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Keloid scars: why some scars keep growing

Facial contour markings on a patient
Medically reviewed by

Dr. Divya Kondapalli, MS, MChConsultant Cosmetic Surgeon

Last reviewed · 5 min read

A hypertrophic scar stays within the boundary of the original wound. A keloid grows beyond it, which is what makes keloids harder to treat and more likely to return.

Dr. Divya Kondapalli

Consultant Cosmetic Surgeon

MBBS, MS, MCh (Plastic Surgery)

7 Yrs
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How keloids are treated

  • Steroid injections, usually in a series
  • Pressure therapy or silicone for earlier lesions
  • Surgical excision combined with adjuvant treatment
  • Careful wound management for any future surgery

Important

Excising a keloid on its own often makes it return larger. Surgery is combined with other treatment for that reason.

Speak to the plastic surgery team

Daycare procedures, cashless insurance, and consultations seven days a week at Gachibowli.

When should I see a doctor about keloids?
Book a consultation if symptoms persist, get worse, wake you at night, or come with bleeding, fever or unexplained weight loss. Anything that does not settle within a few weeks is worth having looked at.
Will I need surgery?
Often not. Many conditions settle with medication, physiotherapy or a change in daily habits. Surgery is discussed when simpler measures have been tried, or when the problem is structural.

Still unsure what is causing your symptoms?

A short consultation with a Lux plastic surgery specialist can tell you what you are dealing with — and what, if anything, needs treating.

Gachibowli, Hyderabad · Seven days a week · Cashless insurance accepted

Sources & references

Published · Last reviewed · Next review due March 2027

This article is published for general education. It is not a diagnosis and does not replace an in-person consultation. If you are worried about a symptom, please speak to a qualified doctor.

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