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The answer is that no one is sure. If you have keloids, then we do know that there’s a good probability that someone else in your family does too because there seems to be a genetic link involved. Maybe you had surgery, suffered an injury or some other sort of trauma that left you with a keloid scar? Interestingly, keloids can also form from little things like vaccinations, acne, piercings and even bug bites. Rarely, spontaneous keloids can appear on your skin for no reason at all!
Remember, keloid scars are larger than the original wound, injury or other skin trauma that was there in the first place. If you simply have a firm, raised scar that’s still within the original borders of the injury, that’s not a keloid. And if you have a keloid, it’s important to think about your increased risk and discuss this with your doctor when planning surgeries or other procedures that could potentially make more. We do know that keloids are much more common in those with darker skin as opposed to lighter-skinned individuals.
There is no one, perfect treatment for keloid scars. Since each scar is a bit different, you will need a thorough evaluation to determine which one might work best for you. What worked for a friend or family member may not be your best bet! But know that there are effective treatments out there. The key is finding a practice and practitioner who specializes in the treatment of keloids.