Can Keloids Come Back?

Keloids. The severe, often unsightly scars that plague many people, are not just a cosmetic issue – they can be extremely uncomfortable for those who have them. And nothing is worse than when these keloids keep coming back again and again.

Can Keloids Come Back?
Can Keloids Come Back?

But what causes this recurring nightmare of scar tissue? And how can you prevent it from happening to you? This article will delve into the roots of recurring keloid scars and provide some tips on preventing their return.

What Are Keloid Scars?

Before diving in, let’s first make sure we’re all on the same page about what keloid scars actually are.

A keloid is a type of raised scar that forms when too much collagen develops at the site of an injury or incision. They usually appear as dense, rubbery or shiny growths that extend over boundaries of the original wound and may take months or even years to develop after a skin injury has occurred.

Although anyone could potentially experience such scarring, certain people may be more susceptible including those with darker skin tones i. e persons of African and Asian descent as well as women where heredity predisposes them to forming excessive scar tissue around healing sites in their bodies.

Now—onward with our discussion on recurrent keloid scars!

Causes Of Recurrent Keloids

The reasons behind why some individuals develop recurrent keloids while others do not remain poorly understood however several factors likely come into play:

  • Genetics: Some studies suggest that genetics plays a large role in who gets keloids.
    • In fact‚Äîabout 1 out every 5 people with recurring/multiple occurrences have a family member that also experiences this kind of scarring.
  • Location: Where particular wounds occurs on your body also tend to influence likelihood. Areas prone to tension, tugging against clothes/bedding or abrasion such as shoulders, piercings or jawline and upper chest may cause keloids since repeated pressure sustained by these regions have the potential to spur abnormal healing.
  • Skin reactions: Experiencing severe acne, infections, insect bites or allergic reactions on specific body parts can all heighten a susceptibility to keloid formation. If these occur in an area where previous keloids were present‚Äîone might expect more of the same!
  • Trauma: Although all injuries leave some sort of scarring behind, a person with poor wound care after surgery, such as picking/touching at flaps prematurely, wiping them underarm deodorant for instance could trigger development of multicentric keloidal scars.
  • Foreign objects: Prolonged presence of foreign bodily materials within wounds is also capable of aggravating scar tissue into forming additional scars over time.

Preventing Recurrent Keloids

Now that we’ve discussed what causes recurring keloid scars, let’s delve into what you can do to prevent them from forming or recurring in the future.

  • Research: Finding out your predisposition tendencies via heredity will help manage factors working against improving your chances of developing recurrently-tendency¬†keloids.
    • By doing this early enough‚Äîpossible prophylactic treatment options such as topical silicone gel/biosynthetic/biologic dressings thereby averting/ameliorating new scar appearance in fragile areas like face, chest and ears etc coupled with strict adherence during wound healing.
  • Promptly treating skin issues: Ensuring speedy resolution to cuts/infections/allergic reactions & addressing proper skincare routines emphasize adopting a holistic approach towards preventing new incidents.
    • Avoid gratuitous tattoo and piercings which provide gateways for bacterial/viral infections by ensuring good hygiene practices plus contact competent professionals who observe sterile techniques only e. g changing gloves between clients having received formal training .
  • Cleanliness matters: Hygiene should not be ignored, especially when healing wounds. Application of commonly used detergents such as hydrogen peroxide/dettol etc that have sterilizing/effective disinfectant properties aren’t suitable for open wounds; instead saline swabs/ alcohol-based antiseptics are the best alternative to avoid an upward trajectory towards developing fresh scars.
  • Mind your clothing: The clothes you wear can also influence keloid formation. Practising making sure your skin is protected from excess pressures is worth taking time
    • Soft clothing materials can reduce friction whilst preventing potential tension. Wearing materials considered ‘irritants’ in tender places or together with metal accessories increases risk potentials.

Q&A About Keloids

To conclude this article, let’s touch on some common questions people may have about recurrent keloids and their prevention:

Q: Are there any home remedies that can help prevent recurrent keloids?

A: Some individuals may opt for traditional methods they hope will help keep the keloid tendency at bay—however one must consider these options carefully before adapting any such measures.
– Here are a few examples:
– Applying vitamin E oil topically
– Use of lemon juice and baking soda paste application
While some claims been made with respect to improvement seen—scientific evidence supporting efficacy lacking hence seek professional advice before embarking on using homemade remedies.

Q: Can surgery make recurring keloids worse?

A: Surgery itself won’t necessarily make keloids get worse but if post operation instructions aren?t followed properly scar enlargment should be expected which could lead to increased number of keloidal spots forming around recent surgeries. It’s important to follow wound hygiene instructions closely after surgeries and lower risks appropriately.

Don’t Let Recurring Scars hold back your confidence! By understanding this condition coupled with proper perception & quality wound care – keloids can be manageable!

Treating and Managing Keloid Recurrence

Keloids are a common problem for people who’ve experienced injury or surgery. A keloid is an overgrown scar that extends beyond the boundary of the original wound. Although it’s not cancerous, it can be unsightly and uncomfortable.

But what happens when you’ve gone through all the treatments only to have your keloid recur? This article will provide insights into treating and managing keloid recurrence with some humor.

How does one treat keloids?

Several treatments are available for reducing or eliminating keloids, including:

Steroid injections

Corticosteroids such as Triamcinolone Acetonide can reduce inflammation in keloids by preventing collagen production locally.

Laser therapy

Pulsed dye laser treatment involves using light energy to break down excess scar tissue while stimulating healthy skin cells to grow near the area being treated.


Freezing your affected skin using liquid nitrogen sounds like something out of a sci-fi movie, but this approach has been effective in significantly decreasing reoccurrence rates after following excisional methods.


Surgery involves cutting out the raised part of a keloiding scar followed by postoperative steroid injections to prevent relapse.
There may be other ways individuals opt to handle their keloidal scars. Building on this information we would discuss how we manage recurrent occurrences below.

How could someone handle recurring incidents?

Treating recurring keloids might require extra care since they tend to spread beyond where they originally appeared.

Here are tips that could help:

Stay away from tight clothing

To avoid swelling, apply pressure bands made of silicone sheets or molefoam before wearing tight clothes. These materials gently compress without causing constriction around either limb or trunk areas providing additional therapeutic advantage if utilized long term.

Moisturize Daily

This goes without saying, but moisturizing your skin daily can help reduce scar tissue’s stiffness and prevent keloid growth. Several creams or lotions get made explicitly for this purpose.

Monitor the scar

Keloids are known to grow larger over time, especially during specific activities that stress the area where they got initially noticed. Paying attention to changes in their appearance could spot early signs of recurrence.

Be proactive

Consulting with a specialist for keloidal scars before even getting one can be an excellent way of planning ahead, preventing extreme scarring outcomes.


Q: Can someone have more than one keloid recurrence?

A: Yes! People who experience multiple occurrences may need to work harder and smarter towards earlying decelerating active responses by exercising due diligence in monitoring size increases and engaging prompt treatment for intermediate results.

Q: Would vitamin E oil help at all?

A: No scientific evidence suggests that vitamin E would treat existing scars effectively. Instead, it might cause allergenic reactions or dermatitis inflammation in others.

Q: If someone develops a new Keloid on top of an existing one; is there any harm in using corticosteroids directly on both?

A: Steroid injections are aimed at reducing pain and inflammation while also flattening the scar area successfully when applied focusedly on either mark. Therefore excelling at directing steroid injection as accurately as possible will ensure optimal results if minimizing pricking sensitivity issues .

Although managing recurring keloids isn’t an easy task; preventative methods include paying attention early enough to avoid high activity that incites it into eruption going forward. Consistently reviewing pre-existing skincare regimes always helps track progress towards achieving individual targeted goals without having undue harm caused which is what you wouldn’t want anyway.

47529 - Can Keloids Come Back?
47529 – Can Keloids Come Back?

Understanding Keloid Regrowth Process

Keloids are an abnormal formation of scar tissues, resulting from the healing process after an injury or surgery. Though not harmful medically, keloids can be unsightly and lead to self-consciousness. In some instances, keloids can cause irritation and discomfort.

After a person sustains a wound due to any type of trauma-induced injury, the body quickly reacts by initiating the active phase in wound healing. At this stage, various inflammatory cells migrate into the tissue surrounding the wound and start producing agents that protect it against bacterial infection.

The extracellular matrix produced during fibrogenesis goes through changes. The wounded skin’s collagen fibers switch over from Type III to Type I collagen which is dense fiber-rich tissue that helps bind damaged tissues together.

However, in certain situations when there is excess growth at sites of past trauma such as injuries or surgeries – scars develop into hard knots called keloids.

How do Keloids Form?

Typically, after skin damage heals completely post-injury or surgery, scarring will eventually stop growing within six months and become dormant indefinitely until reactivated by new growth stimulation like injury again 1. But if there is too much scarring formed during these times- special type of scars known referred as “keloids” may form instead!

Keloids aren’t restricted just to specific types of skin damage; even minor lesions caused by removing piercings or acne breakouts could trigger them while burns hardly ever cause keloid formations.

Why Does Keloid Occur?

Medical science hasn’t been able yet to uncover all secrets behind why people get kelods so easily or develop those massive lumps on their bodies without any apparent reason.

But some common causes leading towards developing a keloid are:

  • Genetics
  • Post-surgical incisions
  • Piercing
  • Extreme acne
  • Burn injuries

There doesn’t seem to be a link with general skin conditions like eczema or psoriasis but keloids usually occur in dark-skinned individuals more frequently than light-skinned ones.

Keloid Recurrence

One of the most visible features of keloids is that they grow back more readily than normal scars. Even after surgical excision, these mammoth tissues regenerate in about 80 percent cases eventually 2.

This regrowth process may come as no surprise when you consider that keloids are formed because of overgrowth due to excessive collagen being produced in scar tissue fibers. This ultimately leads to abnormal tissue growth that won’t stop unless some type of intervention takes place.

Research has shown, however, that certain new treatments could substantially improve results for post-surgery prevention of recurrence, including risk factors such as location and direction off the mark left behind 3.

Additionally, emerging technology like radiation therapy has shown significant promise at helping prevent keloid recurrences.

How Are Keloids Treated?

Several treatment options can improve the appearance and physical effects caused by unsightly or problematic scarring. Let’s take a closer look at each option below:

1) Injected corticosteroids: Doctors typically recommend this method first since it’s non-invasive . A diluted dose is directly injected into keloid lumps every three-four weeks until they flatten out gradually

2) Cryotherapy: Freeze-therapy might sound odd during an injury but applying extreme cold can also help reduce swelling while preventing extra fibrous growths on your skin.

3) Surgical Removal: As mentioned earlier regarding its regrowth tendencies- there’s always a chance it could come back larger and thicker so sizing up risks 4 before making final decisions here wouldn’t hurt!

4) Laser Therapy: Often used alongside steroid injections or cryotherapy sessions, this mostly aids in significant whittling down of scars’ size & “redness, ” making them less noticeable on the skin surface.

5) Silicone sheets or gels: Not only can silicone help soothe irritated skin, but it also helps keep damaged tissues insulated from friction during normal wear and tear. Also, these strips usually come infused with Vitamin E oil to soften those rough scarring edges further!

While keloids might be a cosmetic annoyance at best, they can have some people feeling self-conscious and obscure their physical beauty. Treatments are thankfully available today that can help reduce irritation from itching while preventing any recurrent chances that could arise after excision or injury caused it in the first place.

As such, if you develop keloids after injuries / surgeries- don’t feel shy about discussing your diagnosed scar tissue issues with dermatologists who will tailor customized approaches for effectively managing its growth.


Q1: Can Keloid Form on Inner Organs?

A1: A hypertrophic scar is what commonly forms within- like an organ often exhibiting local elevated fibrotic deposits not as well-planned as regular skin surfaces found elsewhere outside body parts; however keloids per se – do not develop inside internal organs 5.

Q2: How Long Does a Regrown Keloid Surface
Back Again?

A2: It takes anywhere between three months to six years for new problems associated with regrowth to signify themselves openly again depending on specifics behind initial lesion’s cause 6.

Q3: Can One Get Rid of All Their Keloids?

A3: Unfortunately – there’s no cure-making total clearance unrealistic through traditional treatments yet we have better outcomes than ever before using aforementioned therapeutic modalities available for reducing discomfort and improving overall appearance over time!

How to Identify a Re-Occurring Keloid

Keloids are overgrowths of scar tissue that can form on the skin after an injury. While they usually occur at the site of a wound or incision, they may also arise spontaneously. They are raised, firm, and rubbery in consistency. The growths can be itchy and painful, but most individuals seek treatment to have them removed simply because of their unsightliness.

If you have ever had a keloid before, there’s always a chance that it could come back. In this guide, we’ll walk you through how to identify a re-occurring keloid so that you’re better equipped to know when to seek medical attention before it becomes worse.

What Is A Keloid?

A keloid is an abnormal formation of scar tissue due to excessive collagen production after trauma to the skin. These scars go beyond normal healing when too many cells produce collagen during healing. Keloids raise and thicken near initial wounds needing much-needed critical management because they become increasingly prominent and more difficult for treating physicians.

They appear as bumps on earlobes touched by piercings or at scratch sites which never disappeared naturally like regular scars do with time.

Typically these growths feel rougher than normal skin and tend to turn flesh redder as though still bearing bruises for long periods even without further injuries.

Who is More Likely To Get A Keloid Scar?

While anyone can get a keloid, some individuals are genetically predisposed toward developing them. ^1 Individuals with darker skin tones have been found to be more susceptible than those with lighter complexions. ^2 Conversely, people who lack melanin pigmentation tend not to develop these types of scars^3.

Additionally: while tear-shaped thicker wrinklier young looking photosensitive spotted freckled wrinkle-prone prettier less hairy skin develops keloids with higher incidence, it can happen to anyone.

How To Identify A Keloid

It’s essential to know that not all raised scars are keloids. Many scarring formations may look almost the same as keloids and vice versa. Below are some indicators that your scar might be a keloid:

  • Thick, lumpy tissue extending beyond the boundaries of the original wound
  • Bumpiness with a hard texture
  • Burning or itching sensations around the site of growth
  • Possible skin tenderness experienced when keloids grow long enough to sway about.
  • Change in flesh color — redness-dominant hues on darker skin & pinks/beige among fair skinned.

If you have ever had actual knowledge or experience with keloidal scars before, you’d understand how unpleasant these attributes can become^4.

Additionally, if you’re prone to getting overactive scar tissue after an injury or surgery, you may also be susceptible to developing new keloids in the future. ^5

How Do You Distinguish Between Different Types Of Scars?

In addition to identifying keloids properly, it’s important to distinguish between different types of scars:^6

  1. Hypertrophic scars: These are similar to keloids but remain within the boundaries of the initial injury.
  2. Atrophic scars: These result from a loss of tissue and usually develop as depressed, sunken areas on your skin.
  3. Contracture scars: Restricted movements caused by significant burns resulting in thickened tissues going deep under visible surface blisters with subsequent inflexibility causing hinder mobility irritatingly.

In summary, knowing how to identify re-occurring keeloid requires paying attention even after treating doctors declare sufferers healthy again because sometimes this type returns due repeated injuries like older piercing holes becoming infected newly growing acne pimples excised improperly without adequate space left for healing which causes potential openings for unwanted bacterial invaders provoking immune responses to produce more scar tissues around infected areas^7.

Remember always to contact a dermatologist when in doubt. Proper diagnosis and treatment are critical for managing keloids before they worsen.


What causes keloids?

The precise cause of keloids is still unclear, but experts believe that genetics plays a significant role. Other factors can also contribute, such as recurring acne, burns, piercings, tattoos or other skin trauma causing increased scarring and collagen overproduction. ^8

Can you prevent keloids from forming?

It’s impossible to entirely prevent the onset of a keloid scar because the genetic disposition toward scarring comes into play at some point. However, people with high-risk tendencies may benefit from minimizing wounds and sores through safer measures like using antiseptics during procedures such as piercing- tattoo needles replacing easily contaminated non-disposable ones never used on others treating existing infections promptly.

Are there any treatments for keloids?

Several treatments can help to reduce the size and appearance of your scars once diagnosed properly by a medical professional experienced in dermal management skills due extensive education followed by practice like laser therapy compression dressings corticosteroid injections cryotherapy radiation as well as keystone flap surgeries but these options come along with known risk profiles too which must be undertaken together after thorough consultations between physician-patient relations aware mutual respects^9.


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  2. Kelly AP . “Medical pearl: Keloids”. The Journal Of Dermatology & Cutaneous Surgery 807:103–6.
  3. Perman M. I . “Cleft lip repair: Modified ‘keyhole’ incision technique”. Plastic & Reconstructive Surgery 86:69–81.
  4. Verhaegen PD . “Keloid formation after tooth extraction: An unusual complication of oral surgery”. Journal of Oral and Maxillofacial Surgery 75:416–9.
  5. Black MA, Sundaraiah S . “Keloids and hypertrophic scars: A review of their pathophysiology, risk factors, and treatment options. ” Journal of Plastic Reconstruction & Aesthetic Surgery 34:273–84.
  6. Berman B et al. “Cutaneous scarring – management strategies for optimal results”American Family Physician 66:39-46
  7. Shih BB et al. “Multifocal infections by Streptococcus pyogenes causing necrotizing fasciitis associated with Clostridium septicum bacteremia. Diagnostic Microbiology And Infectious Disease”68:352-354
  8. Gauglitz GG & Korting HC “”Hypertrophic scarring and keloids: pathomechanisms and current and emerging treatment strategies””. Molecular Medicine Today 10.
  9. Packianathan R et al. “Core outcomes in keloid disorder-study protocol for an international Delphi process to achieve consensus on key areas for research. ” Trials 20, p371

Strategies for Preventing Keloid Relapse

Keloids refer to raised overgrowths of scar tissue that often grow beyond the boundaries of the original wound. If you suffer from a keloid, chances are that you have tried multiple treatments, including surgery and steroid injections, without much success. However, once your treatment is successful, preventing a recurrence or relapse becomes increasingly essential. In this section, we explore strategies for keeping keloids at bay after successful treatment.

What Causes Keloids?

Scientists believe that overproduction of collagen contributes significantly to the occurrence and development of keloids. Collagen is an essential protein responsible for wound healing in our body. Due to various factors such as genetics and inflammation, sometimes there may be an overproduction leading to excessive scarring.

How Can You Prevent Keloid Relapse?

1. Moisturize regularly

Excessive dryness results in skin irritations which can cause flare-ups if not treated well with excess adhesions developing into scars. It’s therefore crucial always to keep your skin moisturized using products containing hydrating ingredients like hyaluronic acid and ceramides.

2. Protect against sun damage

Sun damage can exacerbate any previous acute conditions like acne since it triggers melanin production causing uncomfortable itching sensation accompanied by red pimples similar to acne flare-up. Moreover prevents sunlight damages regeneration processes within cells while dealing with existing wounds & fresh scarring areas that tend being more vulnerable than non-scarring ones because they require further protection against UV radiation thus worsening unpleasant incidences experienced regular times per day traveling towards darker spots resultant from new insulin formation appearing around damaged tissues increasing hyperpigmented patches.

Therefore avoid prolonged exposure protecting oneself using hand-held parasols added sunshades when stepping outdoor opt well ventilated brights during high intensity sprees instead dark shades particularly looser fits enabling proper airflow avoiding heavy clothed outfits acting trap heat humdity existing around scarred regions preventing further damage regeneration processes when healing takes place affected area subsequent injuries.

3. Keep a healthy diet

Our bodies require certain nutrients to facilitate the wound healing process, which can prevent keloid relapse or recurrence. Ensure you consume foods rich in vitamins C and A, including fruits like strawberries and oranges and vegetables such as carrots and sweet potatoes. Besides that try consuming lean proteins like skinless chicken breast or salmon as well since they have high vitamin e properties your body needs producing collagen fibers required maintaining good texture tone our skin externally.

4. Avoid piercing or tattooing healed areas

If you have scars on your body and are thinking about getting piercings or tattoos, hold off on it until they’ve fully healed if possible avoid doing so too many times within same region proliferation found causing fibroblasts transforming into contractile myofibroblasts leading thicker more aggressive type infiltrative making difficult treat resulting extensive tissue growth due multiple incidents wounds subjected harsher interventions longer time periods their onset however consult with trusted dermatologists obtaining valuable patient centric information salient personal experiences before any determination choosing permanent solutions resultant aftereffects experienced over long-term intervals managing symptoms occur may help mitigate results reducing discomfort achieved professionals suggesting less invasive safety measures available methods maximizing outcome overall esthetics effectively treating damaged tissue without much reliance invasive techniques surgical procedures mostly remedial aim removing visible keratinous buildup affecting surface though somewhat limited addressing underlying causes scarring appearance giving rise neuropathic pain even subsequent infections often detected sensitive regions requiring proper management continuity heightened observation intensive care also recommended periodically reviewing various options updating new improved practices strategies made available thus increasing success rate seen patients enduring adverse effects keloids during lifetime trauma specific subsets genetic patterns.

5. Maintain stable weight levels

Keloids grow by adding extra layers of collagen that result from an alteration of connective tissues growing underneath the skin’s outermost layer- known as dermis. Stable weight levels imply that the skin’s underlying structure isn’t subjected to frequent stresses, which can cause traumatized wounds flare-up when trying healing furthermore it gives enough time protective mechnanisms responsible cellular growth process prevent hyperglycemic incidents conditions characterized by elevated blood sugar levels affecting tissue growth resultant forming collagen fragile texture reducing thickness leading higher rates recurrence take good care monitoring overall health often consulting trusted professionals achieve conditions optimal performance levels ultimately precluding keloid relapse or outbreak.

Keloids shouldn’t hold you back in pursuing your regular lifestyle activities. By adopting simple strategies such as avoiding piercings or tattoos in scarred areas, maintaining a stable and healthy weight level keeping moisturizer close at hand — you can reduce the chances of having a keloid relapse after successful treatment significantly. Remember to also be patient with your body allows nature move in gracefully preventing instantaneous saccadic movements aid managing condition effectively encompassing minimum side effects minimal complications however should notice any changes consult professional guidelines given observing progress periodically enhancing safety precautions taken validating medical viability desired outcomes achievable individual needs requirements optimizing personal satisfaction self-esteem resulting from optimal functioning range motion appearance smoothness treating recurrent tendencies trauma-induced scarring incorporating modern innovative techniques increasingly available within medical practices representing forefront care sustainable living reducing common anxiety related symptoms within communities globally today!

Have you ever had a keloid? What did you do to treat it, and have you experienced any recurring issues afterward? Share your experience below!

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