How Do I Get Rid of Keloids? A Comprehensive Guide

By: Dr. Calvin Williams



Keloid, a type of scar that grows excessively and invades healthy skin, can be a source of discomfort and self-consciousness for many. Understanding keloid scars and their unique characteristics is crucial for effective treatment and management. In this guide, we'll explore what keloids are, how to recognize them, and initial steps towards prevention and management.

Section 1: Understanding Keloids

Keloids are raised, often large scars that extend beyond the original wound boundary and do not subside over time. They result from an overly aggressive healing process and can vary in color from pink to dark brown. Unlike hypertrophic scars, keloids typically do not regress naturally and can be challenging to treat.

Causes of Keloid Formation:

Genetic predisposition: Keloids are more common in individuals with a family history of keloids, suggesting a genetic component.

Skin injuries: Any skin trauma, including surgical incisions, piercings, burns, and acne, can lead to keloid formation.

Common areas for keloids: These scars often appear on the chest, shoulders, earlobes, and cheeks but can arise anywhere on the body.

Understanding the underlying causes and common sites of keloid formation is essential for both prevention and treatment.

Section 2: Identifying Keloids

Recognizing keloids early on can significantly impact their management. Keloids are characterized by:

Size and shape: They can grow much larger than the original wound and tend to have a raised, lumpy or ridged area.

Texture: Keloids are typically hard and rubbery.

Growth pattern: They may continue to grow slowly for weeks, months, or even years.

Early identification is key to managing keloids effectively, as earlier treatment can often lead to better outcomes. Recognizing the signs of keloid formation can help individuals seek timely medical advice and treatment.

Section 3: Preventative Measures

Preventing keloids, especially for those with a known predisposition, is crucial. Some preventative strategies include:

Proper wound care: Keeping wounds clean and covered can help minimize scar formation.

Pressure garments and silicone sheets: Using these after an injury or surgery can reduce the risk of keloids by applying constant pressure to the wound area, thereby potentially inhibiting the aggressive scar tissue growth.

Preventative measures are an essential first step in keloid management, especially for those at higher risk due to genetic factors or previous keloid scars.

Section 4: Professional Treatments for Keloids

For many dealing with keloids, professional medical treatments offer the most effective solutions. Dermatologists typically recommend one or more of the following interventions based on the keloid's characteristics and the patient's medical history:

Steroid Injections

Intralesional corticosteroid injections are commonly used to reduce keloid size and alleviate discomfort. Treatments are often repeated every 4 to 8 weeks. Overtime, these injections can soften and flatten keloids, making them less noticeable.

Laser Therapy

Fractional laser and pulsed-dye laser are among the options for keloid treatment. Laser therapy can reduce scar redness and improve texture. Multiple sessions may be required for optimal results.


This treatment involves freezing keloids with liquid nitrogen. Cryotherapy can reduce the size and hardness of keloids, particularly smaller ones. Pigmentation changes can occur, more commonly in darker skin.

Surgical Removal

Keloid Excision is an option, but there's a risk of new keloids forming at the surgery site. Surgery is often combined with other treatments like steroid injections to minimize recurrence.

Each of these treatments comes with its advantages and potential side effects. A dermatologist can provide guidance on the most suitable approach for an individual's specific case.

Section 5: Home Remedies and Over-the-Counter Solutions

While professional treatments are often necessary for significant keloids, certain home remedies and over-the-counter (OTC) products can be beneficial, especially for smaller scars or post-treatment care:

Silicone Sheets and Gels

Applying silicone sheets or gels can help in softening and flattening keloids. They work by hydrating the scar tissue and reducing collagen production.

Other Remedies

Tea Tree Oil: Known for its anti-inflammatory properties, it might help in keloid management when used cautiously.

Aloe Vera: Can soothe the skin and may assist in keloid size reduction over time.

While these remedies can aid in keloid care, it's essential to approach them with realistic expectations and understand that they may not eliminate keloids entirely. Consulting with a dermatologist before starting any new treatment is always advisable.

Section 6: The Importance of Consultation with a Dermatologist

Navigating keloid treatment can be complex, and what works for one person may not work for another. This is where the expertise of a dermatologist becomes invaluable:

Personalized Treatment Plans

Individual Needs: Dermatologists can tailor treatments based on an individual's scar characteristics, skin type, and medical history.

Combination Therapies: Often, a combination of treatments is necessary for optimal results.

Monitoring and Adjustments

Progress Tracking: Regular check-ups allow dermatologists to monitor the keloid's response to treatment and make necessary adjustments.

New Developments: Dermatologists are up-to-date with the latest keloid treatment advancements and can offer new options as they become available.

Section 7: Managing Expectations and Emotional Support

When dealing with keloids, it's crucial to have realistic expectations about treatment outcomes and the time frame involved. Keloid treatment can be a lengthy process, and in some cases, complete scar elimination may not be possible. However, significant improvement in appearance and symptoms is often achievable.

Understanding Limits: It's important to understand that treatments aim to improve the keloid's appearance and alleviate discomfort rather than completely remove the scar.

Patience is Key: Treatments like steroid injections and laser therapy require multiple sessions over months, and patience is essential.

Emotional Impact and Support

Psychological Effects: Keloids can have a significant psychological impact, affecting self-esteem and emotional well-being.


Keloids, with their distinctive properties and stubborn nature, pose a unique challenge in dermatology. This comprehensive guide has explored various facets of keloid management, from understanding and identifying keloids to professional treatments and home care strategies. The importance of a tailored approach under the guidance of a dermatologist cannot be overstated, as it ensures the most effective and safe treatment path.

Remember, while the journey to managing keloids can be complex, advancements in dermatological treatments continue to improve outcomes and quality of life for those affected. With the right care, individuals can achieve significant improvements in the appearance and symptoms of keloids, leading to enhanced confidence and comfort.

Call to Action

If you or someone you know is struggling with keloids, remember that you're not alone, and effective help is available. We encourage you to reach out to a dermatology professional who can provide you with personalized advice and treatment options tailored to your specific needs. Take the first step towards managing your keloids and restoring your skin's health and beauty by scheduling a consultation today at Essential Dermatology Group in Bedford, TX.

Keloid Excision

Keloid excision before and after of a man's right ear

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.