Keloid scars are horrible to see. They are so disfiguring and ugly to look at. And yet, it is so common. A small injury to the chest and it enlarges to a very big hard bridge of a tissue. When surgically removed, they occupy the line of incision and becomes larger and uglier. There is no other resort but to inject steroids subcutaneously with local anesthesia. The success rate is about 35% after a 6 monthly injection. but the side effects are horrendous; buffalo hump, rounded face, brittle bones in old patients,etc. but some patients would rather have the side effects than to have this kind of scar.
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