Scar Management

Keloid Treatment

Effective medical & surgical solutions for thick, raised scars.

Expert Insight by Dr. Manali

M.D. Dermatology | 6+ Years Experience

Keloids are more than just cosmetic concerns; they can be itchy, painful, and affect self-confidence. They occur when the skin over-reacts to an injury, producing too much collagen. In Greater Noida, I see many patients seeking relief from keloids on the ears, chest, and back. My approach is "Multi-Modal Therapy"—combining intralesional injections with pressure therapy or surgery to not just flatten the scar, but ensure it doesn't return.

What are Keloids?

A keloid is a raised scar that grows much larger than the original wound. Unlike normal scars, keloids do not regress over time and can extend beyond the boundary of the initial injury.

The Keloid Formation Process

1. Skin Injury

Cuts, piercings, acne, or surgical incisions trigger the healing phase.

2. Excess Collagen

Fibroblasts produce excessive collagen proteins, leading to a thick scar.

3. Overgrowth

The scar tissue spreads beyond the wound site and becomes permanent.

Clinical Treatment Pillars

We use a combination of therapies to effectively flatten and fade keloids:

Treatment	Method	Best For
Intralesional Injections	Triamcinolone / 5-FU	Flattening active, itchy keloids
Surgical Excision	Precision removal	Large keloids or ear lobule keloids
Pressure Therapy	Specialized clips/sheets	Preventing recurrence after surgery
Laser Therapy	Vascular lasers	Reducing redness and vascularity

Dr. Manali's Advice

Never ignore a scar that starts growing outside its original boundaries. For patients prone to keloids, early intervention with silicone gel sheets or intralesional injections can prevent a small scar from becoming a large, painful keloid. If you are having ear piercings, ensure they are done under sterile conditions and monitored closely for any thickening.

Keloid FAQ

Facts about hypertrophic and keloidal scars.

Do keloids return after surgery?

There is a risk of recurrence with surgery alone. That's why we combine surgery with immediate intralesional injections or pressure therapy to significantly reduce the risk of the keloid coming back.

Are the injections painful?

We use very fine needles and can apply numbing cream beforehand to minimize discomfort. Most patients find the procedure quick and tolerable.

How many sessions are needed?

Most keloids require 3 to 6 injection sessions spaced 4 weeks apart to achieve significant flattening and relief from symptoms.

What exactly is a keloid and how does it form?

A keloid is a thick, raised scar that grows much larger than the original wound and does not regress over time. It forms when the skin over-reacts to an injury—like a cut, piercing, acne, or surgical incision—and produces excessive collagen, causing the scar tissue to spread beyond the initial injury site.

Will my keloid come back if I get it surgically removed?

There is a high risk of recurrence with surgery alone. To prevent the keloid from coming back, Dr. Manali uses a multi-modal approach, combining surgical excision with immediate intralesional injections or specialized pressure therapy.

What non-surgical treatment options are available for keloids?

Non-surgical treatments include intralesional injections (like Triamcinolone or 5-FU) to flatten active and itchy keloids, pressure therapy using specialized clips or sheets, and vascular laser therapy to reduce the redness of the scar.

How many injection sessions will I need, and are they painful?

Most keloids require 3 to 6 injection sessions spaced 4 weeks apart to achieve significant flattening. The procedure is generally quick and tolerable, as we use very fine needles and can apply numbing cream beforehand to minimize any discomfort.

Smoother Skin, More Confidence

Advanced Clinical care with Dr. Manali in Greater Noida West.

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