Keloid scars are a common skin condition that can cause discomfort and affect a person’s confidence. Unlike regular scars, keloids continue to grow beyond the original wound site, forming raised, thickened areas of skin. While they are not harmful to overall health, many individuals seek treatment for aesthetic reasons. 

What Is a Keloid Scar?

A keloid scar is an overgrowth of scar tissue that forms at the site of a healed skin injury. This excessive tissue growth occurs due to an overproduction of collagen during the healing process. Unlike normal scars, keloids extend beyond the boundaries of the original wound and do not regress over time.

Causes of Keloid Scars

Keloids can develop from various types of skin trauma, including:

• Surgical incisions

• Acne scars

• Piercings

• Burns

• Cuts or deep scratches

• Vaccination sites

Some individuals are more prone to keloid formation due to genetic factors. Those with darker skin tones, particularly individuals of African, Hispanic, and Asian descent, have a higher risk of developing keloids.

Symptoms of Keloid Scars

Keloid scars have distinct characteristics that differentiate them from other types of scars. These include:

• Raised, thick, and firm texture – The scar feels hard and may continue to grow over time.

• Red, pink, or dark brown color – The color may vary depending on skin tone and the age of the scar.

• Itchiness and discomfort – Some individuals experience persistent itching or tenderness in the scarred area.

• Growth beyond the original wound site – Unlike hypertrophic scars, which stay within the wound’s boundary, keloids spread beyond the injury site.

• No natural fading over time – Keloid scars do not naturally shrink or fade like other types of scars.

Keloid Scar Treatment & Removal

While keloids are benign and do not pose health risks, they can be bothersome both physically and aesthetically. Fortunately, several treatment options can help flatten or remove keloid scars. Treatments may be available at dermatology clinics and aesthetic clinics specializing in scar management.

1. Corticosteroid Injections

Corticosteroid injections, such as triamcinolone, are commonly used to shrink keloids. These injections work by reducing inflammation and collagen production, softening the scar over time. Multiple sessions are usually needed, spaced a few weeks apart.

2. Laser Treatment

Laser therapy, particularly fractional CO2 laser and pulsed dye laser (PDL), can help improve the appearance of keloid scars. Laser treatments work by breaking down excess collagen and stimulating new skin regeneration. Many aesthetic clinics offer laser treatments as part of their scar management programs.

3. Cryotherapy (Freezing the Scar)

Cryotherapy involves applying liquid nitrogen to the keloid, freezing and reducing its size. This method is most effective for smaller keloids and may be combined with other treatments like corticosteroid injections.

4. Surgical Removal

For larger keloids, surgical excision may be an option. However, surgery alone carries a high risk of recurrence, so it is often combined with other treatments such as corticosteroid injections or radiation therapy. Some aesthetic clinics offer advanced surgical techniques with post-operative scar management to minimize regrowth.

5. Silicone Gel Sheets and Dressings

Silicone gel sheets help flatten and soften keloid scars over time. They work by maintaining skin hydration and regulating collagen production. This is a non-invasive option that can be used at home or in conjunction with other treatments.

6. Radiofrequency Microneedling

Some aesthetic clinics offer radiofrequency (RF) microneedling, which combines microneedling with controlled radiofrequency energy to break down scar tissue and promote smoother skin. This treatment is particularly useful for improving scar texture and reducing redness.

7. Radiation Therapy

Radiation therapy is sometimes used after keloid removal surgery to reduce the chances of recurrence. It is a specialized treatment usually performed in medical or aesthetic clinics with expertise in scar management.

8. Topical Treatments

Certain prescription creams, such as imiquimod and retinoids, may help reduce keloid scars’ size and appearance. These are often used as complementary treatments.

Preventing Keloid Scars

If you are prone to keloid scars, consider these preventive measures:

• Avoid unnecessary skin trauma – Be cautious with piercings, tattoos, and surgeries if you are susceptible to keloids.

• Use pressure dressings – After surgery or injury, silicone sheets or pressure dressings can help prevent keloid formation.

• Early treatment of wounds – Proper wound care, including keeping the wound clean and moisturized, can minimize excessive scarring.

• Sun protection – UV exposure can darken keloid scars, making them more noticeable. Apply sunscreen (SPF 30 or higher) to protect the area.

Frequently Asked Questions (FAQs)

1. Can keloid scars be completely removed?

While treatments can significantly reduce keloid scars’ size and appearance, complete removal without recurrence is challenging. Combining treatments, such as laser therapy with steroid injections, can yield the best results.

2. Do keloid scars hurt?

Keloid scars are usually painless but can sometimes cause itching, tenderness, or discomfort, especially if they are located in an area prone to friction.

3. Are keloids contagious or cancerous?

No, keloid scars are not contagious or cancerous. They are simply an overgrowth of scar tissue and pose no serious health risks.

4. Can I get keloids from acne scars?

Yes, severe acne can lead to keloid formation, especially in individuals prone to excessive scar tissue development. Early acne treatment and scar management can help prevent keloids.

5. Which treatments are available at aesthetic clinics?

Many aesthetic clinics offer laser therapy, corticosteroid injections, radiofrequency microneedling, cryotherapy, and surgical removal with post-treatment care to minimize scarring. Consulting a specialist can help determine the best treatment option for your keloid scars.

Final Thoughts

Keloid scars can be a frustrating skin condition, but with the right treatment, their appearance can be minimized. Whether you choose laser therapy, steroid injections, or surgical removal, it’s important to consult a specialist to find the best treatment for your skin type and scar severity. If you’re considering keloid removal, visiting an aesthetic clinic with expertise in scar management can help you achieve smoother, more even-toned skin.

If you’re struggling with keloid scars, don’t hesitate to book a consultation with a dermatologist or aesthetic clinic to explore your treatment options!