Keloid Scars: Advanced Treatment to Refine and Restore

Scarring is a natural part of the body’s healing response. In most cases, scars gradually soften, flatten and fade over time. However, some scars remain prominent, becoming raised, discoloured, itchy or uncomfortable. In certain individuals, scar tissue grows beyond the boundaries of the original wound. This excessive growth is known as a keloid.

Keloids represent an overactive healing response, in which collagen production continues long after the wound itself has healed. They can occur following even minor skin trauma, including piercings, surgical incisions, acne or small cuts.

Recognising a Keloid

A keloid may present as:

• Flesh coloured, pink or red tissue
• A raised area over the site of a previous injury
• A lumpy or ridged surface
• Tenderness or persistent itching
• Irritation caused by friction from clothing

Unlike typical scars, keloids extend beyond the original wound margin and may continue to enlarge over time. During the first year after formation, sun exposure can cause a keloid to darken more than the surrounding skin. This pigmentation change may persist if not carefully protected.

Modern Approaches to Treatment

Management of keloid scars requires a thoughtful and individualised approach. The aim is to reduce thickness, alleviate symptoms and improve overall appearance, whilst minimising the risk of recurrence.

Laser therapy is frequently used to address redness and discolouration. Vascular lasers can reduce excess blood supply within the scar, improving colour and helping to flatten raised tissue over time.

Corticosteroid injections remain a cornerstone of keloid treatment. Administered directly into the scar, these injections reduce inflammation and collagen production, softening and flattening the tissue. A course of treatment is often required to achieve optimal results.

For larger, raised or structurally prominent scars, procedural interventions may be considered. Techniques can be employed to reposition a scar, reduce its surface area or refine its contour. In carefully selected cases, surgical removal followed by reconstruction may be recommended. However, because keloids carry a risk of recurrence, surgical excision is typically combined with adjunctive treatments such as steroid therapy or other preventative measures.

A Personalised Treatment Strategy

Every scar is unique in its size, location and behaviour. Treatment recommendations are therefore tailored to the individual’s clinical presentation and aesthetic objectives. Factors such as skin type, scar maturity and previous treatments all influence the most appropriate strategy.

Ongoing research into scar biology continues to refine therapeutic options, enabling integration of new and effective techniques into clinical practice. By combining established medical therapies with advanced procedural approaches, it is possible to significantly improve the appearance and comfort of keloid scars.

Whilst complete eradication is rarely achievable, meaningful reduction in thickness, colour and symptoms can be accomplished. With a structured and personalised treatment plan, keloid scars can be managed effectively, restoring both comfort and confidence.