Facial keloid removal: what to know

A keloid is raised scar tissue that extends beyond the original injury and may continue to enlarge, itch, feel tender, or feel firm. It can follow acne, piercing, surgery, or a minor skin injury. Facial skin needs a diagnosis before treatment because a lump, inflamed acne lesion, hypertrophic scar, and keloid can look different and need different care. Removing the visible bulk alone may not stop active scar tissue from returning.

A dermatologist may recommend an injection into the scar, laser treatment to alter colour or texture, cryotherapy to freeze tissue, or surgery for a selected lesion. Combination treatment and aftercare are often considered because keloid behaviour varies between people. Do not cut, squeeze, pierce, or repeatedly irritate the area yourself. Protect healing skin from sun as advised and follow dressing, pressure, or medicine instructions precisely.

Arrange review if a facial lump is growing, bleeding, painful, infected, or changing colour, especially if it has not been diagnosed. After treatment, contact the clinic for spreading redness, warmth, pus, fever, worsening pain, or an opening wound. Seek urgent help for swelling that affects the eye, mouth, breathing, or swallowing.

Is this definitely a keloid or should another lesion be excluded? Which treatment fits its size, location, and activity? How will recurrence be monitored? What aftercare will protect the wound and facial skin?