When working with keloid scar, an overgrown, raised scar that spreads beyond the original wound edge. Also known as keloid, it commonly appears on the shoulders, chest, or earlobes and can itch, hurt, or look unsightly.
A Hypertrophic scar, a thick scar that stays within the wound’s borders is often confused with a keloid, but the two behave differently. While both involve excess collagen, a hypertrophic scar never exceeds the original injury’s limits and may improve over time, whereas a keloid continues to grow and rarely regresses on its own. Understanding this distinction helps you choose the right care plan.
Modern dermatology offers several tools that target the core problems of keloid formation: excess collagen, inflammation, and abnormal tissue remodeling. A silicone gel sheet, a thin, flexible dressing that keeps the scar hydrated and reduces tension is a first‑line option because it limits the scar’s ability to contract and pull on surrounding skin. Daily use for several months can flatten the scar and fade its color.
When silicone isn’t enough, many clinicians turn to steroid injection, a local corticosteroid that softens scar tissue and cuts down inflammation. Injections are usually spaced a few weeks apart and can shrink a keloid by up to 50% when combined with pressure therapy or silicone. Some patients also benefit from laser resurfacing, cryotherapy, or surgical removal followed by immediate post‑op silicone or steroid treatment to keep the scar from rebounding.
Because each keloid behaves uniquely, the best approach often mixes several methods. You’ll find articles below that compare antibiotics, eye‑drop formulations, and other medications—information that can be useful if infection or secondary skin issues arise during scar therapy. By matching the right product to your specific situation, you avoid unnecessary side effects and get faster results.
Armed with these basics, you’re ready to explore the detailed guides that follow. Whether you’re looking for step‑by‑step instructions, cost comparisons, or safety tips, the posts below cover everything you need to manage a keloid scar effectively.