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What is keloid scar treatment and how does it work?
A keloid is scar tissue that keeps making collagen long after a wound has healed, so it spreads beyond the original injury, often after a piercing, acne or chickenpox. Keloid scar treatment slows that overgrowth: a steroid injected into the scar softens and shrinks it, while silicone gel or sheets at home keep it thin. A review of 108 studies backs this pairing as the first choice, with freezing or laser added for thick or stubborn scars.
Keloid treatment benefits
- Flatter scars: injections lower the raised scar, visit by visit.
- Less itch and pain: tenderness often eases after the first injections.
- Softer skin: dense, tight scar tissue becomes softer and more flexible.
- Earrings again: earlobe keloids are flattened, then kept down with pressure earrings.
- No downtime: a few minutes of injections, then back to your day.
- A plan against regrowth: silicone, pressure and check-ups catch any return early.
Keloid injections and laser treatment
Steroid injections are the main treatment: a very fine needle places the medicine inside the scar every two to four weeks, often four to six times, until it is flat. The first injections usually ease the itch and make the scar feel softer. For thick or stubborn keloids your doctor adds freezing, or laser, which lowers the height, fades the redness and helps the steroid reach deeper. On brown skin, freezing is used with care, as it can leave a lasting pale patch.
Keloid scar before and after
Before, a keloid is a firm, raised, often shiny scar that may be darker than your skin and itch; after a course of injections it is usually lower, softer and less noticeable, though rarely invisible. The American Academy of Dermatology reports that between 50% and 80% of keloids shrink after steroid injections.
Keloid scar treatment price in Pakistan
Keloid scar treatment is priced at your free consultation, once your doctor has seen the size, number and place of your keloids and planned the course. You hear the price of the whole course before anything starts, and it is the same at all 12 of our clinics.
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 lump that grows fast, bleeds or looks unusual is checked first. Tell your doctor about any earlier keloid treatment and the medicines you take.
Your keloid scar treatment, 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 few weeks until the scar is flat.
- Keeping it flat: silicone at home and check-ups, so any regrowth is caught early.
Results and recovery
The injection spots may be tender for a day or two, and you can go straight back to your day. With each visit the scar becomes flatter, softer and less itchy. Keloids can grow back, though, and many regrow within five years, so daily silicone for several months, a pressure earring for earlobes and regular check-ups are part of your plan; 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 scar treatment is assessed, planned and performed by our qualified doctors.
- Free consultation: an honest assessment and a clear plan before you commit to anything.
- Keloid scar treatment near you: at all 12 clinics in 7 cities, at the same price. Find your nearest clinic.
Sources
- American Academy of Dermatology. Keloid scars: Diagnosis and treatment. Steroid injections, freezing, silicone, laser, surgery, pressure earrings and regrowth.
- American Academy of Dermatology. Keloid scars: Overview. Who gets keloids, family history and how they differ from raised scars.
- Walsh LA, Wu E, Pontes D, et al. Keloid treatments: an evidence-based systematic review of recent advances. Systematic Reviews, 2023; 12(1): 42.
