scars. At the same time, early detection and early treatment of keloid scars are not only less difficult to treat, but also very helpful to the restoration of later aesthetics. Therefore, don’t delay if you have keloids.
The biggest trouble of “Youpi” is to constantly fight acne, and the face is often the main battlefield. Some acne can basically be bombarded by various anti-acne drugs, anti-inflammatory ointments, and acne patches. The smoke disappears, but there are also some “acne” guarding the lower jaw area, and you are still tenacious despite all the means. Why is this “acne” so difficult? In fact, it may not be acne, but keloid. These “acne” on the lower jaw are really hard to deal with Mr. Li. They have typical oily skin. They often have acne on the face when they are in school. Various methods have been used to eliminate acne. It can be said that the “acne” struggle is extremely experienced. With age, the number of acne on his face has decreased a lot, which makes Mr. Li very happy. It seems that the “acne” battle has been won. Unexpectedly, more than a year ago, there were a few “acne” on the right mandible, and it was still very difficult to wrap around. After Mr. Li had a few acne on his jaw, he squeezed the acne easily because of some pain and itching. He thought it would grow up gradually in a few days, but it caused an infection. After several treatments, the inflammation disappeared. But a few “acne” have grown. This time, Mr. Li didn’t dare to squeeze and squeeze, but instead used acne ointment based on his past experience in acne treatment. However, the acne seems to be a little different this time. After applying the acne cream for more than a month, the acne did not show any signs of subsiding. Mr. Li changed to another brand of acne cream, and it was useless for a few weeks. Later, he continued to use some anti-inflammatory ointments and acne patches, but it still had little effect. Not only that, but the acne grows larger, congestion, redness, and swelling, and it is often accompanied by discomfort such as itching and tingling. “Acne” turned out to be a pimple. No wonder Mr. Li couldn’t get rid of the acne after he could not cure it for half a year, and the pain became more severe. I can’t deal with “acne”, so I can only choose to go to the hospital for treatment. After some consultation on the Internet, Mr. Li came to our hospital and wanted to let the skin beauty doctors see how to treat. After the examination, the cosmetic dermatologist who received the consultation found that it was not acne, but more like keloids. He happened to know that I was good at treating keloids, so Mr. Li was referred to me. After careful examination and inquiring about the past, I was diagnosed with keloid scars, a benign skin tumor. Because it is not acne, the method is useless, and there is no effect after natural treatment. Because Mr. Li’s mandibular keloids are congested, red and swollen, and accompanied by itching and tingling, it shows that the keloids are in the inflammatory period, and it is the best time to treat keloids. In this regard, I formulated a non-surgical comprehensive treatment plan for him with drug injection and SRT-100 shallow radiation. By blocking the blood supply of the keloid tissue and cutting off its internal nutrient supply, the continuous growth of the keloid can be prevented, and finally the goal of eliminating the keloid and preventing recurrence. After systemic treatment, these once very difficult “acne” were finally completely eliminated, and the pain and itching symptoms disappeared completely. Only the treated area was slightly pigmented, and it will gradually fade and return to normal skin tone over time. . Mandibular keloids are mostly caused by acne and folliculitis, while keloids that are in the inflammatory phase are congested and swollen. In appearance, they are sometimes mistaken for acne by the patient, and the treatment of acne is misused, and the effect is naturally not obvious. Therefore, if you find the so-called “acne” in the mandibular area, and the treatment is still ineffective, you must go to a regular hospital in time. If it is diagnosed as keloid scars, you should actively take correct and effective measures for treatment to achieve the desired effect.
Yesterday was the third Chinese Physician’s Day. As it was a working day and there was not much difference between going to work, ward rounds, dressing changes, face-to-face consultations, and treatments. In the afternoon, I did a seminar on scar prevention after rhinoplasty on a medical beauty platform. Live video. However, by accidentally opening a short video platform after get off work, I learned a lot during the Physician’s Day and had a more meaningful time. I usually don’t pay much attention to this video platform. I just take a moment every day to upload some of the previously recorded scar science videos here. I occasionally consult patients and I will answer them after seeing them. Later, my assistant set up a scar exchange group for fans who follow me on the platform. Any scar problem can be communicated in the group. Recently, there has been more interaction with everyone in the group, and the atmosphere in the group is much more active. Last night, I logged in without any problems and found many messages. Most of the questions for consultation focused on keloids and moles. Among them, some of the questions raised by scar friends are representative, and they are also issues that many scar friends do not know well or are often confused. I wanted to integrate these questions together, and I will answer them again in today’s article. 1. Is isotope application effective in treating keloids? Isotope application for the treatment of keloid scars, early application is more, according to clinical observation, 90Sr, 32P isotope application to treat keloids, although it can control the growth of keloids, but it takes a long time, and the later period will leave pigment loss Sexual scars and/or radiation dermatitis are difficult to meet the aesthetic requirements, and now they tend to be less used. 2. How to treat hyperplastic scars caused by moles? For hyperplastic scars caused by moles, if the area is larger, the method of cosmetic suture can be reduced after surgical resection; for the smaller area, drug injection can be used to flatten and soften the hyperplastic scar.  .3. What is keloid? In the communication with keloid patients yesterday, I found that not only the patients but also the doctors in some hospitals did not know enough about keloids. Therefore, it is necessary to emphasize again: Keloid is a benign skin tumor, not a scar. It generally manifests as a continuous growth lump that is higher than the surrounding normal skin and beyond the original injury site. It is hard to palpate, has poor elasticity, local itching or pain, and has a high recurrence rate. 4. Can the keloid be struck off with a rubber band? Yesterday, a patient used a rubber band to strangle keloids. I explained this method in a previous article. The rubber band strangles the keloid, which is equivalent to a very incomplete partial resection without aseptic operation. At the same time, the keloid has to endure a lot of pain in the process of strangling the keloid. In addition, it may also cause problems such as recurrence and even local infection, tissue necrosis, and the consequences of these problems are also great. Therefore, this soil method is best not to be used. 5. How to treat keloid scars without recurrence? Keloid is a benign tumor, and it is also heavily affected by some characteristics of the tumor such as high recurrence rate. Simple drug injection, surgery, laser, cryotherapy, radiotherapy and chemotherapy will have a very high recurrence rate. This is also the reason why many doctors who do not know about keloids have recurrence after treating patients. When I treat keloids, I follow the “Recommended Guidelines for Clinical Treatment of Keloids” formulated by the Scar Medical Branch of China Plastic Surgery Association in 2018. It is mentioned in the “Guide” that for keloids, a combination of multiple methods must be used to treat keloids in order to obtain a better treatment effect and minimize the possibility of its recurrence. Take the ear keloid patients in the communication group as an example. If the ear keloid area is small and in inflammation, a comprehensive treatment plan of drug injection and superficial radiotherapy can be adopted; for the larger keloid area, surgical resection and shallower can be adopted. Integrated program. Last night, I not only discussed scar issues with fans in the group, but also received support and encouragement from a fan, which made me feel that this was a valuable gift to receive on Physician’s Day, and it also strengthened my determination to continue to serve the majority of scars. Through the interaction with the fans last night, I realized that the Chinese people lack knowledge of scars, and I need to continue to increase the popularization of science to let more people know about scars and how to prevent and repair them. As a doctor who has been dealing with scars for more than 30 years, I am obliged to disseminate knowledge about scars. In the future work, I will continue to do my best to heal scars for more scar friends and regain beauty and confidence!
I believe that many people have acne during puberty. In severe cases, they will even leave many acne marks on the face, which makes you who love beauty annoyed. Worse, acne can also cause keloid scars, which can cause both body and mind of the patient. Great pain. Therefore, if you have acne, you should actively treat it, which can effectively prevent the occurrence of keloids. Being negligent on acne results in keloid scars. Miss Zhang is born with oily skin. Not only her face often bursts with acne, but her jaw is more frequent. Ms. Zhang was troubled by the acne one after another. She also used many anti-acne products. She also paid attention to facial cleansing. The acne on the face was basically under control, but the jaw is still the main base for acne. Encirclement and suppression all ended in failure. About three years ago, Miss Zhang suddenly developed a big acne on her right lower jaw. It hurts even if she touched it lightly. After a few days, the anti-acne and anti-inflammatory ointment did not improve. It was really unbearable, so I pierced it with my hands. It didn’t matter if I pierced it and caused the infection. It was not good again and again, and finally a pimple grew. At first, Ms. Zhang didn’t care too much about the pimple because it didn’t hurt or itchy. Until a year later, she discovered that the pimple had not become smaller, but had grown bigger and bigger with pain. At this time, she realized that this meat bump was a bit unusual. So, she checked on the Internet based on her symptoms and found that many people had similar conditions to her, and this pimple was actually a skin tumor. Ms. Zhang was worried that the keloid scars would grow bigger and bigger, so she sought medical advice, drinking Chinese medicine and applying ointments, and tried some methods to no avail. On the contrary, it stimulated the keloids and increased a lot. Non-surgical comprehensive treatment to remove keloids. Many treatments were ineffective. Ms. Zhang was very distressed. Without treatment, she worried that the keloids would grow bigger and bigger, and the treatment would not be effective. She was hesitated for more than a year. . At this time, the keloid scar is in the form of a string, entrenched in the lower jaw, which not only affects the appearance, but also aggravates the itching, but dare not scratch. When Ms. Zhang was tortured by keloids, she occasionally saw a live broadcast of keloids from Professor Su Yingjun from the United Rieger Scar Repair Center on a medical beauty platform. The professor not only analyzed the causes of keloids caused by acne, but also targeted this type of Keloids gave a clear treatment plan, let her see the hope of cure. Soon after, Miss Zhang, accompanied by a friend, went to the hospital to see Professor Su for a face-to-face consultation. Through the examination, Professor Su found that Miss Zhang had an irregular clue-like keloid on her right mandibular, with redness and congestion at both ends, combined with the patient’s frequent itching and tingling and other uncomfortable symptoms, indicating that the keloid is currently in the inflammatory phase. If we can intervene in time, Will receive very good results. In response to Miss Zhang’s situation, Professor Su formulated a non-surgical comprehensive treatment plan for her with drug injection and SRT-100 shallow radiation. By blocking the blood supply of the keloid tissue and cutting off its internal nutrient supply, the continuous growth of the keloid can be prevented, and finally the goal of eliminating the keloid and preventing recurrence. Ms. Zhang is more afraid of pain and worried that the injection will be very painful. As a result, after the first treatment, she did not feel any pain. This relieved her worries a lot, and what made her happy is that the itching and tingling symptoms of keloids have been significantly relieved. , Keloids are not so red anymore. Later, after several follow-up treatments, the keloids on the jaw were finally completely removed. Compared with the photos before treatment, there are no traces of keloids except for a little darkening. Professor Su was also very satisfied with the treatment effect, but he saw some acne growing on Miss Zhang’s jaw, and some whiteheads appeared. In order to prevent acne from causing keloids again, it is recommended that Ms. Zhang should actively control acne. In addition to applying some anti-inflammatory and acne-removing drugs, she should also pay attention to avoid scratching and squeezing. You can use warm and hot water (less salt), Sulfur soap baths to remove grease. Keep your face as clean as possible and pay attention to personal hygiene. In addition, avoid or eat less sweets and high-fat meats and fried foods, eat less spicy and pungent foods, and eat more cold fruits and vegetables. Through this case, it is not difficult to see that oil control and acne removal play an important role in the prevention of keloids. Therefore, it is necessary to actively treat acne in daily life. And once keloids are found, don’t delay, go to a regular hospital in time to take regular treatment, and don’t blindly treat yourself.
In the article I wrote before, we have repeatedly emphasized through some cases that the delayed death of keloids not only aggravates the condition, but also increases the difficulty of treatment. Some of the reasons for the delay are that you can bear it, some are not paying attention to the disease, some mistakenly believe that keloid scars will go away on their own, and some people are afraid of pain because of injections. The keloids were delayed for five years because I was afraid of the injection pain. Not long ago, I saw a female patient with keloids. According to the patient’s Miss Liu, more than 5 years ago, repeated acne in the lower jaw induced infection, which eventually led to keloid scars, often accompanied by itching. So, she searched the Internet for the treatment of keloid scars, and saw online mentions of scar injections that can be treated. However, there are also many people posting on the Internet saying not to get scar injections, because injections are very painful, and each treatment is like “sentencing”. Ms. Liu is very afraid of pain, especially after seeing so many people introducing her painful experience of injections. She wanted to be treated by injections, but she has not made up her mind because of her fear of pain. The delay lasted for five years. In five years, not only did the keloid scars have grown a lot, but the frequency and severity of itching have also increased, which made Ms. Liu realized that there was no more delay. So, Ms. Liu learned that our hospital came here especially through online consultation, and she also wanted to try it out to see if the injection hurts. After checking, I formulated a non-surgical comprehensive treatment plan for her with drug injection plus SRT-100 superficial radiotherapy, and the first drug injection was given on the same day. After the injection, Ms. Liu regretted it. There was no pain in the whole treatment process. She regretted that she had blindly believed the online comments and failed to treat in time. If I could be found for treatment at that time, not only would we get better results, but also No need to suffer so many years of sin. Mastering the five key points, injections can not hurt. Actually, it is not wrong to say that injections are painful on the Internet, because whether the injections are painful or not has a lot to do with the doctor’s injection technique and whether to apply anesthesia before the operation. Therefore, if you want to make the injection painless, you should do the following: 1. Local infiltration anesthesia before the injection. In order to reduce the pain during the injection, I usually take the local infiltration anesthesia method for the treatment area. After applying anesthesia for a period of time, I will give the injection. When the patient hardly feels pain. 2. When using a thinner injection needle, I will choose a thin needle, so that the sharp needle tip can penetrate the skin more quickly, and the damage is less, thereby reducing the puncture pain. 3. Do not damage the normal tissues. Before the treatment, clarify the injection treatment area. When giving the injection, strictly control the treatment range to prevent the drug from spreading to the surrounding normal skin tissues, thereby avoiding various irritation reactions. 4. The infiltration anesthesia with anesthetic ingredients added to the injection drug is mainly for anesthesia on the patient’s epidermis. The internal scar tissue may cause pain due to acupuncture or drug solution stimulation. To solve this problem, I will add a certain amount of anesthesia to the configuration of the injection drug Medicine, so that no pain is felt during injection. 5. The injection technique is gentle. When I am injecting, I should act as gentle as possible and slowly inject the medicine into the scar tissue. Although this will increase some treatment time, the patient’s pain will be greatly reduced and the patient will feel very good. The reason why many patients with keloids think that injections are painful and cause bad treatment experience is closely related to the above points. It is precisely because they do not understand that injections can be painless, and many people are in vain because of the pain of injections and the best treatment time is delayed. It can be seen that the promotion of painless injection is very necessary to improve the treatment experience and treatment effect of patients.
The longer the keloid is, the more difficult it is to treat, and the pain it causes to the patient increases day by day. Therefore, we have repeatedly emphasized that the treatment of keloids should be done sooner rather than later. This acne seems a bit unusual. Miss Wu developed an acne on her chest for some reason more than a year ago. It was painful and itchy, so she applied some anti-acne ointment, but it didn’t go away after a few days. It was really itchy. Squeezed it by hand. Unexpectedly, the acne was squeezed to cause infection, and the inflammation was controlled after repeated treatment. Soon after, Miss Wu found that the place where the acne was originally growing was red and swollen, and she often felt some itching and discomfort. She thought she had acne again, although she was very distressed, but this time she didn’t dare to squeeze it casually, so she could only apply some anti-inflammatory ointment to let it fade slowly. However, the acne seems a little different this time. One month later, not only did it not disappear, but it seemed to have become bigger. Miss Wu thought that the ointment was not correct, and tried several other ointments, but still no effect. In this way, another three months passed, and the “acne” gradually developed horizontally, and the congestion became more obvious. It wasn’t until then that Miss Wu discovered the abnormality, which was probably not acne. The storm was wiped out in the bud, so she searched the Internet based on her own situation, wondering what exactly looked like on her chest? During the search, she came across an article about a keloid treatment case written by me. The situation of the patient in the article is very similar to her, and then I know that this one on the chest is not acne at all, but keloid. Because the patient found in the article was timely, the appearance of the patient recovered well through systemic treatment, and there was almost no trace of treatment. This made Ms. Wu more trust in my treatment techniques, and also worried that the longer the keloid scars, the bigger it would affect the appearance. Soon after, I came to my clinic. After careful inspection, I found that the keloids are a little swelling, and abundant capillaries can be seen under the skin. Combined with the patient’s frequent itching and tingling and other uncomfortable symptoms, it indicates that the keloids are currently in the inflammatory period. If you can intervene in time, you will receive excellent results. In response to Miss Wu’s situation, I formulated a non-surgical comprehensive treatment plan for her with drug injection and SRT-100 superficial radiotherapy. By blocking the blood supply of the keloid tissue and cutting off its internal nutrient supply, the continuous growth of the keloid can be prevented, and the goal of removing the keloid and preventing recurrence is finally achieved. After a period of systemic treatment, the keloid scar that was just beginning to stir was “eliminated” in the bud. From the latest feedback photos, it can be clearly seen that apart from some slight discoloration in the affected area, there is no longer any trace of keloids. Through this case and some cases shared before, it has been fully proved that if keloids can be detected early and can attract attention, early treatment can achieve very good appearance effects. Therefore, keloids should be treated promptly without delay.