Intralesional Injection – Keloids, Scars, Contractures

The wound healing process differs from person to person. The body may react differently in other situations, resulting in aberrant tissues such as keloids, hypertrophic scars, or scar contractures. While each patient’s treatment plan may differ, the typical approach begins with a consultation. It ends with an Intralesional Injection that delivers medicine to the targeted skin lesion in the body. Contact WeCare Health Medical Centre today, and we’ll gladly advise you on the best course of action for your issue.

Call us at 02 6324 6688 to schedule an appointment.

Intralesional injections can be used to treat vitiligo, alopecia, and psoriasis, among other skin conditions. They’re also good for hypertrophic scars, keloids, and contractures because of their anti-inflammatory and healing characteristics.

What Exactly Are Keloids, Scars, and Contractures?

Keloids, scars, and contractures are all common side effects of physiologic wound healing issues that can lead to dermal lesions. Excessive scarring is a common side effect of treatments such as elective and trauma surgeries, and it can have physiological and psychological consequences for the patient. 
As a result, surgical incisions must be meticulously designed and thought out in order to avoid contractures. For example, large open wounds cause scar contractures, whereas hypertrophic scars result from an aberrant response to an accident or trauma. On the other hand, Keloids start as hypertrophic scars that spread to other parts of the body. As a result, differentiating and distinguishing the two can be challenging at times.

What Exactly Are Keloids, Scars, and Contractures?

What are the warning signs of a Keloid?

You'll probably notice one or more of the following signs and symptoms if you develop a keloid. Keloids have the following characteristics: 

They appear slowly. The initial signs of a keloid can take 3 to 12 months or longer to appear; most of them show within a year of whatever caused the scarring on the skin.

  • The wound starts as a raised pink, red, or purple scar. If a keloid occurs on the earlobe, it is usually circular or oval in shape; a keloid is a raised scar with a flat surface on the chest, legs, or arms.
  • They take time to grow. When you first notice a keloid, it usually develops slowly; the majority of them spread for weeks or months; a keloid can grow for years at a time.
  • A keloid might also spread rapidly; some of them have tripled in size within a few months.
  • Have a soft, doughy texture or a hard, rubbery texture. The scar will feel different from the rest of your skin when you touch it. It's more likely to feel firm on the earlobe.
  • Cause discomfort, itching, or tenderness. A keloid can be itchy, uncomfortable, or both as it is growing. Tender keloids on the chest are common. Symptoms usually disappear once a keloid stops growing.
  • Over time, the colour will darken. When a keloid stops growing, it becomes darker than the rest of the person's skin. In most cases, the border is darker than the centre.

Intralesional Therapy

The conventional treatment for most skin illnesses or disorders is an Intralesional Injection. It is intended to provide a particular concentration of a specific drug to the location where the skin lesion is discovered to enhance healing while reducing adverse side effects. For this type of injection, corticosteroids like triamcinolone acetonide are typically utilised to treat the scarred area. The dosage of medicine required for the injection may vary depending on the lesion's type, location, and size. The dose also depends on your overall condition. Triamcinolone acetonide comes in two concentrations: 10mg/mL for hypertrophic scars of moderate thickness and 40mg/mL for prominent keloid scars. As a result, acquiring the right injection dose is critical to properly treating your illness; therefore, before you have an injection, your doctor must evaluate your skin and review your medical history to rule out any contraindications. In addition, intralesional injections are not recommended for people with corticosteroid allergies, and they should not be used in locations where there are current skin infections.

Consult with Your Physician Today

Excessive scarring necessitates a medical treatment plan, so consult with your doctor to learn about your options and determine the best course of action. Visit WeCare Health Medical Centre today to discover a dermatologist who can help you get started with the procedure. Our experts have the necessary expertise and abilities to assess your situation and suggest the best course of action. Rest assured that we will provide nothing less than excellent service. Please come to our centre and meet our team to learn more about what we offer. Call us at 02 6324 6688. to book an appointment.

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