Chest Keloids in Singapore: Q&A With a Patient Before Starting Treatment

Last updated: September 22, 2026

The following Q&A features a man with chest keloids in Singapore who is considering treatment options and has not yet started. August 2026.

Chest Keloids in Singapore Questions and Answers

Answers may have been edited for brevity and clarity.

Question: How old were you when the keloids formed and what caused the keloids to form?

Answer: I was 14 to 15 years old and they formed out of acne.

Question: What’s your ethnicity?

Answer: I’m Asian, Chinese.

Question: Were you taking any acne medication at the time you developed the keloids?

Answer: No, not on any medication. I did start Accutane this past year.

Question: Have you seen a dermatologist about the keloids?

Answer: Yes, but I haven’t received any injections yet. She mentioned skin thinning was possible after getting the shots.

Question: Where did you buy the Eclar Plaster and what’s the cost?

Answer: I bought it off of Shopee. Each patch (or sheet) costs S$1.83. I just ordered them, so they haven’t arrived yet.

Comments from the editor are below:

If you live in Singapore, buying Eclar Plaster through Shopee is an obvious option. If you live outside Singapore, check out this article. I’ve included links to two Japanese distributors that sell Eclar Plaster and ship internationally.

Eclar Plaster for Keloid Scars

Kenalog Steroid Injections for Keloid Scars

Kenalog is a brand name for the corticosteroid triamcinolone acetonide, the steroid used for keloid injections. In the United States, Kenalog is the more commonly used brand among dermatologists, but any reputable brand will do. If you live in Singapore, Shincort is the brand name that shows up in my research.

https://www.ndf.gov.sg/ is the link for the National Drug Formulary in Singapore if you want to search “triamcinolone acetonide.”

Triamcinolone acetonide is available in different concentrations, commonly ranging from 10 mg/mL to 40 mg/mL. The higher the number, the stronger the concentration. The stronger the concentration, the greater the flattening effect.

Important: Not All Steroid Injections Are the Same

If you have keloid scars on your chest, back, or shoulders, this is especially relevant to you. If you’re going to invest the time, money, and effort to see a dermatologist every four to five weeks for steroid injections, you have to be getting the right concentration of steroid injections.

A common issue with keloid treatment is that dermatologists often inject the keloid scars with a steroid concentration that is too low to have an impact. Whether this is out of caution or simply a lack of experience treating keloids, I can’t say. But dermatologists will often start and continue with Kenalog at a concentration of 10 mg/mL if you don’t request a higher concentration. Keloid scars are not going to be flattened with a concentration of just 10 mg/mL.

Based on my experience, if your keloid is located anywhere on your body other than your face, opt for undiluted Kenalog 40 mg/mL. No saline or lidocaine. This simply means asking your doctor not to mix the Kenalog with anything else. In other words, the Kenalog would be injected undiluted, directly from the vial into the keloid scar.

A dermatologist may push back on the 40 mg/mL concentration and caution that atrophy or skin thinning is a possibility with Kenalog 40. Thank them for their caution, but insist on the 40 mg/mL. Not only is skin thinning unlikely, but even if it does occur, it still is a FAR better outcome for the patient than the keloid itself. Go back every four to five weeks for treatment until it’s flat. Apply lotion daily, and if you’re willing to go further, apply silicone sheets as well. 

For further information about using triamcinolone acetonide (steroid injections for keloids), you can check out this article:

Kenalog Steroid Injections for Keloid Scars

For information on how I personally treated my keloids, check out this article:

Chest Keloid Treatment: What Actually Worked