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Treatment for Keloids: Effective Options to Reduce and Manage Excess Scar Tissue

Treatment for Keloids Effective Options to Reduce and Manage Excess Scar Tissue1

Keloids can be frustrating, uncomfortable, and difficult to manage, especially when they continue to grow over time. Choosing the right treatment for keloids is essential because every individual responds differently depending on the scar size, location, and skin type.

While keloids are harmless, they can cause itching, discomfort, or cosmetic concerns that affect confidence and overall well-being.

This article will walk you through the most effective medical treatments, minimally invasive options, and preventive steps to help you manage and reduce keloid scars.

Keep reading to better understand what causes keloids and the treatments that dermatologists commonly recommend.

Understanding Keloids

Keloids are raised, thickened scars that form due to an overgrowth of collagen during the wound-healing process. Unlike normal scars, keloids grow beyond the original injury site and may continue to enlarge over time. They can appear after acne, piercings, burns, surgical wounds, or even minor skin injuries.

Before choosing a treatment for keloids, it is important to understand how they form and why they behave differently from typical scars. This foundation helps ensure that the treatment approach is effective and safe for your skin.

Common Causes and Risk Factors

Keloids develop when the body produces excess collagen during healing. Here are common factors that may increase the risk of keloid formation.

1. Genetic Predisposition

Individuals with a family history of keloids are more likely to develop them. Certain skin types also have a higher risk, particularly darker skin tones.

2. Age and Hormonal Factors

People between the ages of 10 and 30 are more susceptible. Hormonal changes may influence how aggressively scars form and grow.

3. Skin Injury or Inflammation

Even small injuries can trigger keloids, such as:

  • Acne scars
  • Insect bites
  • Surgical incisions
  • Vaccination sites
  • Burns or cuts

4. Body Areas Prone to Keloids

Some body parts develop keloids more easily, including:

  • Chest
  • Shoulders
  • Earlobes
  • Upper back

Understanding these vulnerable areas helps determine more appropriate keloid prevention measures before they become more severe.

Medical Treatments for Keloids

Medical treatments are often recommended when keloids cause discomfort, continue to grow, or significantly affect appearance. These professional approaches offer higher effectiveness than home remedies, and each option has its own strengths.

⦁ Corticosteroid Injections

Corticosteroid injections are one of the most commonly used medical options. They work by reducing inflammation and softening the tissue, allowing the keloid to flatten gradually. Most patients require multiple sessions spaced several weeks apart for best results.

Although steroid injections do not always remove keloids completely, they remain a leading treatment for keloids due to their accessibility and proven effectiveness.

⦁ Cryotherapy

Cryotherapy involves freezing the keloid using liquid nitrogen. This method helps break down excess tissue while reducing itching or discomfort. It is usually more effective on smaller and early-stage keloids rather than large, older ones.

Patients may experience temporary pigmentation changes, so this option is often evaluated carefully for individuals with darker skin tones.

⦁ Laser Therapy

Laser therapy focuses on reducing the thickness and redness of keloids. This procedure uses targeted light energy to break down scar tissue while stimulating the skin’s natural healing process.

While laser treatment does not always eliminate the keloid entirely, it significantly improves texture and appearance. Combining laser therapy with other treatments, such as steroid injections, often provides better long-term outcomes.

⦁ Surgical Removal

Surgical removal may be considered for large or symptomatic keloids. However, this method must be approached with caution because keloids have a high recurrence rate after surgery alone.

To increase success, physicians usually pair surgery with adjunct therapies such as corticosteroid injections, radiation therapy, or pressure dressings. This combination approach helps prevent regrowth and offers a smoother recovery process.

⦁ Pressure Therapy

Pressure therapy uses medical-grade garments or dressings that apply consistent compression on the scar. This method is commonly recommended for keloids formed after burns or surgical wounds.

Though it requires dedication, often weeks or months of continuous use, it remains a valuable supportive treatment for keloids when combined with other medical options.

When to Seek Professional Help?

If your keloid continues to grow, causes pain, or interferes with movement, it is essential to consult a dermatologist or qualified healthcare provider.

A professional can evaluate which treatment for keloids is most suitable based on the scar’s characteristics and your skin’s needs. Early intervention typically leads to better outcomes and reduces the risk of recurrence.

Also read: 10 Proven Benefits of Zinc for Acne and Clearer Skin

How to Prevent Keloids?

Prevention is key, especially for people who have developed keloids in the past. Here are habits that can reduce your risk:

  • Avoid unnecessary skin trauma such as piercings or tattoos, especially if you have a history of keloids.
  • Keep wounds clean and covered during healing to prevent inflammation.
  • Use sunscreen daily to avoid darkening or thickening of the scar.
  • Attend follow-up appointments to ensure the keloid responds well to treatment.
  • Use prescribed topical products or compression dressings consistently.
  • Report any changes in texture or rapid growth to your healthcare provider.

Small actions can greatly reduce the chance of new keloid formation.

Choosing the right treatment for keloids requires understanding the type, size, and cause of your scar. With the right combination of medical care and preventive habits, keloids can be managed effectively. If your keloid continues to grow or becomes uncomfortable, consult a dermatologist to find the most suitable treatment plan for your skin.

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