Understanding Keloid Scars

What Is a Keloid Scar?

A keloid is an overgrown scar that develops when the body produces excess collagen during wound healing. Unlike normal scars, keloids extend beyond the original injury site and continue to grow over time.

Common Locations

• Earlobes (especially after piercing)
• Shoulders and chest
• Upper back
• Face and neck
• Any area with skin tension

Risk Factors

• Darker skin types (particularly African, Asian, and Hispanic descent)
• Age between 10 and 30 years
• Family history of keloids
• Previous keloid formation
• High-tension areas of the skin

Characteristics

• Raised, thick appearance
• Color ranges from pink to dark brown
• Smooth, shiny surface
• May be itchy or painful
• Continues growing beyond wound boundaries

Prevention Strategies

1. Avoid unnecessary skin trauma
2. Proper wound care
3. Use pressure dressings after injury
4. Consider prophylactic treatment for high-risk procedures

Treatment Options

Non-surgical Treatments

• Corticosteroid injections
• Silicone sheets or gels
• Pressure therapy
• Cryotherapy

Surgical Options

• Surgical excision (with additional treatments)
• Laser therapy
• Radiation therapy

When to Seek Medical Care

• If a scar begins growing beyond its boundaries
• When experiencing pain or itching
• If the appearance causes emotional distress

Long-term Management

• Regular monitoring
• Consistent treatment compliance
• Protection from sun exposure
• Early intervention for new wounds