How Can I Prevent Keloid Scars | 2024

How Do I Prevent Keloid Scars?

Understanding Keloid Scars

What are keloid scars?

Keloid scars are raised, thickened areas of skin that form at the site of a wound or injury. Unlike regular scars, keloids extend beyond the original wound boundary and can continue to grow over time. They are often red or purple and can be itchy or painful.

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  • Raised, thickened skin
  • Extend beyond the original wound
  • Can be red or purple
  • May be itchy or painful

Symptoms of keloid scars

The symptoms of keloid scars can vary, but they typically include a raised, lumpy area of skin that is different in color from the surrounding skin. Keloids can also cause discomfort, including itching and tenderness.

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  • Raised, lumpy skin
  • Different color from surrounding skin
  • Itching and tenderness

Causes of keloid scars

Keloid scars form when the body produces too much collagen during the healing process. This excess collagen causes the scar tissue to grow excessively, resulting in a keloid. Common causes include surgical incisions, piercings, burns, and acne.

  • Excess collagen production
  • Surgical incisions
  • Piercings
  • Burns
  • Acne

Risk Factors for Keloid Scars

Genetic predisposition

Genetics play a significant role in the development of keloid scars. If you have a family history of keloids, you are more likely to develop them yourself. This genetic predisposition can make it challenging to prevent keloid scars entirely.

  • Family history of keloids
  • Higher likelihood of developing keloids

Skin type and ethnicity

Certain skin types and ethnicities are more prone to keloid formation. People with darker skin tones, such as those of African, Hispanic, or Asian descent, are at a higher risk. This increased risk is due to the higher levels of melanin in the skin.

  • Higher risk for darker skin tones
  • African, Hispanic, and Asian descent

Age and hormonal factors

Age and hormonal changes can also influence the likelihood of developing keloid scars. Younger individuals, particularly those in their teens and early twenties, are more susceptible. Hormonal changes during puberty and pregnancy can exacerbate the risk.

  • Higher risk in teens and early twenties
  • Hormonal changes during puberty and pregnancy

How to Prevent Keloid Scars

Avoiding unnecessary skin trauma

One of the most effective ways to prevent keloid scars is to avoid unnecessary skin trauma. This includes avoiding piercings, tattoos, and elective surgeries if you are prone to keloids. Minimizing skin injuries can significantly reduce the risk.

  • Avoid piercings and tattoos
  • Minimize elective surgeries
  • Reduce skin injuries

Proper wound care techniques

Proper wound care is crucial in preventing keloid scars. Keeping the wound clean and moist, using antibiotic ointments, and covering it with a sterile bandage can promote better healing and reduce the risk of keloid formation.

  • Keep the wound clean and moist
  • Use antibiotic ointments
  • Cover with a sterile bandage

Using pressure garments and silicone sheets

Pressure garments and silicone sheets can help prevent keloid scars by applying consistent pressure to the wound area. This pressure can reduce collagen production and flatten the scar over time. Silicone sheets are particularly effective when used consistently.

  • Apply consistent pressure
  • Reduce collagen production
  • Flatten the scar over time

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Signs that require medical attention

If you notice that a scar is growing beyond the original wound boundary, becoming increasingly painful, or showing signs of infection, it is essential to seek medical attention. Early intervention can prevent the keloid from worsening.

  • Scar growing beyond wound boundary
  • Increasing pain
  • Signs of infection

Consulting with Dr. Shehzadi Tasneem Sultan

For expert advice and treatment options, consulting with a specialist like Dr. Shehzadi Tasneem Sultan can be beneficial. Dr. Sultan can provide personalized recommendations and advanced treatments to manage and prevent keloid scars.

  • Expert advice and treatment options
  • Personalized recommendations
  • Advanced treatments

Treatment Options for Keloid Scars

Corticosteroid Injections

How they work

Corticosteroid injections work by reducing inflammation and slowing down collagen production in the scar tissue. These injections can help flatten and soften keloid scars over time.

  • Reduce inflammation
  • Slow down collagen production
  • Flatten and soften scars

Effectiveness and side effects

Corticosteroid injections are generally effective in reducing the size and appearance of keloid scars. However, they may cause side effects such as skin thinning, discoloration, and discomfort at the injection site.

  • Effective in reducing scar size
  • Potential side effects: skin thinning, discoloration, discomfort

Silicone Sheeting

Benefits of silicone sheeting

Silicone sheeting is a non-invasive treatment that can help flatten and soften keloid scars. It works by hydrating the scar tissue and reducing collagen production. Silicone sheets are easy to use and can be worn under clothing.

  • Non-invasive treatment
  • Hydrates scar tissue
  • Reduces collagen production
  • Easy to use

How to use silicone sheets

To use silicone sheets, clean and dry the scar area, then apply the sheet directly to the scar. Wear the sheet for at least 12 hours a day for several months to see the best results.

  • Clean and dry the scar area
  • Apply sheet directly to the scar
  • Wear for at least 12 hours a day

Combination Therapy Following Surgery

Surgical removal and post-surgery care

Surgical removal of keloid scars can be effective, but it is often combined with other treatments to prevent recurrence. Post-surgery care may include corticosteroid injections, silicone sheeting, or pressure garments to enhance healing.

  • Effective surgical removal
  • Combined with other treatments
  • Post-surgery care: corticosteroid injections, silicone sheeting, pressure garments

Combining treatments for better results

Combining multiple treatments can improve the overall effectiveness in managing keloid scars. For example, using silicone sheets along with corticosteroid injections can provide better results than using either treatment alone.

  • Improved effectiveness with combination
  • Silicone sheets + corticosteroid injections

Other Therapies


Imiquimod is a topical cream that can help reduce keloid scars by stimulating the immune system. It is often used after surgical removal to prevent the keloid from returning.

  • Topical cream
  • Stimulates the immune system
  • Used after surgical removal

Pulsed dye laser

Pulsed dye laser therapy targets the blood vessels in the keloid scar, reducing redness and flattening the scar. This treatment is often used in combination with other therapies for better results.

  • Targets blood vessels
  • Reduces redness
  • Flattens the scar

Over-the-counter treatments

Over-the-counter treatments, such as silicone gels and scar creams, can also help manage keloid scars. These products are readily available and can be used as part of a daily skincare routine.

  • Silicone gels
  • Scar creams
  • Readily available

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Daily Skincare Routine

Gentle cleansing and moisturizing

A gentle skincare routine can help manage keloid scars. Use mild cleansers and moisturizers to keep the skin hydrated and reduce irritation. Avoid harsh products that can aggravate the scar.

  • Use mild cleansers
  • Keep skin hydrated
  • Avoid harsh products

Sun protection

Protecting keloid scars from the sun is crucial, as UV exposure can worsen their appearance. Use sunscreen with at least SPF 30 and wear protective clothing to shield the scar from the sun.

  • Use sunscreen with SPF 30
  • Wear protective clothing
  • Shield scar from the sun

Home Remedies

Natural ingredients that may help

Some natural ingredients, such as aloe vera, honey, and onion extract, may help reduce the appearance of keloid scars. These ingredients have anti-inflammatory and healing properties that can benefit the skin.

  • Aloe vera
  • Honey
  • Onion extract

Precautions with home treatments

While home remedies can be helpful, it is essential to use them with caution. Always perform a patch test to ensure you do not have an allergic reaction, and consult with a healthcare professional before starting any new treatment.

  • Perform a patch test
  • Consult with a healthcare professional
  • Use with caution

Additional Resources

Related Articles

  • Risk Factors and Etiology of Keloid Scars
  • How to Reduce Your Risk of Getting Keloid Scars

Contact Information

  • How to reach Dr. Shehzadi Tasneem Sultan for consultations

More Information

  • About Dr. Shehzadi Tasneem Sultan
  • Charitable Care & Financial Assistance

Keloid removal techniques include surgery laser treatments and steroid injections These methods help reduce or eliminate raised scars on the skin Excessive scar formation happens when the body makes too much scar tissue while healing a wound This can lead to raised bumpy or thick scars that look different from normal skin


How do I prevent keloid scars from forming after surgery?

To prevent keloid scars after surgery, follow your doctor’s wound care instructions carefully. Use silicone sheets or pressure garments as recommended and avoid unnecessary trauma to the surgical site.

What are the best treatments for existing keloid scars?

The best treatments for existing keloid scars include corticosteroid injections, silicone sheeting, and combination therapies. Consulting with a specialist can help determine the most effective treatment plan for your specific case.

Can keloid scars come back after treatment?

Yes, keloid scars can come back after treatment. Combining multiple therapies and following a consistent skincare routine can help reduce the risk of recurrence.

Are there any lifestyle changes that can help prevent keloid scars?

Lifestyle changes, such as avoiding unnecessary skin trauma and practicing proper wound care, can help prevent keloid scars. Protecting your skin from the sun and maintaining a gentle skincare routine are also beneficial.

How do I know if I am more likely to get keloid scars?

You may be more likely to get keloid scars if you have a family history of keloids, have darker skin, or are in your teens or early twenties. Hormonal changes can also increase your risk.