Keloids are abnormal scars that outgrow the extent of initial injury. They are more common among people with darkly pigmented skin, but can occur in all races. They result from overproduction of fibrotic material (mostly collagen) by abnormal cells (myofibroblasts).
They are not malignant and not infectious, but can result in significant disfigurement and be associated with itching and even pain. They are different from hypertrophic scars that are thickened, raised and red, but limited to the size of the initial injury.
Keloids frequently occur at the sites of body piercing (especially earlobes). Some anatomic areas are prone to developing keloid scars (central chest, back and shoulders). They can result from trauma or surgery, but also from minor skin injuries like scratches, abrasions, insect bites, acne, burns or even "pimples".
Treatment of keloids can be quite challenging due to high rate of recurrence.
- Surgical excision
- Compression (good option for earlobes)
- Silicone sheets
- Injection of steroids
- Superficial radiation (usually coordinated with surgical excision of keloid)
Specific treatment will be recommended based on patient's history and physical examination, location and size of the keloid, previous treatments.
Before & after photos coming soon.