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How to Get Rid of Keloid Scars: Dermatologist’s Guide

Keloid Scar

Are keloid scars affecting your confidence? Perhaps you’ve tried everything, but the scars remain stubborn and unyielding, affecting your clothing choice and self-esteem. The good news? There are effective solutions available to address this common concern, no matter how severe the scarring may seem. If you’ve been wondering how to remove a keloid scar, rest assured that options tailored to your specific needs are within reach. 

At Lumine Dermatology, we specialise in treating keloid scars with proven methods tailored to your unique needs. Whether you’re looking for a minimally invasive solution or a more advanced treatment, we have the expertise to guide you every step of the way. Let’s explore what keloid scars are, why they occur, and how you can get rid of them for good.

What Are Keloid Scars?

Keloid Scar

Keloid scars are thick, raised areas of scar tissue that develop after a skin injury. Unlike normal scars, keloids grow beyond the original wound and can continue to expand over time. They occur due to an overproduction of collagen during the healing process, resulting in an overgrowth of scar tissue. This overgrowth creates a firm, shiny, and often reddish-brown scar compared to the surrounding skin, making it more noticeable.

People with darker skin tones or a family history of keloids are more prone to developing these scars. Though harmless from a medical standpoint, keloids can cause significant cosmetic concerns and, in some cases, discomfort or itching. Additionally, they often affect a person’s self-esteem, especially when they appear on visible areas like the face, neck, or chest.

Common Causes of Keloid Scars

Keloid formation is often linked to certain types of skin injuries or conditions. There is also a variant of keloids that occur spontaneously and these are often harder to treat. Here are some of the common causes:

  • Surgical scars (e.g., from surgeries or biopsies)
  • Acne scars or severe acne outbreaks
  • Skin wounds from cuts or abrasions
  • Body piercings, especially on the ears
  • Tattoos or tattoo removals
  • Burns or other trauma to the skin
  • Vaccination sites

The appearance of keloids can depend on individual factors like genetics, the location of the injury, and how the wound was treated. In some cases, even minor injuries can result in keloid formation.

Can Keloid Scars Be Removed?

The short answer? Yes, keloid scars can be removed or significantly reduced. However, the success of keloid scar removal depends on several factors, such as the scar’s size, age, and location on the body. The underlying cause of the keloid formation also needs to be addressed for treatment to be successful. 

Factors Affecting Keloid Scar Removal

  • Size and Location: Larger keloids or scars in high-movement areas like joints or chest may require multiple treatments to achieve optimal results. Scars on areas like the chest or shoulders may also need special care due to their prominence.
  • History of Keloids: If you have recurring keloids or a family history of them, treatment strategies need to focus on both removal and prevention of regrowth.
  • Skin Type: Darker skin tones are more prone to keloid formation due to higher levels of melanin, requiring treatments that minimise additional scarring or discolouration.
  • Age of the Scar: Newly forming keloids are often more responsive to treatments compared to mature scars that have been present for years.

Importance of Early Intervention

Addressing keloids early significantly increases the likelihood of successful treatment. If you notice a scar becoming raised, thickened, or itchy, consulting a dermatologist immediately can help prevent it from worsening. Early intervention may also reduce the number of sessions required for treatment, saving time and minimising discomfort.

How to Get Rid of Keloid Scars: Effective Treatment Options

Scars: Effective Treatment

There are various methods for keloid scar removal, ranging from non-invasive treatments to advanced procedures. A combination of techniques is often the most effective approach for achieving long-lasting results.

Non-Invasive Keloid Scar Treatments

Silicone Gel Sheets and Creams

Silicone-based products are a cornerstone of non-invasive keloid treatment. These products help flatten and soften keloids over time. They work by creating a protective barrier over the scar, locking in moisture and reducing collagen overproduction. Available as sheets or gels, silicone-based treatments are easy to use and suitable for most skin types. For best results, these products should be applied consistently over several months.

Pressure Therapy

Compression dressings or bandages apply constant pressure to the scar. This reduces blood flow to the area, which can help minimise further growth. Pressure therapy is particularly effective for keloids caused by ear piercings or surgical scars. While it requires regular use over an extended period, the results can be substantial for smaller, less severe keloids.

Minimally Invasive Keloid Removal Techniques

Corticosteroid Injections

Corticosteroid shots are one of the most common treatments for keloids. These injections reduce inflammation, soften the scar tissue, and shrink its size over time. Regular sessions are often needed for best results, with treatments spaced several weeks apart. While corticosteroid injections are effective, they’re usually combined with other treatments to prevent recurrence.

Cryotherapy

Cryotherapy involves freezing keloid tissue with liquid nitrogen. This method is particularly effective for smaller scars and works by breaking down excess scar tissue. Cryotherapy is typically performed over multiple sessions, and it’s often paired with other treatments like corticosteroid injections for more comprehensive results.

Surgical Removal of Keloids

When Is Surgery Recommended?

Surgery is considered for larger or mature keloids that don’t respond to other treatments. The process involves excising the keloid entirely, followed by preventive measures like corticosteroid injections or radiation therapy to minimise regrowth. Surgical removal offers immediate results, but it must be carefully planned to avoid stimulating additional scar formation.

Risk of Recurrence After Surgery

Keloid recurrence is a significant concern after surgical removal. Studies suggest that recurrence rates can be as high as 50% without additional treatments. That’s why a combination approach—such as surgery followed by silicone dressings or radiation therapy—is often recommended to ensure the best outcomes.

Advanced Treatments for Stubborn Keloid Scars

Laser Therapy for Keloid Removal

Pulsed-dye laser therapy targets keloid scar tissues with a precise beam of light. This treatment reduces redness, smooths the scar’s texture, and can improve its overall appearance over time. Laser therapy is often combined with other treatments, such as corticosteroid injections, to enhance effectiveness. Multiple sessions may be required to achieve the desired results.

Radiation Therapy: A Controversial Option

Radiation therapy is sometimes used post-surgery to prevent keloid recurrence. This method works by reducing collagen production in the scar tissue. While effective, radiation therapy is usually reserved for severe cases due to its potential risks, including damage to surrounding healthy skin.

Emerging Treatments for Keloid Scars

Newer methods, like microdoses of botulinum toxin injections, injectable drugs targeting collagen overproduction (e.g hyaluronidase, 5-fluorouracil) or adjunctive laser technologies (using fractional CO2 laser to deliver steroids into the skin), are showing promise in clinical trials. These treatments offer hope for managing stubborn keloids, particularly for individuals who have not responded to traditional approaches. Consult your dermatologist to learn more about the latest advancements.

What to Expect from Keloid Scar Removal Procedures

Before the Procedure

Your dermatologist will conduct a thorough evaluation of the scar, including a physical examination and a review of your medical history. They’ll recommend the most suitable treatment based on factors such as your skin type, the keloid’s size and location, and your overall health. In some cases, imaging or a skin biopsy (to exclude mimickers for keloids such as dermatofibrosarcoma protuberans) may be performed to rule out other conditions.

During the Procedure

Depending on the treatment, the procedure may take anywhere from a few minutes (e.g., corticosteroid injections or cryotherapy) to an hour or more (e.g., surgical removal or laser therapy). Most treatments are minimally painful, with numbing agents or local anaesthesia used to ensure comfort. Your dermatologist will explain each step of the process to help you feel at ease.

Aftercare

Post-treatment care is crucial to prevent recurrence and ensure proper healing. Here are some general tips:

  • Avoid sun exposure; use a high-SPF sunscreen to protect the treated area.
  • Keep the area clean and moisturised, as your dermatologist has advised.
  • Avoid picking at or irritating the treated site.
  • Follow all aftercare instructions, including the use of silicone dressings or prescribed creams.
  • Attend follow-up appointments to monitor progress and address any concerns.

How to Prevent Keloid Scars from Forming

Preventing keloid scars from forming involves taking proactive steps during and after the healing process of any skin injury. While some factors, like genetics, can’t be controlled, there are several measures you can take to minimise the risk of developing keloids.

Tips for Minimising Risk After Skin Injuries

  1. Immediate Wound Care: Clean the injury thoroughly with antiseptics and cover it with sterile dressings to prevent infection, which can increase the likelihood of abnormal scarring.
  2. Use Silicone-Based Products: Silicone gel sheets or creams can be applied to healing wounds to regulate collagen production and minimise excessive scar formation. Start using these products as soon as the wound closes.
  3. Avoid Picking Scabs: Resist the urge to pick at scabs or prematurely peel off crusts from healing wounds, as this can worsen the scar’s appearance.
  4. Moisturise Regularly: Keeping the skin hydrated helps promote faster and more even healing. Use a dermatologist-approved moisturiser on the affected area.
  5. Apply Pressure Therapy: If you’ve had surgery or a piercing, consider wearing pressure garments or bandages to reduce blood flow and limit the risk of keloid formation.

Avoiding Known Triggers

  1. Skip High-Risk Procedures: If you’re prone to keloids, avoid tattoos, piercings, or unnecessary surgeries, especially on areas prone to keloids like the chest, shoulders, or earlobes.
  2. Manage Acne Effectively: Severe acne can leave behind scars that develop into keloids. Consult a dermatologist to manage acne and prevent flare-ups that could result in scarring.
  3. Minimise Skin Trauma: Be cautious during activities that could lead to cuts, burns, or abrasions. Even minor injuries can trigger keloid formation in susceptible individuals.
  4. Protect Healing Wounds from Sun Exposure: Ultraviolet (UV) rays can darken scars and make them more noticeable. Always use sunscreen on healing wounds or scars.

When to Consult a Dermatologist

If you notice unusual scar growth, experience discomfort, or feel self-conscious about existing keloids, it’s time to see a specialist. At Lumine Dermatology, we’re experts in diagnosing and treating keloid scars using state-of-the-art techniques. Our personalised treatment plans are designed to help you achieve smooth, healthy skin with minimal downtime.

Say Goodbye to Keloid Scars with Lumine Dermatology

Don’t let keloid scars hold you back any longer. At Lumine Dermatology, we combine cutting-edge treatments with compassionate care to help you achieve the results you deserve. Whether you’re seeking a simple solution or an advanced procedure, our team is here to guide you every step of the way. Book your consultation today and take the first step toward a scar-free future!

FAQ

Can Keloid Scars Disappear on Their Own?

No, keloids don’t typically disappear without treatment. While they may stop growing, intervention is often required to shrink their size and improve their appearance.

How Much Does Keloid Scar Removal Cost?

The cost of keloid scar removal varies depending on the type of treatment, the scar’s size and location, and the number of sessions required. Contact Lumine Dermatology for a personalised consultation to discuss your needs and budget.

Are Home Remedies Effective for Keloid Scars?

While home remedies like aloe vera or tea tree oil may reduce itching, they’re unlikely to significantly shrink or remove keloids. Professional treatments are more reliable for achieving noticeable improvements.

Is Laser Therapy Painful?

Laser therapy is generally well-tolerated, with most patients experiencing only mild discomfort. Your dermatologist may use a numbing cream or local anaesthesia to ensure a comfortable experience.

Can Keloids Return After Treatment?

Yes, recurrence is possible. However, combining treatments like surgery and silicone dressings reduces this risk significantly. Your dermatologist will work with you to develop a long-term prevention plan.

What Are the Risks of Corticosteroid Injections?

Side effects of corticosteroid injections are rare but may include temporary skin thinning or discolouration. These risks are minimised when an experienced dermatologist administers the injections.

How Long Does It Take to See Results?

Results vary depending on the treatment. For example, laser therapy may show improvement after several sessions, while cryotherapy often offers quicker results for smaller scars. Discuss expected timelines with your dermatologist to set realistic goals.

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