Insulin & Botulinum toxin for keloid scars: Surprising study reviewed

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. Helpful resources Click here for an overview of the paper discussed in this episode. Watch the video version here. 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 🎓 Certificate Courses in Skin Cancer Explore our university-assured, structured pathway to elevate your knowledge in the diagnosis and treatment of skin cancer. ➡️ Explore full program >