Dr. Abdulaziz AlRashed — Consultant Dermatologist, Cosmetic & Laser
Keloids & Raised Scars Advice
A patient advice sheet — 8 practical points. Reviewed and updated by Dr. Abdulaziz AlRashed, July 2026.
Last reviewed: July 2026
The advice
- A keloid is a scar that grows beyond the original wound due to a genetic tendency; it is more common in darker skin and on the chest, shoulders and earlobes.
- Prevention is the best treatment: avoid piercings, tattoos and unnecessary procedures if you are prone, and tell any surgeon about your tendency before operations.
- Treat acne and ingrown hairs early — their chronic inflammation creates new keloids.
- For fresh wounds: silicone gel or sheets daily for 2–3 months after healing, plus sun protection on the scar.
- For existing keloids: monthly cortisone injection sessions are the mainstay, sometimes combined with freezing or laser; surgery alone often brings the keloid back larger.
- For earlobe keloids: pressure earrings after treatment reduce recurrence.
- Itching and pain in keloids are common and treatable.
- Results need multiple sessions and patience — keeping your appointments is the key.
See also the full treatment page: Acne scar treatment — options, evidence and expected timelines.
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