Treating Keloids in NYC

Keloid scars are raised, enlarged scars that grow beyond the boundaries of the original wound. They can develop after acne, burns, surgery, or even minor injuries like piercings. Keloids can be physically uncomfortable and emotionally distressing due to their appearance. Dr. Jane Yoo offers safe and evidence-based options to reduce their size, soften their texture, and manage symptoms over time.

What are keloid scars?

A keloid scar forms when the body produces too much collagen during wound healing. Unlike hypertrophic scars, which remain within the wound site, keloids expand beyond it and may continue to grow for months or even years.

Keloids often appear shiny, smooth, and firm. They can be red, pink, brown, or darker than the surrounding skin. Common areas include the chest, shoulders, jawline, neck, ears, and upper arms.

What causes keloid scars?

Keloids are caused by an overactive healing response that leads to excess collagen. This can happen after:

  • Acne breakouts
  • Minor cuts or scratches
  • Surgical incisions
  • Burns or insect bites
  • Body piercings or tattoos
  • Chickenpox or other skin trauma

Not everyone develops keloids. You are more likely to form them if you:

  • Have darker skin tones (especially African, South Asian, or East Asian backgrounds)
  • Are between the ages of 10 and 30
  • Have a family history of keloids
  • Are pregnant or going through hormonal changes

What are the symptoms?

Keloids are often painless once they stop growing, but during the growth phase they may cause:

  • Itching or tenderness
  • A burning or stinging sensation
  • Restricted movement if located near a joint
  • Discomfort from pressure or friction

How are keloid scars treated?

There is no one-size-fits-all solution for keloids, and treatment is often a gradual process. Dr. Yoo uses a combination of approaches based on the size, location, and symptoms of the scar, as well as skin type.

  • Corticosteroid injections: These are typically the first-line treatment. They help shrink and soften the scar and reduce inflammation or itch. Several sessions may be required.
  • 5-Fluorouracil (5-FU) or bleomycin injections: Often combined with steroids, these medications work by targeting overactive fibroblasts within the scar.
  • Laser therapy: Fractional and vascular lasers can reduce redness and thickness and improve the scar’s appearance over time.
  • Cryotherapy: Freezing the scar with liquid nitrogen can reduce volume and improve texture, especially when combined with other treatments.
  • Pressure therapy: Pressure earrings or garments can be used after certain procedures to reduce the risk of recurrence.
  • Silicone gel or sheeting: Consistent use of silicone products can help flatten and fade keloids over time.
  • Surgical removal with adjunct therapy: Keloids may return after surgery, so excision is usually combined with steroid injections, silicone, or even low-dose radiation to prevent regrowth.

Are keloid scars preventable?

While you cannot fully prevent keloids, certain steps can reduce the risk if you’re prone to them:

  • Avoid unnecessary piercings or tattoos
  • Treat acne early to reduce post-inflammatory scarring
  • Use silicone sheets after injuries or surgeries
  • Protect healing wounds from sun exposure

Safe options for skin of color

Keloids are more common in Asian, Black, and Hispanic skin, and require treatment approaches that consider pigmentation risk. Dr. Yoo has deep experience working with skin of color and uses protocols that prioritize safety and effectiveness.

When to consider treatment

You may want to treat a keloid scar if it:

  • Causes itching, pain, or irritation
  • Affects your self-confidence
  • Is located near a joint and limits motion
  • Has grown significantly in size or thickness