Keloids are a type of overgrown scar tissue
that forms as a result of an abnormal healing response. After skin trauma
such as a cut, surgical incision, piercing, or acne lesion, some individuals
produce excess collagen, resulting in a firm, raised, and often shiny scar
that extends beyond the original wound site. Keloids are more common in
individuals with darker skin tones and often occur on the chest, shoulders,
earlobes, and upper back. They may cause discomfort, itching, or tenderness,
and can become a cosmetic concern for many patients.
Treatment is focused on reducing the appearance
and symptoms of the keloid. Intralesional corticosteroid injections are often
the first-line approach and may be repeated over several visits to reduce
size and inflammation.
Other treatments may include silicone gel sheets,
cryotherapy, laser therapy, or surgical removal (with caution, as recurrence
is possible). In some cases, pressure earrings or post-op dressings are used
for keloids on the earlobes. Charlotte Dermatology customizes treatment based
on scar type, location, and patient history, aiming to minimize recurrence
while improving texture and appearance.
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