Primary prevention
Effective prevention of keloid scarring is difficult, but if there is a strong predisposition, general measures that may be helpful include:[17][19]
Avoiding unnecessary skin trauma (e.g., body piercings, tattoos)
Encouraging patients to consider lifestyle modifications to avoid activities that may contribute toward scar exacerbation (e.g., heavy exercise placing excessive tension on a scar)
Maintaining local skin hygiene
Treating skin conditions posing risk for unfavorable scarring including acne and folliculitis
Controlling any systemic factors contributing to keloidogenesis (e.g., hypertension)
It may be useful to inform surgeons of a known keloidal predisposition so that appropriate surgical techniques (e.g., prophylactic use of asymmetric wound closure techniques) and postoperative measures such as corticosteroids can be used early in the remodeling phase of scarring.[17]
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