17/09/2025
Keloid scars form as a result of excessive collagen production during the wound-healing process. Normally, when the skin is injured, fibroblasts produce collagen to help close and repair the wound. In people who are not prone to keloids, collagen production naturally slows down once the wound is healed. However, in individuals with keloid-prone skin, collagen continues to be produced excessively even after the wound has closed. This leads to the buildup of extra protein layers, causing a raised, thickened scar known as a keloid. Because of this abnormal healing response, surgical removal is usually not recommended as a treatment for keloids. Surgery itself creates a new wound, which can trigger even more collagen production. As a result, the keloid often returns after surgery, and in many cases, it grows back larger than before. The most effective treatment approach is the use of intralesional injections. These are injected directly into the keloid tissue to reduce collagen production, allowing the scar to gradually flatten and blend closer to the level of the normal skin. This method helps control the abnormal collagen activity at the site and remains one of the most effective treatments for keloid scars.
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