What are keloid scars?A keloid is a type of raised scar that often continues to increase in size. It is a raised area of tough, hard tissue, usually irregular in shape. Keloids usually appear smooth with a pinkish or purplish colored top. They may be painless, but they can become painful or itchy, especially if infection sets in.
What causes keloids?Injury to the skin results in collagen growth, which is necessary for healing. When this growth does not stop after the wound is healed, it becomes a keloid. Virtually anything that damages the skin can cause one in a susceptible person. This includes:
- Body piercing
- Pimples and skin blemishes
- Small cuts and scrapes
Reducing your riskCertain individuals are predisposed to this type of scarring. The exact reason for the predisposition is not known, although we do know that it is more prevalent in people of African, Northern European, and Asian descent. The best way anyone can prevent keloids is by avoiding skin injury. This includes piercings, tattoos, and elective surgeries.
Treatment RecommendedClearing up any infection is the first priority of treatment. Once that has been accomplished, the keloid can be treated using one of several methods:
- Corticosteroid injection – This treatment relieves itching and pain, as well as causing the scar to shrink and flatten. It is effective for approximately 70 percent of patients, although about 50 percent see the keloid return after a few years.
- Excision – Surgical removal alone frequently results in recurrence, though the success rate ranges from 50 to 90 percent when used in combination with other treatments.
- Silicone Gel Sheeting – Itching and other symptoms can be relived with this technique, but it does not remove the keloid.
Dr. W DermatologyRating : 5
I had two ear piercings, one in each ear and started to develop a keloid in my left ear. It was the most awful thing anyone could have. Before coming to Dr. W dermatology, I was seeing another doctor, for about 8 months, and saw no improvement. I was extremely agitated until a church member of mine recommended Dr.W. Dr.W is very knowledgeable in his field and very caring with his patients. I like the fact that he got straight to the point. Its like he already had a plan of action. The other nurses are very friendly, and you can tell they love what they do. I would highly recommend Dr.W dermatology to anyone who is needing skincare needs. The only thing I regret is not coming here in the first place.