Keloids are challenging — they extend beyond the original wound, do not regress on their own, and have high recurrence after treatment. Multi-modal treatment + realistic expectations are the keys to success.
Treatment ladder
- Small keloids: intralesional triamcinolone every 3-4 weeks for 4-6 sessions
- Vascular keloids: add pulsed dye laser for redness and itch
- Large/recurrent: surgical excision with post-op intralesional steroid + sometimes radiotherapy
- Earlobe keloids (post-piercing): excision + immediate steroid + pressure earring
Recurrence rate even with combined treatment is 30 to 50 percent. We are honest about this on consultation. Book a consultation for a personalised plan.
Keloid — Frequently Asked Questions
What is a keloid vs a hypertrophic scar?
Hypertrophic scars stay within the boundaries of the original wound and often regress over years. Keloids extend beyond the original wound, do not regress, and can grow over time. Different treatment intensity needed.
Can keloids be cured?
Improved significantly, yes — fully cured, rarely. Recurrence rate after treatment is 30 to 50 percent. Keloid-prone patients should avoid unnecessary skin trauma (piercings, tattoos, elective surgery).
What treatments work?
Intralesional triamcinolone injections every 3 to 4 weeks (first-line). Cryotherapy + steroid combo. Surgical excision with adjuvant radiotherapy or imiquimod for large keloids. Pulsed dye laser for vascularity.
Is surgery alone enough?
No — surgical excision alone has 50 to 100 percent recurrence rate. Surgery must be combined with adjuvant therapy (post-op intralesional steroid, radiotherapy, or pressure dressing).
Why are keloids more common in Indian skin?
Genetic predisposition is more common in darker skin types. Family history of keloids strongly predicts personal risk.
Can I prevent keloids?
If you have a personal or family history: avoid unnecessary skin trauma, treat any new wound carefully (silicone sheets/gel from day 7, keep clean, avoid tension on wound).
