Keloid / Hypertrophic scars

Keloid and hypertrophic scars are raised, thickened scars that develop due to excessive collagen production during the healing process. They often appear after injuries, surgeries, acne, burns, piercings, or vaccinations. While hypertrophic scars remain within the boundaries of the original wound, keloids grow beyond it and may continue to enlarge over time.

Symptoms

These scars typically appear as raised, firm, and sometimes shiny growths on the skin. They may be pink, red, or darker than the surrounding skin. Some individuals experience itching, tenderness, pain, or tightness in the affected area. Keloids can gradually increase in size and may cause cosmetic concerns.

Causes

Keloid and hypertrophic scars develop due to an overactive healing response, where the body produces excess collagen. Genetic predisposition, skin type, deeper wounds, infections, and repeated trauma to the area can increase the risk. Individuals with darker skin tones may have a higher tendency to develop keloids.

Treatment

Treatment options depend on the size and severity of the scar. Common approaches include corticosteroid injections to flatten and soften the scar, silicone gel sheets, cryotherapy (freezing), laser therapy, and in some cases, minor surgical removal combined with preventive therapy to reduce recurrence. Early treatment improves cosmetic outcomes and minimizes further growth.

Tips from our experts

Avoid unnecessary skin trauma such as piercings if you are prone to keloids. Do not scratch or irritate healing wounds. Seek early treatment for abnormal scar formation. Follow post-procedure care strictly to prevent recurrence and maintain smoother skin.

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