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Keloid scar of skin shoulder kid girl case of tissue forms over the wound to repair.

Keloid Scar Treatment

Keloid scar treatment aims to flatten and improve the appearance of keloid scars, which are raised, overgrown areas of scar tissue. Options include steroid injections, laser treatment, cryotherapy, or, in some cases, surgical removal. 

Keloid Scar Treatment

Keloids are a distinctive type of raised scar that expand beyond the original wound's boundaries. Unlike regular scars that generally lie flat and can fade over time, keloids continue to grow, sometimes becoming quite large and unsightly. For many, these scars are not just a cosmetic concern; they can be painful, itchy, and tender, having an impact on both physical and emotional well-being.

Understanding Keloid Scars

Keloids are the result of an overactive healing process. When the skin is injured, it undergoes a complex healing mechanism. For some people, especially those with darker skin tones, the cells that produce collagen (a structural protein in the skin) don't stop their action once the wound has healed. This overproduction leads to a thick, clustered scar, which we recognize as a keloid.

The exact cause of why some people develop keloids while others don't is still a subject of research, but genetics certainly play a role. Common areas for keloids to form include the chest, shoulders, earlobes, and upper arms, but they can form anywhere on the body.

The Dermatologist's Role in Keloid Treatment


  1. Diagnosis: A dermatologist can usually diagnose a keloid based on its appearance. In some cases, a skin biopsy might be done to rule out other types of skin growths.

  2. Treatment Options: There's no one-size-fits-all treatment for keloids, and sometimes a combination of treatments might be most effective.

    • Steroid injections: Injecting corticosteroids into the keloid can help flatten the scar and reduce itchiness, redness, and burning sensations.

    • Laser treatment: Pulsed-dye lasers can reduce the size and redness of keloids. This is often used in combination with other treatments.

    • Surgical removal: While it might seem counterintuitive, in some cases, removing the keloid surgically might be beneficial, especially when followed by other treatments to prevent the keloid from returning.

    • Cryotherapy: Freezing keloids with liquid nitrogen can flatten them, but often results in a dark or light spot, which might be a concern for some patients.

    • Silicone sheets or gel: Applying silicone sheets or gel can help reduce the size and appearance of keloids.



  1. Prevention Guidance: For individuals prone to keloids, dermatologists can provide advice on wound care to reduce the risk of keloid formation. They might also recommend early treatment after skin injuries.

  2. Counseling: Beyond physical treatments, dermatologists can offer guidance on coping with the emotional aspects of living with keloids, directing patients to support groups or counseling if necessary.



Keloids represent an overzealous healing response by the skin, leading to scars that can be both physically uncomfortable and emotionally distressing. The expertise of a dermatologist is paramount in managing and treating keloids, ensuring that patients can achieve the best possible outcomes and regain confidence in their skin's appearance.


(310) 975-9785



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