Keloids are raised, thickened scars that extend beyond the boundaries of the original wound, often appearing shiny and firm. They can cause physical discomfort, such as itching or tenderness, as well as emotional distress due to their appearance. Among the non-invasive options for treating keloids, silicone gels and steroid creams are widely recommended. But which one is more effective?
In this article, we compare silicone gel vs. steroid creams for treating keloids, their benefits, drawbacks, and when to use each. If you’re considering professional Keloid Treatment in Islamabad, understanding these options will help you make informed choices before consulting a dermatologist.
What Are Keloids?
Before diving into treatment comparisons, it’s important to understand what keloids are. Keloids are formed when the body produces excess collagen during the wound healing process. Instead of stopping at the site of injury, the scar tissue keeps growing, resulting in a raised, thickened scar.
They commonly form after:
- Surgical procedures
- Piercings or tattoos
- Acne or chickenpox
- Burns or cuts
Keloids are more likely to affect individuals with darker skin tones and often run in families, indicating a genetic component.
Silicone Gel for Keloid Treatment
What Is It?
Silicone gel is a topical solution made from medical-grade silicone. It’s often applied as a thin layer or used in the form of silicone sheets, both designed to soften and flatten keloid scars.
How Does It Work?
- Silicone helps retain moisture in the scarred skin.
- It reduces collagen production, preventing excessive scar growth.
- It creates a protective barrier, shielding the scar from irritants and bacteria.
Benefits of Silicone Gel
- Non-invasive and painless: No injections or surgery.
- Easy to use: Can be applied at home.
- Safe for all skin types: Rarely causes allergic reactions.
- Reduces redness and itching: Soothes irritation while minimizing appearance.
- Effective for prevention: When used early after injury or surgery.
Drawbacks
- Requires consistent application: Must be used daily for several months.
- Not ideal for large or older keloids: Works best on recent scars.
- Results may be slow: Noticeable changes can take weeks to months.
Steroid Creams for Keloid Treatment
What Are They?
Steroid creams, such as hydrocortisone or clobetasol, are topical corticosteroids that reduce inflammation and immune response in the skin. They are often prescribed for keloids and other hypertrophic scars.
How Do They Work?
- Steroids suppress inflammation, reducing redness and swelling.
- They inhibit fibroblast activity, lowering excess collagen production.
- They thin the skin, which may flatten raised keloid scars.
Benefits of Steroid Creams
- Anti-inflammatory: Quickly reduces symptoms like itchiness or pain.
- Can shrink keloid tissue: Especially when combined with other treatments.
- Easy to apply: Often available over the counter or via prescription.
Drawbacks
- Long-term use may thin the skin: Risk of skin atrophy with prolonged application.
- Not suitable for facial use: Potent creams can cause side effects in delicate areas.
- Risk of skin discoloration: Especially in individuals with darker skin tones.
- Less effective alone: Works better in conjunction with injections or silicone therapy.
Key Differences Between Silicone Gel and Steroid Creams
| Feature | Silicone Gel | Steroid Creams |
|---|---|---|
| Main Function | Hydration & barrier protection | Inflammation reduction |
| Best For | New or mild keloids | Inflamed or painful keloids |
| Application Frequency | 1–2 times daily | 1–2 times daily |
| Side Effects | Very minimal | Possible skin thinning, discoloration |
| Treatment Duration | Several months | Limited use recommended due to side effects |
| Available Forms | Gel or silicone sheets | Creams, ointments, or lotions |
| Ease of Use | Very user-friendly | Requires monitoring if prescription strength |
When to Use Silicone Gel
Silicone gel is typically recommended for:
- Early-stage keloids
- Post-surgical wounds (as a preventive method)
- Children or sensitive skin users
- Individuals seeking a long-term maintenance treatment
For best results, the gel should be applied twice daily for at least 8–12 weeks.
When to Use Steroid Creams
Steroid creams are ideal for:
- Thicker, itchy, or inflamed keloids
- Patients who cannot tolerate injections
- Use in combination with silicone sheets or laser therapy
It’s important to use steroid creams under a dermatologist’s guidance to avoid complications from prolonged use.
Can You Combine Both?
Yes. In many treatment plans, dermatologists recommend using both silicone gel and steroid creams, especially for stubborn keloids. The steroid cream can reduce inflammation, while silicone gel helps prevent further tissue buildup and enhances skin hydration.
Combination therapy may also include:
- Steroid injections
- Cryotherapy
- Laser treatments
- Pressure therapy
What the Research Says
Numerous clinical studies have explored the efficacy of both treatments:
- A 2020 review in the Journal of Dermatological Treatment found that silicone gel showed consistent improvement in keloid thickness and redness.
- A study published in Dermatologic Surgery revealed that steroid creams alone were less effective than when paired with injections or silicone therapy.
- A meta-analysis concluded that combination therapy (topical steroids and silicone gel) provided better cosmetic results and symptom relief than either treatment used alone.
Which One Should You Choose?
Choose Silicone Gel If:
- You have sensitive skin or early-stage keloids.
- You want a low-risk, long-term option.
- You are looking for a preventive solution after surgery.
Choose Steroid Cream If:
- Your keloid is red, itchy, or inflamed.
- You need faster symptom relief.
- You’re under the supervision of a dermatologist for short-term use.
Expert Recommendation
A personalized treatment plan is always best. Each keloid responds differently depending on factors such as:
- Skin type
- Keloid age and size
- Location on the body
- Past treatment history
If you’re uncertain which method is best for you, it’s advisable to consult a professional dermatology clinic for guidance.
Conclusion
Both silicone gels and steroid creams play crucial roles in the non-invasive management of keloids. Silicone gel offers a safe and effective long-term solution for minimizing new or existing scars, while steroid creams provide rapid relief from inflammation and discomfort. For comprehensive care, these treatments are often used together or alongside other methods like injections or laser therapy.
If you’re looking for expert guidance on managing or removing keloids, SKN Cosmetics clinic offers specialized care for all skin types. Their expert dermatologists provide tailored solutions, including professional Keloid Treatment in Islamabad using advanced medical protocols to ensure safe, effective results for every patient.