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A keloid scar is a firm, smooth, hard growth that occurs as a result of excessive scar formation The most widely accepted definition relates to bulky scar formation, which extends beyond the margins of the original injury to the skin and shows lack of spontaneous regression. Keloids occur after skin injury

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Rarely, keloids can occur spontaneously without any significant preceding skin injury. Keloid scarring can be defined using a variety of clinical and histological parameters Read the nhs information about keloid scars, including symptoms, treatment, causes and when to get help.

This leaflet has been written to help people understand more about keloids

It explains what they are, what causes them, what can be done about them, and where more information about them can be found. How does a keloid scar form Keloid scars typically starts to develop about three months after the original skin injury though it can occur years later The first thing you will probably notice is that rubbery scar tissue starts growing beyond the borders of the original injury.

Keloids are abnormal scars that cause significant emotional and physical distress in patients when inadequately treated Keloid formation is theorized to occur as a result of an imbalance between an increased synthesis of collagen and extracellular matrix and decreased degradation of these products. It forms months to a year after the injury that caused it The scar grows larger than the initial wound

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Keloids don’t fade over time

A dermatologist may offer treatments like corticosteroid injections or pressure garments to reduce its size and appearance A keloid scar is a raised scar that is larger than the injury that caused it. Explore the science behind keloid formation Learn how genetics, molecules, and environment combine to drive abnormal scarring.

Even minor injuries — such as ingrown hairs, cuts and scratches — can incite a keloid to grow If you decide to undergo surgery, talk with your doctor about your tendency to develop keloids Your doctor can use surgical techniques that reduce the risk of developing keloids at the surgical site. Keloid formation affects both men and women equally, with the highest incidence occurring between the ages of 20 and 30

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In this article, we shall look at the pathophysiology, clinical features and management of keloid scarring.

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