141. Self-Diagnosis of Keloid | Keloid Scar Removal |

Keloid scar self-diagnosis

1. After the wound heals, the area becomes hard over time.
2. The skin around the wound becomes thinner and shiny.
3. The skin around the wound turns red or purple.
4. The scar that forms as the wound heals is larger than the wound.
5. Scars do not improve over time.
6. Scars grow larger over time.
7. The healed scar is itchy and stinging.


If any of these symptoms apply, it is recommended that you visit a hospital and consult with a specialist.




Unlike regular scars, keloid scars are thick and have a protruding appearance like a lump. They do not heal naturally and require treatment. Because keloid treatments vary, including surgical treatment, radiation therapy, and injection treatment, it is best to consult with a specialist to decide on the treatment that is right for you.



1. Unraveling the Keloid Enigma

Keloid, a type of raised scar, result from an overgrowth of tissue at the site of a healed skin injury. Unlike regular scars, keloid extend beyond the original wound, creating a raised, often itchy or painful, mass of tissue. Understanding the factors that contribute to keloid formation is crucial for effective management.


2. Causes of Keloid Formation

The exact causes of keloid formation are not fully understood, but certain factors contribute to their development. Genetics plays a significant role, as individuals with a family history of keloids are more prone to developing them. Additionally, people with darker skin tones have a higher risk, suggesting a potential link to melanin levels.


3. Identifying Keloid Symptoms

Recognizing keloid symptoms is vital for early intervention. Keloid often present as raised, pink or red, shiny lumps that can grow larger than the original wound. They may cause itching, pain, or tenderness. Understanding these symptoms can prompt individuals to seek medical advice promptly.


4. Diagnosis and Classification

Diagnosing keloid involves a visual examination of the scar, with no need for complex tests. Healthcare professionals may classify keloid based on their appearance, size, and location. This classification aids in tailoring treatment plans to the specific characteristics of each keloid.


5. Treatment of Keloid

Keloid, characterized by the abnormal growth of scar tissue, often require medical interventions for effective management. In this section, we will delve into various medical approaches employed by healthcare professionals to address keloids, ranging from injections to advanced therapies.


1) Corticosteroid Injections:

  • Mechanism: Corticosteroids, such as triamcinolone, are injected directly into the keloid. These injections help reduce inflammation and inhibit collagen production, ultimately flattening the scar.
  • Procedure: Typically administered in a series of sessions spaced several weeks apart.
  • Effectiveness: Corticosteroid injections can be effective in reducing the size and symptoms of keloids. However, individual responses may vary.


2) Laser Therapy:

  • Types of Lasers: Various lasers, including pulsed dye lasers and fractional lasers, are used for keloid treatment.
  • Mechanism: Laser therapy targets the blood vessels within the keloid, reducing redness, and can also break down excess collagen to soften the scar.
  • Procedure: Multiple sessions may be required, and the specific laser used depends on the characteristics of the keloid.
  • Effectiveness: Laser therapy can be effective in improving the appearance and texture of keloids, particularly in reducing redness.


3) Cryotherapy:

  • Mechanism: Cryotherapy involves freezing the keloid using liquid nitrogen, causing the tissue to die and reducing the size of the scar.
  • Procedure: Administered in a healthcare setting, with the duration of freezing varying based on the keloid’s size and thickness.
  • Effectiveness: Cryotherapy can be effective, especially for smaller keloids. However, it may not be suitable for all cases, and recurrence is possible.


4) Pressure Dressings:

  • Mechanism: Pressure dressings apply constant pressure to the keloid, helping to flatten the scar over time.
  • Usage: Worn consistently over the keloid, and the duration varies based on the individual’s response.
  • Effectiveness: Pressure dressings can be effective in reducing the height and thickness of keloid, particularly when used in combination with other treatments.




5) Interferon Therapy:

  • Mechanism: Interferons are proteins that modulate the immune response. Interferon therapy involves injecting interferons into the keloid to regulate cell growth and reduce scar tissue.
  • Procedure: Typically administered over several sessions.
  • Effectiveness: Interferon therapy may be considered for larger or recurring keloid. However, research on its effectiveness is ongoing.


6) 5-Fluorouracil (5-FU) Injections:

  • Mechanism: 5-FU is an antimetabolite that inhibits cell proliferation. Injections are aimed at slowing the growth of keloid tissue.
  • Procedure: Administered in multiple sessions over several weeks.
  • Effectiveness: 5-FU injections may be used in combination with other treatments, showing promise in reducing keloid size.


7) Botulinum Toxin Injections:

  • Mechanism: Botulinum toxin, commonly known as Botox, is injected into the keloid to reduce tension and limit collagen production.
  • Procedure: Administered in sessions, with the frequency determined by the healthcare provider.
  • Effectiveness: Research suggests that Botox injections may help prevent keloid recurrence post-surgery.


8) Hyaluronic Acid Injections:

  • Mechanism: Hyaluronic acid injections aim to hydrate and soften the keloid, potentially improving its appearance.
  • Procedure: Administered in sessions, with the frequency determined by the healthcare provider.
  • Effectiveness: While not a primary treatment, hyaluronic acid injections may be used as adjunctive therapy for certain keloid.


6. Surgical Alternatives for Keloid Removal

Surgical removal is an option for some keloid, but it comes with the risk of recurrence. Surgeons may combine excision with other treatments to improve outcomes. Discussing the potential benefits and risks with a healthcare provider is essential when considering surgical interventions.


7. Emerging Therapies and Research

Ongoing research explores innovative therapies for keloid treatment. From novel medications to advanced technologies, the medical community is committed to finding more effective solutions. Staying informed about these developments can offer hope to individuals grappling with keloid.


8. Lifestyle and Home Remedies

While medical interventions are primary, certain lifestyle changes and home remedies may aid in managing keloid. Moisturizing the affected area, avoiding excessive sun exposure, and using silicone sheets are some practices individuals can incorporate into their routine.


9. Psychological Impact of Keloid

The visible nature of keloid can have a profound psychological impact on individuals. Understanding the emotional toll and seeking support, both from healthcare professionals and support groups, is integral to holistic keloid management.


10. Prevention and Management of Keloid Scars


Prevention of Keloid Scars

1) Minimize Skin Trauma:

  • Avoid unnecessary piercings, tattoos, or elective surgeries, as these can increase the risk of keloid formation.
  • Handle the skin gently, especially in areas prone to keloids, to reduce the likelihood of injury.


2) Prompt Wound Care:

  • Treat any cuts, burns, or injuries promptly to promote proper healing.
  • Keep wounds clean and covered to minimize the risk of infection, which can contribute to keloid development.


3) Sun Protection:

  • Protect your skin from excessive sun exposure, as sunburn can trigger keloid formation.
  • Use sunscreen with a high SPF, and consider wearing hats or clothing that shield the skin from direct sunlight.


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4) Moisturize Regularly:

  • Keep the skin well-moisturized to promote elasticity and reduce the likelihood of scars becoming raised and prominent.
  • Choose hypoallergenic and fragrance-free moisturizers to minimize skin irritation.


5) Silicone Sheets:

  • Consider using silicone sheets or gels on healing wounds, as they have been shown to help prevent abnormal scarring.
  • Follow the product instructions for optimal results.


Management of Keloid Scars

1) Consult with a Dermatologist:

Seek professional advice if you notice keloid formation. Dermatologists can assess the severity of the keloid and recommend appropriate treatment options.


2) Corticosteroid Injections:

  • Corticosteroid injections can help reduce inflammation and flatten keloids.
  • Multiple sessions may be required, and the effectiveness varies from person to person.


3) Laser Therapy:

  • Laser treatments can be used to reduce the redness and thickness of keloid.
  • Different types of lasers may be employed based on the characteristics of the keloid.


4) Cryotherapy:

  • Cryotherapy involves freezing the keloid with liquid nitrogen to reduce its size.
  • It is often used in conjunction with other treatments for optimal results.


5) Surgical Excision:

  • Surgical removal of keloids is an option, but it carries a risk of recurrence.
  • Surgeons may recommend combining excision with other treatments to minimize the chances of the keloid returning.


6) Pressure Dressings:

  • Applying pressure dressings over keloid may help flatten the scars over time.
  • Consistency in wearing pressure dressings is essential for effectiveness.


7) Radiation Therapy:

  • In some cases, radiation therapy may be considered post-surgery to reduce the risk of keloid recurrence.
  • This approach is typically reserved for large or recurring keloid.


8) Emerging Therapies:

  • Stay informed about ongoing research and emerging therapies in the field of keloid treatment.
  • Discuss potential new treatments with your healthcare provider.



Keloid pose both physical and emotional challenges, but with a comprehensive understanding of the condition, individuals can navigate their journey more effectively. From recognizing symptoms to exploring treatment options, this blog has aimed to shed light on the multifaceted aspects of keloid. Remember, informed decisions and early intervention are key to managing and preventing keloid.



Q1: Are keloid contagious?
A1: No, keloid is not contagious. They result from an overactive healing process in certain individuals and cannot be transmitted through contact.


Q2: Can keloid be completely cured?
A2: While complete cure is challenging, various treatments aim to reduce the size and symptoms of keloid. Success depends on factors such as the individual’s response to treatment and the specific characteristics of the keloid.


Q3: Do keloid always return after surgical removal?
A3: There is a risk of keloid recurrence after surgical removal. Combining surgery with other treatments may help minimize this risk.


Q4: Can over-the-counter creams eliminate keloid?
A4: Over-the-counter creams may help with symptom management, but professional medical advice and interventions are essential for effective keloid treatment.


Q5: Is keloid a type of cancer?
A5: No, keloids are not cancerous. They are a benign overgrowth of scar tissue and do not have the characteristics of cancerous growths.


Q6: Is keloid formation related to age?
A6: Keloid can form at any age, but they are more common in individuals between the ages of 10 and 30.


Q7: Can keloids develop on any part of the body?
A7: Yes, keloids can develop on any part of the body. Common sites include the chest, back, shoulders, and earlobes.


Q8: Can pregnancy trigger keloid formation?
A8: While there is no direct link, hormonal changes during pregnancy may influence keloid development in some individuals.


Q9: Can keloid cause long-term health complications?
A9: While keloid themselves are not harmful, the symptoms and psychological impact may affect an individual’s quality of life. Seeking timely medical intervention is crucial.


Q10: Are there support groups for individuals with keloid?
A10: Yes, several online and offline support groups provide a platform for individuals to share experiences and seek advice on managing keloid.


Today’s Quiz


Question: What is the primary factor influencing the development of keloid?
Answer: The primary factor influencing keloid development is genetics, with individuals having a family history of keloids being more prone to their formation.


Accuracy: 95%
Based on: Medical literature, dermatology journals, and reputable health websites.


Mayo Clinic (
American Academy of Dermatology (
National Institute of Arthritis and Musculoskeletal and Skin Diseases (
WebMD (
DermNet NZ (


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