What Is a Keloid Scar?
A keloid is a type of raised scar that grows beyond the boundaries of the original wound. Unlike hypertrophic scars — which stay within the wound margins — keloids can expand significantly, sometimes growing for months or even years after the initial injury. They are firm, rubbery, and often darker than the surrounding skin, ranging in colour from pink and red to brown or purple.
Keloids can develop after any skin injury, including cuts, burns, piercings, surgical incisions, acne, or even insect bites. They are more common in people with darker skin tones and tend to run in families.
Where Do Keloids Commonly Appear?
- Chest and sternum
- Shoulders and upper arms
- Earlobes (particularly after piercing)
- Jawline and neck
- Back
They are less common on the face, hands, and feet.
Are Keloids Harmful?
Keloids are benign (non-cancerous) and do not pose a health risk. However, they can cause discomfort, itching, tenderness, and psychological distress — particularly when they are large or located in visible areas. Early treatment gives the best chance of preventing further growth.
How to Care for a Keloid Scar
1. Topical Scar Treatments
Consistent application of a clinically formulated scar gel is one of the most accessible first-line treatments for keloids. Contractubex Gel contains a combination of allantoin, heparin, and onion extract (cepae) — ingredients that work together to soften scar tissue, reduce inflammation, and regulate collagen overproduction. Apply with firm circular massage twice daily for a minimum of 3–6 months.
2. Silicone-Based Products
Silicone sheeting and silicone-based creams are among the most evidence-backed non-invasive treatments for raised scars. They work by hydrating the scar and creating an occlusive barrier that helps normalise collagen synthesis. NoScar Cream is a silicone-enriched formulation that can complement your keloid care routine, especially for flatter or early-stage raised scars.
3. Compression and Pressure
Applying gentle, consistent pressure to a keloid — via compression garments or silicone sheets — can help flatten and soften the tissue over time. This is particularly useful for keloids on the trunk or limbs.
4. Massage
Daily massage with a scar gel or cream helps break up collagen fibres and improve blood circulation to the scar tissue. Use firm, circular motions for 5–10 minutes, twice a day. This also improves the absorption of active ingredients in topical treatments.
5. Sun Protection
Keloids are highly sensitive to UV radiation, which can darken and irritate the tissue. Apply a broad-spectrum SPF 30+ to any exposed keloid every morning, and reapply throughout the day if outdoors.
Professional Treatment Options
For large or persistent keloids, dermatological treatments may be necessary alongside topical care:
- Corticosteroid injections — the most common in-clinic treatment; injected directly into the scar to reduce inflammation and flatten the tissue.
- Laser therapy — helps reduce redness and improve texture; often combined with steroid injections.
- Cryotherapy — freezing the keloid with liquid nitrogen to reduce its size.
- Surgical removal — used for large keloids, but carries a high risk of recurrence without adjunct therapy (e.g., steroid injections post-surgery).
Can Keloids Be Prevented?
If you are prone to keloids, prevention is far easier than treatment. Consider the following:
- Avoid unnecessary piercings or elective surgery in keloid-prone areas.
- Treat any skin wounds promptly and keep them moisturised as they heal.
- Begin topical scar treatment (such as Contractubex Gel) as soon as the wound has closed.
- Protect healing skin from sun exposure at all times.
Summary
Keloids require a committed, long-term approach. Starting with clinically tested topical products such as Contractubex Gel and NoScar Cream, combined with regular massage and sun protection, offers a solid foundation for managing keloid scars at home. For more stubborn keloids, consult a dermatologist to explore in-clinic options.