How effective is fractional laser treatment for keloid scars?

A keloid is raised scar tissue that grows beyond the original injury. Fractional laser creates microscopic channels that can help remodel the surface and may improve firmness, itch, or movement when incorporated into a broader plan. Because a keloid can remain biologically active, creating new inflammation without careful selection may aggravate scarring. The clinician must distinguish a keloid from a hypertrophic scar and consider its location, growth pattern, symptoms, and previous response to treatment.

Book an assessment with a dermatologist experienced in raised scars before arranging laser. Ask whether the keloid should first be stabilised and whether combination care is needed. Follow wound-care instructions closely after any session, keep the area protected from friction and sunlight, and do not pick at crusts. Share any history of keloids after injections, piercings, surgery, or minor injuries so future procedures can be planned carefully.

Contact the clinic if the treated area develops increasing pain, warmth, swelling, discharge, blistering, or spreading redness. Arrange prompt review if the keloid grows quickly, extends beyond its previous edge, bleeds, or interferes with movement. New intense itch or tenderness can also signal activity that merits reassessment.

Ask how active the keloid appears, what laser can and cannot change, whether combination treatment is advised, how recurrence will be watched for, and which aftercare steps protect the skin.