Keloids are an abnormal proliferation of scar tissue. There are a variety of therapies available to both treat and prevent keloids. Unfortunately, keloids are often difficult to treat and frequently recur. One drug therapy of interest called Aldara is a prescription topical cream that has been shown to decrease the reappearance of surgically excised keloids. Aldara, also known by its generic name imiquimod, is an immunomodulatory drug that stimulates your immune system. This promotes the activation of immune cells that in turn encourage healing of the scar.
Preparation and Application
Wash your wound with a gentle soap and water.
Pat the area gently with a towel.
Allow the entire area to dry thoroughly for a minimum of 10 minutes.
Wash your hands with soap and water before you apply the medication.
Cut a packet of Aldara and squeeze a small amount of cream onto your fingertip or a cotton tip applicator. Apply a thin layer to your wound and rub it in until the cream has been absorbed by the skin. This should be done every other night before you go to bed.
Wash your hands again to remove any excess cream.
Allow the cream to remain on your skin overnight for about eight hours. Keep the area dry and avoid swimming or bathing after you have applied the cream.
Remove the medication in the morning by washing the affected area again with a gentle soap and water.
- American Academy of Family Physicians: Management of Keloids and Hypertrophic Scars
- "Journal of the Medical Association of Thailand"; The Efficacy of 5% Imiquimod Cream in the Prevention of Recurrence of Excised Keloids ; Apirag Chuangsuwanich, M.D. and Suriya Gunjittisomrarn M.D.; November 2007
- Graceway Pharmaceuticals: Aldara
- MayoClinic.com: Imiquimod (Topical Route): Proper Use