Can surgery remove a keloid scar?
Jan 25, 2025
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Whether a keloid can be surgically removed depends on its size and severity. Mild and small keloids can usually be surgically excised. However, severe, large keloids or those involving the dermis may not be completely removable through surgery, and they are prone to recurrence and functional impairment, increasing the risk of bleeding.
Generally speaking, a keloid refers to a type of scar, and "cutting it off" means surgical excision. Whether surgery can remove a keloid mainly depends on the size and severity of the keloid. If the keloid is mild and relatively small, surgery can usually remove it. However, if the keloid is severe and extensive, complete removal via surgery may not be possible. If treatment is required, timely medical consultation is recommended. Detailed analysis is as follows:
In cases where the keloid is relatively minor and small in size, timely surgical treatment under a doctor's guidance can usually remove it, allowing the area to gradually return to a normal condition. If pigmentation remains after removal, medications such as mucopolysaccharide polysulfate cream, asiaticoside cream, or heparin sodium cream may be used as directed by a physician to promote wound healing.
However, if the keloid is severe and covers a large area, especially if it has involved the dermis and is classified as a functionally impairing scar, surgical removal may not be effective. Surgery in such cases might lead to recurrence or even worsen the functional impairment. In severe cases, surgery could also increase the risk of wound bleeding.
It is recommended to assess your individual condition and the severity of the keloid before choosing an appropriate treatment method. Additionally, individuals with a keloid-prone constitution should avoid surgery as much as possible to prevent the formation of more severe scars.
