Keloid Scars

Raised, dark, and itchy scar that grows larger than the wound that caused the scar

Overview

Keloid scars are a type of raised scar that forms as a result of an overgrowth of collagen during the healing process. Unlike normal scars, keloid scars extend beyond the original injury site and can be larger, thicker, and more noticeable. They can occur after injuries, surgical incisions, acne, burns, or even without any apparent cause.

Symptoms

Keloid scars are characterized by the following features:

  • Raised Appearance: Keloid scars are raised above the surrounding skin surface and may have a firm, rubbery texture.
  • Red or Pink Color: Initially, keloid scars may appear red or pink. Over time, they can become darker or lighter than the surrounding skin.
  • Itching and Discomfort: Keloid scars may cause itching, tenderness, or discomfort, especially when they are stretched or rubbed.

Causes

The exact cause of keloid scars is not fully understood, but they are believed to be influenced by various factors, including:

  • Genetics: Some individuals may have a genetic predisposition to developing keloid scars.
  • Injury or Trauma: Keloid scars often occur following injuries or trauma to the skin, such as cuts, burns, acne, or surgical incisions.
  • Skin Type: Certain skin types, particularly darker skin tones, have a higher risk of developing keloid scars.

Treatment

Treatment options for keloid scars may include:

  • Steroid Injections: Corticosteroid injections into the keloid scar can help flatten and soften its appearance.
  • Silicone Sheets or Gels: Applying silicone sheets or gels on the keloid scar can help reduce its size and improve its texture.
  • Surgical Removal: In some cases, surgical removal of the keloid scar may be considered. However, there is a risk of the scar recurring after surgery.
  • Laser Therapy: Laser treatments can be used to reduce redness, flatten the scar, and stimulate collagen remodeling.

Self-Care

In addition to medical treatments, self-care measures can help manage keloid scars:

  • Protect from Sun Exposure: Sun protection is crucial as exposure to the sun can darken the keloid scar and make it more noticeable. Apply sunscreen and cover the scar when outdoors.
  • Avoid Irritation: Avoid activities that can irritate or worsen the keloid scar, such as excessive rubbing or tension on the scar.
  • Moisturize the Scar: Regularly moisturize the keloid scar to keep it hydrated and supple.

It’s important to consult with a healthcare professional, such as a dermatologist, for an accurate diagnosis, personalized advice, and appropriate treatment options for keloid scars. They can assess your specific condition, discuss the available options, and guide you on the best approach for your situation.