{"id":3276,"date":"2023-07-12T14:50:00","date_gmt":"2023-07-12T12:50:00","guid":{"rendered":"https:\/\/saragomezdermatologa.com\/scars\/keloids\/"},"modified":"2024-01-26T12:34:12","modified_gmt":"2024-01-26T11:34:12","slug":"keloids","status":"publish","type":"page","link":"https:\/\/saragomezdermatologa.com\/en\/scars\/keloids\/","title":{"rendered":"Keloids"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3276\" class=\"elementor elementor-3276 elementor-2456\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f5e1df4 afp-bg-color elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f5e1df4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8286a09\" data-id=\"8286a09\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b6505ba afp-less-margin-bottom elementor-widget elementor-widget-text-editor\" data-id=\"b6505ba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Scars<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d6c330b elementor-widget elementor-widget-heading\" data-id=\"d6c330b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Keloids<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4b09877 elementor-widget elementor-widget-text-editor\" data-id=\"4b09877\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Most superficial injuries that can damage the skin do not leave significant scarring, but deep skin injuries can lead to hypertrophic and keloid scarring. The abnormal resolution that occurs after these injuries is related to an up- or down-regulation of certain wound healing processes.<\/p>\n<p>Although both keloids and hypertrophic scars show excess collagen synthesis, there are important differences between the two types and their distinction is key to selecting the most appropriate treatment. In particular, keloids extend beyond the margins of the initial wound.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c8b349b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c8b349b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-85d5cb1\" data-id=\"85d5cb1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ed63cd elementor-widget elementor-widget-image\" data-id=\"6ed63cd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"512\" height=\"384\" src=\"https:\/\/saragomezdermatologa.com\/wp-content\/uploads\/2023\/07\/queloides.jpeg\" class=\"attachment-full size-full wp-image-3182\" alt=\"keloids\" srcset=\"https:\/\/saragomezdermatologa.com\/wp-content\/uploads\/2023\/07\/queloides.jpeg 512w, https:\/\/saragomezdermatologa.com\/wp-content\/uploads\/2023\/07\/queloides-300x225.jpeg 300w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Keloids. Source: dermatoweb.udl.es<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-8d085a8\" data-id=\"8d085a8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8c019d8 elementor-widget elementor-widget-image\" data-id=\"8c019d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"512\" height=\"339\" src=\"https:\/\/saragomezdermatologa.com\/wp-content\/uploads\/2023\/07\/queloides-2.jpeg\" class=\"attachment-full size-full wp-image-3180\" alt=\"\" srcset=\"https:\/\/saragomezdermatologa.com\/wp-content\/uploads\/2023\/07\/queloides-2.jpeg 512w, https:\/\/saragomezdermatologa.com\/wp-content\/uploads\/2023\/07\/queloides-2-300x199.jpeg 300w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Keloids. Source: dermatoweb.udl.es<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-24bb8a5\" data-id=\"24bb8a5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4725511 elementor-widget elementor-widget-image\" data-id=\"4725511\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"500\" height=\"428\" src=\"https:\/\/saragomezdermatologa.com\/wp-content\/uploads\/2023\/07\/queloides-3.jpeg\" class=\"attachment-full size-full wp-image-3181\" alt=\"\" srcset=\"https:\/\/saragomezdermatologa.com\/wp-content\/uploads\/2023\/07\/queloides-3.jpeg 500w, https:\/\/saragomezdermatologa.com\/wp-content\/uploads\/2023\/07\/queloides-3-300x257.jpeg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Ear keloid. Source: dermatoweb.udl.es<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6b0cd41 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6b0cd41\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-97fad31\" data-id=\"97fad31\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ddb2864 afp-smaller-h2 elementor-widget elementor-widget-heading\" data-id=\"ddb2864\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frequently asked questions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2bd412c elementor-widget elementor-widget-text-editor\" data-id=\"2bd412c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Click on the question to expand the answer<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd125e7 afp-faq elementor-invisible elementor-widget elementor-widget-accordion\" data-id=\"cd125e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2151\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2151\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-arrow-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Why do keloids appear?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2151\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2151\"><p>Keloids can appear after any type of trauma, inflammation, surgery or burn on the skin, although they can occur spontaneously. This abnormal scarring may be unavoidable and independent of surgical technique or wound care after their appearance. They are usually seen on the trunk and may appear late rather than at the beginning of the healing process.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2152\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2152\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-arrow-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How are keloids treated?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2152\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2152\"><p>The treatment of keloids can be complex and the results can be unpredictable. Although complete resolution is unlikely, we can significantly improve their appearance. The choice of treatment for keloids will depend on the location, extent, evolution, appearance of the scar and patient preference.<\/p>\n<p>Specifically, to decide on the most appropriate tools, we must take into account characteristics such as keloid <strong>tension<\/strong> (to assess whether surgery is necessary to release this tension), <strong>redness<\/strong> (which is maximum at the beginning of its formation and will improve progressively) and the <strong>texture<\/strong> of the keloid. Reoperation on a keloid is not usually recommended except in cases of high tension, so the best option is a combination of some of these treatments, depending on the characteristics of each patient:<\/p>\n<ul>\n<li><strong>Lasers<\/strong>\n<ul>\n<li><strong>Vascular lasers:<\/strong> KTP laser, pulsed dye laser and Nd:YAG. These lasers selectively treat the haemoglobin in the blood vessels present in keloids, so they are appropriate for those of recent appearance or for the most reddened ones. When used in the early stages, they can limit excessive and abnormal collagen production. In addition, these devices have the ability to improve the texture of keloids and can be combined with other techniques, and are painless.<\/li>\n<li><strong>Non-ablative fractional laser:<\/strong> This device heats the dermis without damaging the epidermis (avoiding the appearance of scabs) generating columns that stimulate the regeneration of abnormal collagen. It improves the overall appearance of the scar (colour, pigment, thickness and texture) although it must be combined with other treatments for its effects to be evident. It is a safe and fast device.<\/li>\n<li><strong>Fractional ablative laser:<\/strong> These devices generate small columns of epidermis and dermis, from which the synthesis of new collagen in the scar will be stimulated over the following weeks. Its use improves the colouring and texture of the keloid, although scabs may be visible after treatment for a few days. It is more effective than non-ablative fractional laser, is better tolerated, and can be used in later stages of keloid.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Injections of corticosteroids and cytostatics:<\/strong> these reduce the volume of keloids. In particular, <strong>corticosteroid infiltration<\/strong> is the treatment of first choice as it reduces the overgrowth of collagen, fibroblasts (cells involved in the origin of these scars) and certain inflammatory mediators. It also reduces the itching of the scar. It is a quick and safe procedure, slightly uncomfortable, and can be combined with other treatments.<br \/>\nThe use of cytostatic drugs such as <strong>5-fluorouracil<\/strong> are useful to decrease the excessive division of fibroblasts in these scars. In addition, they can be combined with corticosteroids in varying proportions depending on the appearance of the lesion to be treated. The main contraindication to 5-fluorouracil infiltration is its incompatibility with an antiviral drug called brivudine.<\/li>\n<li><strong>Cryotherapy<\/strong>: This consists of the application of liquid nitrogen with the intention of reducing volume thanks to the vascular contraction and cell damage it causes in the treated area. Although it may be somewhat uncomfortable for the patient, it is a quick and safe technique.<\/li>\n<li><strong>Botulinum toxin:<\/strong> Indicated in areas of tension and in combination with other treatments.<\/li>\n<\/ul>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2153\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2153\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-arrow-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How long should I wait to treat a scar?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2153\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2153\"><p>Generally, scars can develop over a period of about a year, so they should be treated as soon as possible, especially during the first 3 months of their formation.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2154\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2154\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-arrow-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How many sessions are needed to treat a keloid?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2154\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2154\"><p>Although each scar has its own particular characteristics, several combined treatment sessions spaced approximately 4 to 8 weeks apart are necessary. Once again, an early approach allows us to improve the prognosis and establish a more adjusted treatment schedule.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2155\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2155\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-arrow-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-angle-down\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">How to care for a keloid?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2155\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2155\"><p>Patients can promote the evolution and improvement of the keloid by keeping the skin properly hydrated, using topical corticosteroids or applying silicone gels or dressings. However, these tools are much less effective than the combination of treatments carried out in the doctor&#8217;s office.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a546503 afp-bg-color elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a546503\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-507145e\" data-id=\"507145e\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f442740 afp-smaller-h2 elementor-widget elementor-widget-heading\" data-id=\"f442740\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Rates<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-911bea6 afp-no-underline afp-tarifas elementor-widget elementor-widget-price-list\" data-id=\"911bea6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"price-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<ul class=\"elementor-price-list\">\n\n\t\t\t\t\t\t\t\t\t<li><a class=\"elementor-price-list-item\" href=\"#\">\t\t\t\t\n\t\t\t\t<div class=\"elementor-price-list-text\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-price-list-header\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-price-list-title\">\n\t\t\t\t\t\t\tCombined treatment of keloids\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-price-list-separator\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-price-list-price\">from 250\u20ac\/session<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/a><\/li>\t\t\t\t\t\n\t\t<\/ul>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4fc89c4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4fc89c4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dda53af\" data-id=\"dda53af\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-44fa961 elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"44fa961\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Book an appointment<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9a4b6e elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-text-editor\" data-id=\"e9a4b6e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">You can make an appointment by phone, via email, or by filling in this form.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2ef3a70 afp-form-with-color elementor-widget elementor-widget-shortcode\" data-id=\"2ef3a70\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\t\t<div data-elementor-type=\"section\" data-elementor-id=\"3229\" class=\"elementor elementor-3229 elementor-2238 elementor-2238\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-25c98607 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"25c98607\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4cfeaddc afp-columna-movil\" data-id=\"4cfeaddc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b5c9f4a elementor-widget elementor-widget-heading\" data-id=\"b5c9f4a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">book an appointment<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-248e0e6 elementor-widget elementor-widget-heading\" data-id=\"248e0e6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Appointment request<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-913c7f0 elementor-widget elementor-widget-text-editor\" data-id=\"913c7f0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><center>Request an<strong> in-person appointment<\/strong> or an <strong>online consultation<\/strong> by clicking below.<\/center><\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-716fd90 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"716fd90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/saragomezdermatologa.com\/en\/book-an-appointment\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Book an appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Scars Keloids Most superficial injuries that can damage the skin do not leave significant scarring, but deep skin injuries can lead to hypertrophic and keloid scarring. The abnormal resolution that occurs after these injuries is related to an up- or down-regulation of certain wound healing processes. Although both keloids and hypertrophic scars show excess collagen &#8230; <a title=\"Keloids\" class=\"read-more\" href=\"https:\/\/saragomezdermatologa.com\/en\/scars\/keloids\/\" aria-label=\"Read more about Keloids\">Read more<\/a><\/p>\n","protected":false},"author":7,"featured_media":3182,"parent":3266,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3276","page","type-page","status-publish","has-post-thumbnail"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Keloids | Dra. Sara G\u00f3mez Armayones<\/title>\n<meta name=\"description\" content=\"Deep skin lesions can lead to hypertrophic and keloid scars. Keloids extend beyond the margins of the initial wound.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/saragomezdermatologa.com\/en\/scars\/keloids\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Keloids | Dra. Sara G\u00f3mez Armayones\" \/>\n<meta property=\"og:description\" content=\"Deep skin lesions can lead to hypertrophic and keloid scars. Keloids extend beyond the margins of the initial wound.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/saragomezdermatologa.com\/en\/scars\/keloids\/\" \/>\n<meta property=\"og:site_name\" content=\"Dra. Sara G\u00f3mez Armayones\" \/>\n<meta property=\"article:modified_time\" content=\"2024-01-26T11:34:12+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/saragomezdermatologa.com\/wp-content\/uploads\/2023\/07\/queloides.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"512\" \/>\n\t<meta property=\"og:image:height\" content=\"384\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/saragomezdermatologa.com\\\/en\\\/scars\\\/keloids\\\/\",\"url\":\"https:\\\/\\\/saragomezdermatologa.com\\\/en\\\/scars\\\/keloids\\\/\",\"name\":\"Keloids | Dra. 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