Keloids can be flattened or surgically removed, but they may recur. Combining treatments reduces recurrence risk.

No, keloids do not spread like an infection, but new ones may develop at other injury sites in prone individuals.

OTC creams may help soften scars, but keloids typically require in-clinic treatments for effective reduction.

If a scar grows abnormally, becomes itchy or painful, or is affecting your appearance or confidence, consult a dermatologist.

Keloids can be significantly flattened and softened, but the tendency to form them is genetic and cannot be erased. Combination therapy — injections paired with cryotherapy or post-excision adjuvant treatment — gives the best long-term control, reducing recurrence rates to around 10 to 20 percent. At Claire Derma, we design maintenance schedules that catch any early regrowth before it becomes a problem.

The injection involves a brief, sharp pressure as the corticosteroid is delivered into the dense scar tissue. Most patients describe it as uncomfortable for 5 to 10 seconds rather than acutely painful. The discomfort decreases in later sessions as the keloid softens and accepts the fluid more easily.

Ear and body piercings are one of the most common triggers for keloid formation, especially on the earlobes and cartilage. If you have a history of keloids, our dermatologists strongly recommend avoiding new piercings. If you do choose to proceed, consult with our team first — we can prescribe silicone gel and schedule early steroid injections at the first sign of abnormal scarring.

Most patients notice reduced itching and slight softening within two weeks of their first steroid injection. Visible flattening becomes apparent after the second or third session, roughly eight to twelve weeks into treatment. A full course of three to six sessions typically achieves a 50 to 80 percent reduction in scar height.