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What Causes a Keloid Scar?

Keloid scars form due to an abnormal wound-healing response, where the body produces too much collagen during skin repair. Instead of stopping once the wound heals, collagen production continues, causing the scar to grow beyond the original injury.

What we do know is that genetics play a major role. If you develop keloids, there is a strong likelihood that someone else in your family does as well, suggesting an inherited predisposition.

Keloids typically develop after skin trauma, which may include:

  • Surgery or medical procedures
  • Cuts, burns, or accidental injuries
  • Acne breakouts
  • Piercings (especially ears and cartilage)
  • Vaccinations or injections
  • Bug bites or minor skin irritation

In rare cases, spontaneous keloids can appear without any identifiable injury at all.

Scar Removal Before and After Photos

Seeing scar removal before and after photos can be helpful when exploring treatment options. These images show how keloids may respond to therapies such as steroid injections, laser treatments, cryotherapy, or combination approaches.

It’s important to remember that results vary depending on:

  1. Scar size and age
  2. Location on the body
  3. Skin type
  4. Previous treatments
  5. Genetic tendency to form keloids
  6. A personalized treatment plan is essential for the best outcome.

Scar removal before and after photos

Understanding Keloid Scars: Causes and Risks

A true keloid scar is larger than the original wound and extends beyond the borders of the initial injury. This is an important distinction.

  • A hypertrophic scar stays within the original wound edges
  • A keloid scar grows outward into surrounding healthy skin

If you have a history of keloids, you are at increased risk of developing new ones. This is especially important to discuss with your doctor before surgeries, cosmetic procedures, piercings, or tattoos.

Keloids are also far more common in people with darker skin tones, though they can occur in all skin types.

Treatment Options for Keloid Scars

There is no single “perfect” treatment for keloid scars. Each scar behaves differently, which is why a thorough evaluation by an experienced provider is essential.

Treatment options may include:

  • Corticosteroid injections
  • Laser therapy
  • Cryotherapy (freezing the scar)
  • Silicone-based treatments
  • Pressure therapy
  • Surgical removal (usually combined with other treatments to reduce recurrence)

What worked for a friend or family member may not be the best option for you. The key to successful keloid management is working with a practice and practitioner who specializes in keloid treatment and understands how to minimize recurrence.

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