Can individuals with a keloid-prone constitution undergo Thermage treatment?

Jan 25, 2025 Source: Cainiu Health

Dr. Chen Lu

Introduction

Individuals with a scar-prone constitution generally are not recommended to undergo Thermage treatment. Thermage works by using radiofrequency energy to stimulate collagen remodeling in the dermis, thereby achieving skin tightening effects. For individuals with a scar-prone constitution, undergoing Thermage may exacerbate scar formation and could potentially increase the risks of skin burns, postoperative erythema, inflammatory reactions, and pigmentation.

Generally, Thermage utilizes radiofrequency energy to deeply heat the skin, stimulating collagen contraction and regeneration to achieve skin tightening. The typical reference price for a Thermage treatment ranges from 7,000 to 30,000 yuan per session. Noticeable improvements are usually seen within 1-3 days after treatment, although side effects such as bruising and swelling may occur. Individuals with a scar-prone constitution generally should not undergo Thermage treatment. Detailed explanations are as follows:

Thermage works by using radiofrequency energy to stimulate collagen remodeling in the dermis, thereby achieving skin tightening. However, individuals with a scar-prone constitution tend to develop excessive scarring beyond the normal range following surgical procedures, injuries, burns, or other traumas. Therefore, Thermage is generally not recommended for people with such skin types. Undergoing Thermage may worsen scar formation and even increase the risks of skin burns, postoperative redness, inflammatory reactions, and pigmentation. Additionally, Thermage treatments may overstimulate collagen production, potentially leading to hypertrophic scarring—manifesting as red, firm, raised scars that are difficult to resolve spontaneously.

Regular sun protection and skin moisturizing are recommended to avoid skin trauma, burns, or other irritations that may lead to scarring. If skin injury occurs, wounds should be properly managed promptly to prevent infection.

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Can people with keloid-prone skin get their ears pierced?

In general, "scar-prone constitution" refers to a瘢痕体质 (scar-prone or keloid-prone constitution). Individuals with such a constitution typically are not advised to get ear piercings. Ear piercing is an invasive procedure. Those with a scar-prone constitution may develop keloids around the pierced site, which can not only affect the aesthetic appearance of the ear but also potentially cause discomforting symptoms such as itching and pain. In daily life, individuals with a scar-prone constitution should尽量 avoid unnecessary trauma as much as possible.

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Can individuals with a scar-prone constitution undergo double eyelid surgery?

Double eyelid blepharoplasty creates a double eyelid fold by making an incision on the upper eyelid, removing excess skin and fat, and attaching the eyelid skin to the tarsal plate. The general reference price for double eyelid blepharoplasty is 3000–8000 yuan per session. Noticeable improvement is usually observed within 1–3 months, although symptoms such as swelling and pain may occur. Individuals with a scar-prone constitution are advised against undergoing this procedure.

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Can individuals with a scar-prone constitution undergo full-incision double eyelid surgery?

In general, a scar-prone constitution refers to a瘢痕体质 (scar-prone or keloid-prone constitution). Individuals with such a constitution typically are not recommended to undergo full-incision double eyelid surgery. This procedure requires making incisions in the upper eyelid area, and postoperatively, hypertrophic scars may easily form at the incision sites. These scars can not only affect aesthetics but also lead to unnatural double eyelid lines, skin protrusion around the eyes, redness, swelling, and other adverse outcomes.

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Is surgical excision of a keloid scar a good option?

The effectiveness of surgical excision for keloids mainly depends on their size and location. Small, superficial keloids are ideally treated with surgery, which can reduce their size and soften their texture. However, for large, deep keloids or in individuals with a keloid-prone constitution, surgical treatment has limited effectiveness. Therefore, alternative treatments such as laser therapy or cryotherapy are recommended; these modalities work through different mechanisms to reduce scar tissue.