Keloid Scar Treatments

Keloid scars result from an excessive production of collagen in the skin and are more frequently observed in younger individuals, particularly among certain ethnicities such as Asians, Africans, and Islanders. Other factors that may contribute to keloid scars include gender, with females more prone to developing these scars than males, as well as the location of the scar, which tends to appear on the upper chest, shoulders, back, ears, chin, and neck. Trauma, such as burns, vaccinations, acne, or surgery, can also lead to keloid scarring. Regardless of the cause, our team at Scars and Lasers have extensive experience treating keloid scars, and we offer a range of treatment modalities to help improve the appearance of these scars. Our dermatologists can provide advice and guidance to help you achieve the best possible outcome.

Ear keloids are commonly observed in young patients, and are often associated with ear piercings. These keloids can occur at the front, back, or both sides of the ear, and tend to appear more frequently on the cartilage part of the ear. To treat ear keloids, we remove the keloid and its base through a surgical excision. It is particularly important to ensure that the keloid is fully removed. Ear keloids require special post-operative care, involving compression of the area for a period of 3-6 months. This compression can significantly reduce the risk of recurrence, with a reduction rate of up to 85%.

While it is possible to surgically remove keloids, there is a high likelihood that they will grow back, and potentially even larger. In cases where keloids are resistant to treatment, they can be excised; however, recurrence is a significant concern.

Preventing keloids is generally much easier than treating them. If you are susceptible to scarring, it's a good idea to consult with a dermatologist before undergoing surgery. This is particularly important in the case of caesarean section scars, which can often result in significant scarring. Informing your surgeon that you are prone to keloids is essential. There are specific suturing techniques that can be used to reduce the likelihood of scarring. By taking a proactive approach to keloid prevention, you can significantly reduce the risk of developing these scars and minimise the need for treatment. If despite this, scarring occurs, treatment with vascular laser will have a significant impact.

Yes, it is possible to get a tattoo if you are prone to keloid scarring, but it's important to discuss your condition with your tattoo artist first. Keloid scars resulting from tattoos are more commonly observed on the chest, shoulders, and back. In some cases, a test spot can be performed to determine whether you are susceptible to scarring. It's worth noting that heavy lines, which involve deeper ink penetration, have a higher risk of scarring than lighter shading. If you're concerned about keloid scarring post-tattoo, dermatologists can provide helpful guidance on mitigating scarring using topical anti-inflammatories and silicone tape.