Introduction: Dealing with Resistant Keloid Scars
Keloids- raised itchy scars that are more prominent than the site of injury. They are common for people with darker skin or have a family history of keloids. At Pinkal Medical Aesthetics, we provide a non-operative method of easing and flattening these scars using Kenalog (triamcinolone) injections. This post discusses the mechanism of Kenalog, its effectiveness, and what makes it worthwhile for patients in London.
1. The Mechanism of Action of Kenalog Injections
Steroid Action: Triamcinolone decreases collagen deposition and overproduction leading to volume reduction.
Treatment: Monthly injections (10–40 mg/mL) until the keloid flattens (3-6 sessions).
Add-On Treatments: Pulsed dye laser therapy can be used to scar vasculature.
2. Best Suitable Candidates and Areas of Treatment
Common Locations: Earlobes (from piercings), anterior torso, shoulders.
Patient Type: Recurrent keloids not responding to silicone gel therapies or pressure earrings.
Pregnant patients and patients with a skin infection should not be treated.
3. Pinkal’s Guidelines for Maximum Efficacy
Consultation: Measure size and firmness of keloids along with pertinent medical history.
Injection: Use of 30-gauge syringe minimizes discomfort; ice packs are applied afterwards.
Post Procedure: Use of pressure dressings with topical steroids is advised to control recurrence.
Efficacy: 50-80% flattening after four sessions.
4. Most Common Queries
"Will the injections produce pain?"
Slight burning; topical anesthetic available.
“Are there complications?”
Subject to resolve is temporary skin thinning or hypopigmentation.
Conclusion
Pinkal Medical Aesthetics reported that kenalog injections help with the discomfort and self consciousness associated with keloids. These are best paired with laser therapy.
Visit our comprehensive removal guide for other scar solutions or read about Cryotherapy for Skin Tags and Moles