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When a wound heals it leaves a scar which could be surgically treated by cosmetic surgery. However, when the wound healing process almost ends, keloids might appear on the scar. Keloids are irregular and thickened scar tissue that grow beyond the edges of the original wound in some cases, particularly in dark colour races, such as Africo-Caribbean.
The causes of keloids formation are unknown but it appears that the body continues to produce the tough fibrous protein, known as collagen, after a wound has healed. We do not know why some people have a tendency to develop keloids after wound healing.
There is another similar condition called hypertrophic scar which is often confused with keloid formation. These conditions both cause thickened, red or darkened and raised scars.
However, in hypertrophic scars the extent of the scar will remain within the boundaries of the original wound but in keloids it extends beyond.
Both keloid and hypertrophic scars might improve on their own, but a steroid application or injection might accelerate this process. The plastic surgery treatment by Z-plasty is a surgical technique used to reposition a scar using the natural lines and creases of the skin, where it will be less noticeable.
At our cosmetic surgery clinic we will assess each individual case and see which method of treatment is the best in each case. There is a wide range of options available nowadays including using laser and injectable agents but surgery remains probably the best option. At our cosmetic surgery clinic we perform the operation under local anaesthesia with good results.
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