Keloids Explained
Keloids are raised scars that grow beyond the boundaries of the original injury. They can develop after acne, ear piercing, surgery, burns, cuts, insect bites, or even minor skin trauma. Unlike normal scars, keloids may continue to grow over time and rarely go away on their own.
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Raised, firm, shiny scar
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Pink, red, brown, or skin-colored
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Itching or tenderness
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Pain or discomfort
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Gradual enlargement over months or years
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Family history of keloids
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Darker skin tones
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Ages 10–30 years
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Previous history of keloids
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Areas under tension such as the chest, shoulders, upper back, jawline, and earlobes
Diagnosis is usually made during a skin examination. A biopsy is rarely needed unless another condition is suspected.
Treatment Options
No single treatment works for everyone. The best approach often combines several therapies.
• First-line treatment
• Softens and flattens the scar
• Reduces itching and pain
• Usually performed every 4–6 weeks
• Often combined with steroid injections
• Improves flattening
• May reduce recurrence compared with steroids alone
• Freezes the scar
• Best for smaller keloids
• Often combined with injections
• Helps reduce redness
• Can improve texture and thickness
• Often combined with injections
• Worn daily for several months
• Helps soften and flatten scars
• Useful after surgery to reduce recurrence
• Commonly used after ear piercing keloid removal
• Pressure earrings or custom garments help lower recurrence
• Reserved for selected patients
• Surgery alone has a high recurrence rate
• Usually combined with steroid injections, radiation therapy, silicone therapy, or pressure therapy
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Dr. Michael Tee
Clinical Director & Founder
Dr. Michael Tee focuses on helping patients manage a comprehensive range of skin conditions that can significantly impact daily comfort and confidence. He works extensively with patients experiencing skin changes during pregnancy, helping them navigate the complex dermatological shifts that occur during this important time. His practice also centers on mole evaluation and management, including atypical moles that require careful monitoring and assessment. Dr. Tee regularly treats patients dealing with acne, seborrheic dermatitis, and various forms of eczema, conditions that can affect both appearance and quality of life.