Skin keloid removal: what to know

A keloid is raised scar tissue that extends beyond the original injury and may continue to thicken. It can itch, feel tender, or cause tightness, but its appearance can resemble other skin lumps or scars. A clinician examines its shape, firmness, colour, growth pattern, and history after acne, piercing, injury, or surgery. Removal is not always the first step: reducing symptoms and flattening the scar may guide the plan. The treated area and your tendency to form raised scars affect the choice.

Options can include steroid injected into the scar, selected laser treatment, cryotherapy, or surgical excision. Surgery may be paired with another treatment because cutting out the visible tissue alone can be followed by new scar growth. Ask how the wound will be cared for, whether several visits are expected, and what changes in colour, thickness, tenderness, or size should be recorded. Avoid piercing or elective skin injury near a keloid-prone area until a dermatologist has advised you.

Arrange a dermatology assessment for a scar that is growing beyond the original wound, becomes painful, repeatedly bleeds, ulcerates, or restricts movement. Seek prompt care for spreading redness, warmth, pus, fever, or sudden severe pain after a procedure. A rapidly changing lump should be examined rather than assumed to be a keloid.

Is this definitely a keloid, or does it need another assessment? Which approach fits its location and thickness? How will you reduce the chance of regrowth? What wound care, sun protection, and follow-up will I need?