Keloid Scars: Causes & Treatment

Keloid scars are a type of raised scar that forms as a result of abnormal healing following skin injury or trauma. They are often seen in individuals with darker skin tones and can be a source of discomfort and self-consciousness. In this article, we will discuss the causes, appearance, and treatment options for keloid scars. 

Keloid Scars

Causes of Keloid Scars 

Keloid scars are caused by an overgrowth of collagen during the healing process. When the body produces too much collagen, it can create a raised, thickened scar. Keloids can develop from any type of skin injury, including cuts, burns, surgery, and even acne. However, some individuals may be more prone to keloid formation due to genetic factors. 

Appearance of Keloid Scars 

Keloid scars are raised, thickened, and often have a shiny or smooth surface. They can vary in size and shape, ranging from small and round to large and irregular. Keloids are typically darker in color than the surrounding skin, and they may be accompanied by itching, pain, and tenderness. 

Treatment Options for Keloid Scars 

There are several treatment options available for keloid scars, including: 

Corticosteroid injections: Corticosteroid injections are commonly used to reduce the size and thickness of keloid scars. The injections work by reducing inflammation and suppressing collagen production in the affected area. 

Surgical removal: Surgical removal is an option for larger or more severe keloids. During the procedure, the keloid is cut out, and the wound is closed with sutures. However, surgical removal can sometimes cause the keloid to return or become larger. 

Laser therapy: Laser therapy is a non-invasive treatment that uses high-energy light to reduce the size and thickness of keloid scars. The laser works by breaking down the collagen fibers that make up the keloid. 

Cryotherapy: Cryotherapy involves freezing the keloid with liquid nitrogen. The freezing causes the keloid to shrink and flatten. However, cryotherapy can cause skin discoloration and may not be effective for all types of keloid scars. 

Pressure therapy: Pressure therapy involves applying pressure to the keloid with a compression device or bandage. The pressure helps to flatten the keloid and reduce its size over time. 


Prevention of Keloid Scars 

Prevention is key when it comes to keloid scars. Individuals who are prone to keloid formation should avoid unnecessary skin trauma and seek prompt treatment for any injuries or wounds. It is also important to avoid body piercings or tattoos, as these can increase the risk of keloid formation. 


Keloid scars can be a source of discomfort and self-consciousness for many individuals. However, there are several treatment options available to reduce their size and thickness. If you are struggling with keloid scars, it is important to speak with a dermatologist to determine the best treatment options for your specific needs. With the right treatment and prevention strategies, you can reduce the appearance of keloid scars and achieve smoother, healthier-looking skin. 


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