Clifton / DHA
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How are keloids flattened?
A keloid is scar tissue that keeps making collagen long after a wound has healed, so it spreads beyond the original injury. People of Asian heritage form keloids more readily than lighter-skinned people, often after ear piercing, acne or chickenpox.
A 2023 review of 108 studies backs steroid injections into the keloid, with silicone gel or sheets at home, as the first choice: between 50% and 80% of keloids shrink with injections. For thick or stubborn scars, your doctor adds freezing or laser, because combinations work better than any single treatment.
Who shouldn’t have keloid injections?
Injections are usually postponed in pregnancy and aren’t given into infected or broken skin. Freezing can leave a lasting pale patch on brown skin, so it is used with care. A fast-growing lump is checked first. Mention earlier treatment.
Your keloid course, step by step
- Free consultation: your doctor examines the keloid, asks how it began and what you’ve tried; a female doctor if you prefer.
- Your plan: injections alone or with silicone, freezing or laser, set for your skin.
- Injections: a fine needle places the steroid inside the scar, taking a few minutes.
- Course: repeated every 2–4 weeks, often 4–6 times, until the scar is flat.
- Keeping it flat: silicone at home and check-ups, so any regrowth is caught early.
What to expect, and keeping it flat
The first injections usually ease the itch and make the scar feel softer; with each visit it becomes flatter and less noticeable. Silicone used every day for several months helps the keloid stay thinner and paler.
Keloids can grow back, and British dermatologists put regrowth after injections at up to half. Coming back at the first sign of thickening keeps a returning keloid small and quick to treat.
Aftercare
- Wear silicone gel or sheets every day
- No new piercings, tattoos or squeezed spots
- Shield the scar from sun to limit darkening
- Keep every check-up, even once it’s flat
Why choose Cutera Aesthetics
- Doctor-led: your keloid treatment is assessed, planned and performed by our qualified doctors.
- Free consultation: an honest assessment and a clear plan before you commit to anything.
- A plan made for you: your treatment is tailored to your goals, your skin and your health.
- 12 clinics in 7 cities: Karachi, Lahore, Islamabad, Rawalpindi, Faisalabad, Hyderabad and Sialkot. Find your nearest clinic.
Sources
- American Academy of Dermatology. Keloid scars: Diagnosis and treatment. Steroid injections, freezing, silicone, laser, pressure earrings and regrowth.
- American Academy of Dermatology. Keloid scars: Overview. Who gets keloids, family history and how they differ from raised scars.
- British Association of Dermatologists. Keloids. Patient information leaflet: causes, treatment options and regrowth.
- Walsh LA, Wu E, Pontes D, et al. Keloid treatments: an evidence-based systematic review of recent advances. Systematic Reviews, 2023; 12(1): 42.
