Keloids are a common but often misunderstood skin condition that can affect anyone, leading to raised, thickened scars that extend beyond the site of an injury. While not harmful to your health, keloids can be a source of physical discomfort and emotional distress. If you have keloids or are worried about the possibility of developing them, understanding their causes, symptoms, and the treatment options available can help you make informed decisions for better skin health.

In this blog, we will explore what keloids are, how they form, the common symptoms, and the effective treatments available to help reduce or remove keloids, offering you the confidence to manage this condition.

What Are Keloids?

A keloid is a type of thick, raised scar that forms when the skin heals after an injury, burn, piercing, or surgical incision. Unlike normal scars, which flatten and fade over time, keloids grow beyond the boundaries of the original wound and continue to grow, becoming more pronounced as they mature. This overproduction of collagen causes the raised and hardened appearance of the scar.

Keloids can vary in color, often appearing darker than the surrounding skin, and they may have a shiny or smooth texture. While they are not dangerous, they can cause discomfort, itching, or tenderness, and in some cases, may restrict movement if located near joints.

What Causes Keloids to Form?

Keloids form due to an overactive healing process. When the skin is injured, the body produces collagen to repair the damaged tissue. However, in the case of keloid formation, the body continues to produce excessive collagen even after the wound has healed, leading to the development of a raised, thickened scar.

Some of the most common causes of keloid formation include:

• Injury or Trauma: Cuts, burns, or scrapes that damage the skin can result in keloid formation.
  
  
• Surgical Incisions: Surgery, including cosmetic or medical procedures, can sometimes lead to keloid development, particularly in areas prone to keloids.
  
  
• Piercings or Tattoos: Body piercings, particularly on the ear, and tattoos can result in keloids, especially if the skin is more prone to scarring.
  
  
• Genetics: People with a family history of keloids are more likely to develop them. African American, Hispanic, and Asian populations are particularly predisposed to keloid formation.
  
  

Although anyone can develop a keloid, those with a tendency for abnormal collagen production are at higher risk.

Symptoms of Keloids

Keloids typically have specific characteristics that make them easy to identify. Common symptoms include:

• Raised, Thickened Scars: Keloids are often significantly raised above the surrounding skin and have a smooth, firm texture.
  
  
• Color Changes: The scar may appear red, purple, or darker than the surrounding skin.
  
  
• Itching or Tenderness: Many keloids are itchy, painful, or sensitive to touch, especially when they are first developing.
  
  
• Expansion: Over time, keloids can expand beyond the boundaries of the original injury, covering a larger area of skin.
  
  
• Limited Movement: If located near joints or in areas of frequent movement, keloids can interfere with flexibility or range of motion.
  
  

If you notice a scar continuing to grow or causing discomfort, it’s important to consult with a dermatologist or medical professional to explore treatment options.

Effective Keloid Treatment Options

Although keloids cannot always be completely prevented, there are several treatment options available to reduce their appearance and alleviate symptoms. The right treatment for you will depend on the size, location, and age of the keloid, as well as your overall skin type and health. Here are some of the most effective keloid treatments:

1. Steroid Injections

Steroid injections, such as triamcinolone acetonide, are one of the most commonly used treatments for keloids. These injections help reduce inflammation and slow the production of collagen, leading to a softer, flatter scar. Steroid treatments can be repeated every few weeks until the desired results are achieved. While effective, steroid injections may take several months to show noticeable improvement.

2. Laser Therapy

Laser therapy is a non-invasive option that uses concentrated light to break down collagen and reduce the size and appearance of keloids. Lasers, such as fractional CO2 lasers or pulse-dye lasers, target the scar tissue and help it become more even in texture and color. Laser treatments are usually done in a series of sessions and can be effective in flattening the keloid and improving skin texture.

3. Cryotherapy

Cryotherapy involves freezing the keloid tissue with liquid nitrogen to destroy the excess collagen. This method is particularly effective for smaller keloids and can lead to a reduction in size and discomfort. It is often combined with other treatments, such as steroid injections for better results.

4. Surgical Removal

Surgical removal of keloids may be considered for larger scars that don’t respond to non-invasive treatments. While surgery can remove the keloid, there is a risk that the scar could grow back even larger, particularly if proper aftercare is not followed. Surgeons often combine surgery with steroid injections or radiation therapy to reduce the risk of recurrence.

5. Radiation Therapy

In some cases, radiation therapy is used after keloid removal surgery to prevent the scar from growing back. Radiation is usually administered in small doses, and it can be effective in preventing keloid recurrence, although it is not suitable for all patients.

6. Silicone Sheets and Gels

Silicone sheets or gels are non-invasive options that can be applied directly to the keloid to soften and flatten the scar over time. These products are typically used in conjunction with other treatments to enhance results and promote healing.

When to Seek Professional Treatment

If you have a keloid that is causing physical discomfort, itching, or emotional distress, it’s a good idea to consult a dermatologist or medical professional. Early intervention can help prevent the keloid from growing larger and more difficult to treat.

At Omeed Ahadiat, M.D., in Foothill Ranch, CA, we offer personalized treatment plans tailored to your unique skin and scar type. Whether you're interested in non-invasive treatments like laser therapy and steroid injections, or more advanced options like surgical removal, we can help you achieve smoother, clearer skin.

Keloid Treatment in Foothill Ranch, CA

If you're looking for effective keloid treatment in Foothill Ranch, CA, Omeed Ahadiat, M.D., offers a range of options designed to improve the appearance of keloids and enhance your skin’s natural beauty. Schedule a consultation today to explore the best treatment plan for your needs and start your journey toward smoother, more even skin.