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Keloid Excision

Keloid Excision

Keloid Excision is a surgical procedure performed to remove keloids — thick, raised scars that form due to excessive tissue healing after an injury, surgery, piercing, or trauma. Keloids often develop on the ear following ear piercing or injury and can cause discomfort, itching, pain, or cosmetic concern. Surgical removal aims to restore a smooth appearance while minimizing the chance of recurrence using proper post-surgical care and adjunct therapies.

Symptoms

Keloids typically present with the following signs and symptoms:

  • Raised, thickened scar tissue over a healed wound or piercing
  • Firm, rubbery, or shiny surface on the affected area
  • Itching, tenderness, or pain around the scar
  • Slowly increasing size over time
  • Discomfort while wearing earrings or accessories
  • Cosmetic concerns or asymmetrical appearance of the ear

Causes

Keloid formation occurs when the body overproduces collagen during the healing process. Common causes include:

  • Ear piercing or trauma to the ear
  • Previous surgery or cuts that healed abnormally
  • Skin infections or acne scars
  • Genetic predisposition (family history of keloids)
  • Improper wound care or excessive tension at the healing site

Treatment

Keloid excision is usually performed under local anesthesia. The surgeon carefully removes the keloid tissue and reconstructs the surrounding skin to restore a natural contour. To prevent recurrence, additional treatments such as steroid injections, silicone gel application, pressure therapy, or laser treatment may be recommended post-surgery. The procedure typically takes 30–45 minutes, and most patients can resume daily activities within a day or two.


Benefits

  • Improves cosmetic appearance of the ear or affected area
  • Relieves discomfort, pain, and itching
  • Restores ear symmetry and contour
  • Enhances confidence and self-esteem
  • Can prevent further growth with proper postoperative care

Prevention

While keloid formation cannot always be prevented, certain measures can reduce the risk of recurrence or new formation:

  • Avoid unnecessary ear or body piercings if prone to keloids
  • Follow proper wound care after injuries or surgeries
  • Use silicone gels or pressure dressings during healing
  • Avoid excessive tension or stretching of the wound site
  • Consult your doctor early if a scar starts to thicken or grow