Keloid
Disciplined, combination management for scars that overgrow their border.
A keloid extends beyond the original wound, continuing to grow long after healing should have finished. It can itch, sting or pull, and it recurs readily — which is why single-modality treatment, and excision alone in particular, so often disappoints.
- 4–8
- Sessions
- 4–6 wks
- Interval
- Silicone
- Support
- 12 mo
- Follow-up
- Intralesional steroid
- Cryotherapy
- Pulsed dye laser
- Fractional resurfacing
Diagnosed first, treated second.
Management is deliberately layered and long term: intralesional therapy to shrink the bulk, vascular and fractional laser to soften surface and colour, then silicone and pressure to hold the result. Surgery is considered only within a protocol designed to prevent regrowth.
- 01Intralesional steroid
- 02Cryotherapy
- 03Pulsed dye laser
- 04Fractional resurfacing
- 05Pressure & silicone therapy
- Scars growing beyond the wound edge
- Keloids after piercings or surgery
- Painful or itching lesions
- Recurrence after previous excision
- Able to attend regular reviews
How the treatment works
A sequence, not a single appointment — each step informs the next.
- 01
Assessment
Growth pattern, symptoms and personal or family history of keloid formation reviewed.
- 02
Volume reduction
Intralesional therapy at intervals of four to six weeks to flatten and soften the lesion.
- 03
Surface work
Vascular laser for redness and fractional laser to remodel texture once bulk is reduced.
- 04
Recurrence control
Silicone, pressure and scheduled reviews — the phase that protects the result.
Results measured, not promised.
What to expect
- 01Reduced height and firmness
- 02Relief from itch, sting and tenderness
- 03Fading of dark or red discolouration
- 04Lower recurrence with maintained support
- 05A defined long-term monitoring plan
Begin with a diagnosis,
not a guess.
Share a few details and the clinic will reply with available consultation times for keloid — one-to-one with Dr. Arely.
- Response
- Within 24 hours
- Consultation
- One-to-one, 45 min
- Assessment
- Trichoscopy included
- Location
- Dr. Arely Clinic
Frequently asked
Excision alone recurs frequently; when surgery is used it sits inside a protocol of injections, laser and pressure.
Expect several months of scheduled sessions, followed by a year of monitoring.
Recurrence risk never reaches zero, but consistent aftercare reduces it substantially.
There is a strong familial and skin-type predisposition, which shapes how cautiously we treat.