Can keloids be treated with surgery?

Mar 13, 2025 Source: Cainiu Health

Dr. Chen Lu

Introduction

In general, keloid refers to a hypertrophic scar. Whether a keloid can be treated with surgery mainly depends on the size of the keloid. Surgery is usually not recommended for small keloids, while large keloids may require surgical treatment. It is important to protect the skin, avoid excessive friction and irritation, keep the affected area clean and dry, and prevent infection.

Generally speaking, keloid refers to a keloid scar. Whether a keloid scar can be treated with surgery mainly depends on its size. Surgery typically is not recommended for small keloid scars, while large keloid scars may require surgical treatment. Detailed analysis is as follows:

Surgery itself is a form of trauma that may stimulate the local tissue, causing further proliferation of collagen fibers and worsening the condition. Therefore, small keloid scars usually are not recommended for direct surgical treatment; instead, non-surgical treatments such as laser therapy, silicone gel sheeting, and cryotherapy are typically considered.

Large keloid scars not only affect the patient's appearance but also may impair normal skin function, causing discomfort such as itching and pain. Additionally, keloid scars have a characteristic of continuous growth. Surgical treatment can effectively control the progression of keloid scars and improve the patient's quality of life.

In daily life, it is important to protect the skin, avoid excessive friction and irritation, keep the affected area clean and dry, and prevent infection.

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Is it okay to leave a keloid scar untreated?

In general, scars refer to cicatrix. Whether keloids can be left untreated depends on the specific circumstances. If a keloid is not located near any vital organs, it usually does not require treatment. However, if the keloid exhibits other symptoms, treatment is recommended. In daily life, it is important to protect the skin and avoid adverse factors such as trauma and infection.

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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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How to treat scars in females

In general, scars refer to scars or keloids. The causes of scars in females can be treated through methods such as massage, medication, laser therapy, microcrystal dermabrasion, and scar excision. It is recommended to avoid skin injuries in daily life, reduce unnecessary piercings, surgeries, and other forms of skin trauma to lower the risk of scar formation. Regularly clean the skin to prevent infection and reduce the occurrence of inflammatory responses.