Keloids (KS) are a type of scar that results in an overgrowth of tissue at the site of a healed skin injury. However, KS can develop spontaneously without prior injury too.
KS are firm, rubbery lesions or shiny growths at the site of the original skin injury and can vary from pink to flesh-colored or red to dark brown in color. A KS can have itchiness, sharp pains, and changes in texture. For some, KS is a cosmetic problem, although it can still be very upsetting, especially for younger patients.
There are several treatment options for treating KS. What should be remembered is that while keloids are an unfortunate response to tissue healing, they are not dangerous and are usually a cosmetic concern.
Keloids can recur despite the treatment option chosen, and often several different techniques are used simultaneously to promote the shrinking of keloids and to prevent a recurrence. A consultation visit with our dermatologists can help in deciding which option is right for you.
We offer several treatment options:
- Cortisone (steroid) injections or tape are effective in softening very firm scars (or KS), causing them to shrink and flatten. This treatment is popular for thick scars and KS and can help flatten these scars and help with symptoms.
- Silicone sheets and massage have also been proven to help shrink KS or prevent a recurrence.
- De-bulking the KS with surgical intervention and an intra-lesional radiofrequency device is an alternative option for large KS.
It should always be remembered that KS can recur following surgical intervention, and unfortunately, it is impossible to predict if this will happen. Our dermatologists may prescribe this medication to you following surgery as well as the use of silicone pressure earrings if your KS is on your ear.
Can keloids form without an injury?
Yes. Although most keloids form at the site of a healed skin injury, they can also appear spontaneously in some individuals.
Are keloids dangerous?
No, keloids are not medically dangerous. They are usually a cosmetic concern, although they may cause discomfort or emotional distress.
Will my keloid go away on its own?
Keloids do not typically resolve without treatment. They may remain the same size, continue to grow, or become symptomatic.
What are the chances of recurrence after keloid removal?
Recurrence is possible, even after surgical removal. That’s why combined therapies are often recommended to minimize the risk.
What is the best treatment for ear keloids?
A combination of surgical excision, post-surgical medication, and silicone pressure earrings is commonly used for keloids on the ear.