ScarAway and keloid scars: what to know

Keloids develop when scar tissue continues growing after the wound has closed. They may be smooth, shiny, firm, and darker or redder than nearby skin, depending on skin tone. Itching, tenderness, burning, or tightness can occur. Common sites include the chest, shoulders, upper back, jawline, and earlobes, but a keloid can occur elsewhere. Acne-related inflammation, piercings, surgery, burns, or minor injuries can precede one; sometimes the original injury is easy to forget. A skin lump is not automatically a keloid, so a clinician should confirm the diagnosis.

Do not cut, squeeze, or repeatedly scratch the area. Reduce friction from clothing or jewellery, and use sun protection to limit colour change. Silicone may be considered after the surface has healed, but an established keloid often needs more than home care. A clinician may discuss steroid injection into the skin, pulsed dye laser treatment, fractional laser treatment, cryotherapy, or keloid removal surgery. Excision can be followed by renewed scar growth, so prevention and follow-up are part of the decision.

Arrange a dermatology assessment when a scar grows beyond its original edges, becomes painful or persistently itchy, or restricts movement. Seek prompt care for warmth, spreading redness, pus, fever, sudden bleeding, or rapid change. A new lump after a procedure should be checked before applying irritant products or attempting removal.

Does this growth extend beyond the original wound? Which treatment targets its symptoms and thickness? How would you reduce the chance of regrowth after removal? Should I avoid a piercing or procedure near this area?