Keloids

Keloids form when fibrous tissue grows beyond the original wound site, creating thick, raised, shiny scars that can be pink, red, or brown. Unlike normal scars, they expand over time and rarely regress on their own. They commonly appear after cuts, burns, acne, piercings, or surgery, especially on the upper chest, back, shoulders, and earlobes. People with darker skin tones face a higher risk due to genetic factors.

Symptoms and Impact

These scars feel firm, smooth, and may itch, burn, or restrict movement in affected areas. Though benign and unable to turn cancerous, keloids cause emotional distress from their disfiguring size and persistence.

Treatment Options

No single cure exists; treatments often combine approaches based on size and location. Corticosteroid injections shrink keloids by reducing collagen overproduction, while silicone sheets or gels flatten them. Cryotherapy freezes lesions, laser therapy reduces redness and size, and pressure garments prevent regrowth post-surgery. Radiation or surgery carries recurrence risks up to 100% without adjuncts like steroids.

Prevention Tips

Minimize injury in prone areas and use silicone products early on new wounds. Early intervention improves outcomes for at-risk individuals.