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