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Keloid and Scar Treatment

Evaluation and treatment of raised scars developing from excessive connective tissue formation after skin injury.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Dermatoloji department. Book Appointment →

What is Keloid and Scar Treatment?

A keloid is a raised scar tissue that exceeds the boundaries of the wound, formed due to excessive collagen accumulation after trauma such as skin injury, surgery, burns, or piercings. Unlike hypertrophic scars, they invade surrounding tissue and do not regress spontaneously.

They are particularly common on the front chest wall, shoulders, earlobes, and cheek areas. Predisposition is higher in dark-skinned individuals. Itching, burning, and cosmetic discomfort are the most common complaints.

The aim of scar treatment is to reduce the appearance of the scar, relieve symptoms, and prevent recurrence. Treatment started in the early period provides better results.

Symptoms

Raised, irregular scar exceeding wound boundaries
Red, pink, or brownish color
Itching and burning sensation
Sensitivity to touch
Tendency to grow over time (keloid)
Movement restriction (large or joint-overlying scars)
Tendency for spontaneous improvement over time in hypertrophic scars

Risk Factors

Dark skin color (Fitzpatrick type IV-VI)
Family history of keloid
Young age (highest risk between 10-30 years)
Ear piercing, piercing, and tattoo
Surgical wounds in chest or shoulder area
Acne and varicella scars
Burn injuries

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If the scar is growing rapidly and spreading to surrounding tissue
  • If pain and itching affect daily life
  • If aesthetic concern causes significant psychological distress
  • For pre-surgical keloid risk assessment
  • If no response is obtained with applied methods

Treatment Methods

01
Intralesional corticosteroid injection (triamcinolone — first-line)
02
Silicone gel or sheet application (for protective and superficial scarring)
03
Cryotherapy (freezing with liquid nitrogen)
04
Laser treatment (vascular or fractional CO2 laser)
05
Surgical excision (high recurrence risk alone; should be combined with adjuvant therapy)
06
Radiotherapy (postoperative adjuvant, in resistant keloids)

Which Department to Visit?

You can visit our Dermatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.