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Keloid Scar of Skin

What are keloids?

Key points

  1. Keloids are smooth, hard, benign growths that form when scar tissue grows excessively.
  2. Risk factors include being pregnant, being younger than 30 years, or being of African, Asian, or Latino descent.
  3. Treatments for keloid scarring are not always effective.

When skin is injured, fibrous tissue called scar tissue forms over the wound to repair and protect the injury. In some cases, scar tissue grows excessively, forming smooth, hard growths called keloids. Keloids can be much larger than the original wound. They’re most commonly found on the chest, shoulders, earlobes, and cheeks. However, keloids can affect any part of the body.

Although keloids aren’t harmful to your health, they may create cosmetic concerns.

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Picture

Picture example of a keloid

Keloid Scar

Symptoms

Symptoms of keloids

Keloids occur from the overgrowth of scar tissue. Symptoms occur at a site of previous skin injury.

The symptoms of a keloid can include:

  • a localized area that is flesh-colored, pink, or red
  • a lumpy or ridged area of skin that’s usually raised
  • an area that continues to grow larger with scar tissue over time
  • an itchy patch of skin

Keloid scars tend to be larger than the original wound itself. They may take weeks or months to develop fully.

While keloid scars may be itchy, they’re usually not harmful to your health. You may experience discomfort, tenderness, or possible irritation from your clothing or other forms of friction. In rare instances, you may experience keloid scarring on large areas of your body. When this occurs, the hardened, tight scar tissue may restrict your movements.

Keloids are often more of a cosmetic concern than a health one. You may feel self-conscious if the keloid is very large or in a highly visible location, such as an earlobe or on the face. Sun exposure or tanning may discolor the scar tissue, making it slightly darker than your surrounding skin. This can make the keloid stand out more. Keep the scar covered when you’re in the sun to prevent discoloration.

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Causes

Causes

Most types of skin injury can contribute to keloid scarring. These include:

According to the American Osteopathic College of Dermatology, an estimated 10 percent of people experience keloid scarring. Men and women are equally likely to have keloid scars. People with darkly pigmented skin, such as African-Americans, are more prone to keloids.

Other risk factors associated with keloid formation include:

  • being of Asian descent
  • being of Latino descent
  • being pregnant
  • being younger than 30

Keloids tend to have a genetic component, which means you’re more likely to have keloids if one or both of your parents has them. According to one study, a gene known as the AHNAK gene may play a role in determining who develops keloids and who doesn’t. The researchers found that people who have the AHNAK gene may be more likely to develop keloid scars than those who don’t.

If you have known risk factors for developing keloids, you may want to avoid getting body piercings, unnecessary surgeries, and tattoos.

The occurrence of keloids and psoriasis together is very rare.

When to call your doctor

When to seek medical attention

Keloids typically don’t require medical attention, but you may want to contact your doctor if growth continues, if you develop additional symptoms, or if you want to have the keloid surgically removed.

Keloids are benign, but uncontrolled growth may be a sign of skin cancer. After diagnosing keloid scarring by visual exam, your doctor may want to perform a biopsy to rule out other conditions. This involves taking a small sample of tissue from the scarred area and analyzing it for cancerous cells.

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Find a doctor

Finding a doctor for keloids

Looking for doctors with the most experience treating keloids? Use the doctor search tool below, powered by our partner Amino. You can find the most experienced doctors, filtered by your insurance, location, and other preferences. Amino can also help book your appointment for free.

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Treatment

Treatment options and considerations

The decision to treat a keloid can be a tricky one. Keloid scarring is the result of the body’s attempt to repair itself. After removing the keloid, the scar tissue may grow back again, and sometimes it grows back larger than before.

Examples of keloid treatments include:

  • corticosteroid injections to reduce inflammation
  • moisturizing oils to keep the tissue soft
  • using pressure or silicone gel pads after injury
  • freezing the tissue to kill skin cells
  • laser treatments to reduce scar tissue
  • radiation to shrink keloids

Initially, your doctor will probably recommend less-invasive treatments, such as silicone pads, pressure dressings, or injections, especially if the keloid scar is a fairly new one. These treatments require frequent and careful application to be effective. However, keloids tend to shrink and become flatter over time, even without treatment.

In the instance of very large keloids or an older keloid scar, surgical removal may be indicated. According to the Dermatology Online Journal, the rate of keloid scarring coming back can be high after surgery. Your doctor may recommend steroid injections after surgery to lower the risk of the keloid returning.

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Outlook

Long-term outlook

Although keloids rarely cause adverse side effects, you may dislike their appearance. You can have a keloid treated at any time, even years after it appears. So if that scar is still bothering you, you can have it checked out. Treatments for keloid scarring can be difficult and not always effective. For this reason, it’s important to try to prevent skin injuries that could lead to keloid scarring.

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