HealthCert Blog

Insulin & Botulinum toxin for keloid scars: Surprising study reviewed

Written by HealthCert Education | Aug 12, 2025 5:12:53 AM

Tune into this new episode of Life by a Thousand Cuts: a HealthCert podcast series hosted by A/Prof Tony Dicker, offering practical, case-based insights in skin cancer surgery for GPs.

In this episode, A/Prof Dicker dives into a fascinating study from Egypt exploring unconventional treatments for keloid scars, including insulin and Botulinum toxin injections.

The trial, published in the Journal of Dermatologic Surgery in June 2025, compared these options with the standard intralesional corticosteroids. While steroids remained the most effective overall, the study found some interesting pros and cons for each approach, including fewer steroid-related side effects with insulin or Botulinum toxin.

A/Prof Dicker breaks down the trial design, results, and practical takeaways for GPs, and shares when he might (and might not) consider these alternatives in clinical practice.

Tune in to hear how this research might shape your management of keloid scars, and why sometimes medical “daydreaming” can open the door to new possibilities.

Listen to the full podcast

 

Helpful resources

Click here for an overview of the paper discussed in this episode.

Life by a Thousand Cuts 

This podcast series is designed to help you enhance your clinical decision-making, procedural skills, and confidence in skin cancer management. Focus on real-world cases, surgical techniques and tips, journal article reviews, diagnostic and management insights, and guest interviews with GPs and specialists.

Next steps in your learning journey

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Or explore more educational content in Skin Cancer Medicine.

About A/Prof Tony Dicker

Associate Professor (Skin Cancer) & Course Coordinator MMed (Skin Cancer), The University of Queensland

Tony Dicker has practised full-time Skin Cancer Medicine in Melbourne since 2004, and previously practised in Brisbane. He obtained his PhD from The University of Queensland in molecular biology of skin cancer with Professor Ian Frazer's group at Princess Alexandra Hospital. He then spent three years as a dermatology registrar at the Royal Brisbane and Princess Alexandra Hospitals.

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You can self-record CPD for this podcast. If you consume educational content on this blog, you can Quick Log CPD hours with the RACGP/ACRRM via the usual self-submission process. You will be asked to reflect on what you have learned, and you will require supporting evidence such as a screenshot. For more information, view the: RACGP CPD guide | ACRRM CPD guide