Keloid Scars

What are Keloid Scars?

Keloid scars are overgrown, raised scars that develop when the body produces too much collagen during wound healing. Unlike normal scars, keloids extend beyond the original injury site and may continue to grow over time. They are benign but can cause itching, pain, or cosmetic concerns.

Causes

Excessive collagen production during healing.

Skin injuries, including:

Cuts, burns, surgical incisions

Acne scars

Vaccination sites or piercings

Genetic predisposition – more common in people with darker skin tones.

Hormonal changes (e.g., puberty, pregnancy) may trigger growth.

Family history of keloids increases risk.

Symptoms / Appearance

Thick, raised, and shiny scar tissue.

Extends beyond the wound’s boundary.

Colors range from pink, red, purple, to dark brown.

May cause itching, tenderness, or pain.

Common areas: chest, shoulders, jawline, earlobes, and back.

Treatments

Medical Treatments

Corticosteroid injections → reduce inflammation and flatten scars.

Cryotherapy (freezing treatment) → useful for smaller keloids.

Laser therapy → smooths and reduces redness.

Surgical removal → may be combined with steroid injections or radiation to reduce recurrence.

Radiotherapy (in select cases) → used after surgery to prevent regrowth.

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Topical & Supportive Treatments

Silicone gels or sheets → flatten and soften scars.

Pressure dressings → often used after surgery or piercings.

Moisturising and anti-itch creams for comfort.

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Prevention

Avoid unnecessary skin trauma (e.g., piercings, tattoos) if prone to keloids.

Proper wound care – keep wounds clean and moisturised.

Use silicone gels/sheets early in healing to prevent keloid formation.

Inform your doctor before surgery if you are keloid-prone – preventive measures can be taken.

FAQs

Q1. Do keloids go away on their own?
No, keloids do not regress naturally and often need treatment.

Q2. Can keloids come back after treatment?
Yes, recurrence is common, especially after surgical removal alone. Combined treatments work best.

Q3. Are keloids dangerous?
They are not cancerous, but they may cause discomfort or affect appearance.

Q4. Who is more likely to get keloids?
People with darker skin types, family history of keloids, or under 30 years old.

Q5. What’s the best treatment for keloids?
A combination approach (e.g., corticosteroid injections + laser or surgery) often gives the best results.