What Is Keloid and Hypertrophic Scar Treatment?
Keloid and hypertrophic scar treatment includes all procedures performed to reduce raised, firm, and visually noticeable scars caused by excessive healing after skin damage. These scars behave differently from normal wound marks. During healing, the skin produces too much collagen, forming tissue that extends beyond or thickens within the original wound area. We combine various techniques to soften these scars, reduce firmness, and create a more balanced skin surface. Because the healing pattern varies in each person, treatment planning is fully individualized. With regular sessions, the scars shrink, the tissue softens, and the skin becomes smoother. When managed correctly, keloid and hypertrophic scar treatment becomes a highly effective process that improves quality of life.
What Is a Keloid? How Is It Different from a Hypertrophic Scar?
A keloid is a raised scar that forms due to excessive collagen production and grows beyond the boundaries of the original wound. A hypertrophic scar is also raised but remains within the wound borders. Although these two scar types may look similar, treatment approaches differ. During evaluation, we examine the scar’s borders, firmness, color, and age to choose the appropriate method. Keloids have a more aggressive healing pattern, while hypertrophic scars are more controlled. For this reason, keloid treatment requires a more cautious, longer, and sensitive protocol. Correct identification of the scar type directly affects treatment success.
Why Do They Occur? Who Is More Likely to Develop Them?
Keloid formation is strongly linked to genetic predisposition. It is more common in individuals with darker skin tones and those with a family history. The chest, shoulders, back, and under the chin are the most common areas. Regions exposed to tension are at higher risk. Surgery scars, acne marks, burn injuries, traumatic wounds, and piercings can also trigger keloids. We analyze skin type, previous procedures, and healing patterns before planning treatment. Some people may develop keloids even after minor injuries, making preventive care essential for those with high susceptibility.
Laser and Cortisone Injection Treatment
Laser therapy and cortisone injections are among the most common methods we use. Laser reduces tissue firmness, regulates vascular density, and helps lighten redness. Cortisone injections suppress excessive collagen production, causing the raised tissue to shrink and soften over time. We often combine these two treatments sequentially or simultaneously, adjusting the plan based on the scar’s response. Combination therapy is especially effective for large and old keloids. The scar volume decreases, the surface softens, and the mark becomes less noticeable.
Treatment Sessions and Duration of Effects
The number of sessions depends on the size, depth, and characteristics of the scar. Keloids often require more than a few sessions because the tissue is dense and resistant. We typically schedule treatments monthly and observe the scar’s response after each session. Improvements begin within the first few sessions—height decreases, color fades, and tissue becomes more flexible. Hypertrophic scars may respond faster, but they still require regular sessions. The treatment process is highly individual and requires patience, but long-term outcomes are very satisfying.
Does Surgical Removal Cause Recurrence?
Surgical removal may be considered in some cases, but it is not always a permanent solution. By nature, keloids have a high recurrence rate. After surgery, a new keloid may form, sometimes larger than the previous one. For this reason, we do not recommend surgery as a standalone option. If surgery is performed, we always support it with additional treatments such as cortisone injections, laser therapy, or silicone bandages to reduce recurrence risk. Surgery is not a complete solution by itself but can be beneficial when combined with proper supportive treatments.
Methods for Reducing Color and Softening the Surface
Keloids and hypertrophic scars typically appear darker, shinier, and firmer. Laser therapy reduces vascular density and lightens redness. Treatments like Dermapen help soften the tissue and create a smoother surface. We design protocols that address both texture and color, ensuring the scar looks more natural overall. This holistic approach improves both appearance and feel.
The Importance of Skin Type in Keloid Treatment
Skin type is crucial, especially when using laser. Darker skin tones have a higher risk of pigment changes, so laser settings must be selected carefully. Lighter skin types allow for a wider range of devices, while darker tones require a more conservative approach. We assess the skin thoroughly, evaluate tendencies, and determine which techniques are safest and most effective. Accurate assessment greatly minimizes the risk of side effects.
How to Reduce Recurrence Risk?
Even after treatment, keloids can recur. Therefore, aftercare is just as important as the treatment itself. Cortisone injections, silicone bandages, regular laser sessions, and non‑irritating skincare products significantly reduce recurrence risk. We provide detailed instructions regarding what to use and what to avoid between sessions. Sun protection is especially crucial because pigmentation may worsen recurrence.
Post‑Treatment Care Instructions
Mild sensitivity may occur after treatment. During this period, peeling products should be avoided. Hot showers, saunas, and steam treatments should be postponed for a few days. We explain in detail how to protect the skin—moisturizing, sun protection, and keeping the area clean. With proper aftercare, healing progresses faster and more effectively.
Medications to Reduce Sensitivity
Keloid and hypertrophic scars may cause itching, burning, or irritation. Antihistamines, soothing creams, and moisturizers help relieve these symptoms. We recommend such products based on individual needs and ensure a more comfortable treatment process. During the first weeks, these supportive measures are especially helpful.
Keloid and Hypertrophic Scar Treatment Prices 2026
Prices in 2026 vary depending on the chosen method, number of sessions, scar size, and treatment area. Laser, cortisone injections, and mesotherapy combinations are among the factors that affect cost. We evaluate the scar structure during consultation, prepare a personalized plan, and provide the exact pricing at that stage. For accurate information, contacting us directly is the best approach.
Do Keloids Recur?
They naturally have a tendency to recur, but with proper methods and follow‑up, the risk can be significantly reduced.
Is Laser Effective?
Laser is highly effective for softening raised tissue and evening skin tone. Combined treatments provide even stronger results.
Can They Disappear Completely?
Complete removal is not always possible, but significant reduction in size, color, and visibility can be achieved.