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Understanding Keloids: Why Are They So Hard to Get Rid Of?

Writer's picture: Bianca CypserBianca Cypser

Updated: Jun 9, 2023

Keloids are a common skin concern that many individuals around the world grapple with. These raised, often shiny, irregularly shaped scars can occur following skin injuries, such as burns, cuts, or even after surgical procedures. Despite advancements in dermatology, keloids remain notoriously challenging to eliminate. But what makes keloids so hard to get rid of? Let's unravel this complex skin issue. What Are Keloids? Before delving into why they're hard to eliminate, it's essential to understand what keloids are. They are an overgrowth of scar tissue at the site of a healed skin injury. Instead of growing just enough to heal the wound, the fibrous tissue keeps growing, leading to a keloid. They are often red or darker than the surrounding skin, and while they are not harmful, they can cause discomfort or become a cosmetic concern for some individuals. Why Are Keloids Hard to Get Rid Of?

  1. Excessive Scar Tissue: The main reason why keloids are so hard to get rid of is the nature of their growth. Your body produces extra scar tissue as a protective measure when your skin is injured. However, with keloids, this process goes into overdrive, producing more scar tissue than necessary, making them difficult to remove.

  2. Prone to Recurrence: Even after treatment, keloids have a high recurrence rate. This is because the underlying issue causing the keloid - an overactive healing response - is often still present, leading to the formation of a new keloid at the same site.

  3. Treatment Challenges: Because keloids are unique to each individual and depend on factors like genetics, age, and the size and location of the keloid, they require personalized treatment approaches. This means what works for one person may not work for another, making effective treatment elusive.

  4. Limited Treatment Options: While there are treatments available, such as steroid injections, laser therapy, and surgery, these are not always successful and can sometimes lead to the keloid becoming larger or more noticeable.

Despite these challenges, research into understanding and treating keloids is ongoing, and strides are being made to offer more effective and reliable solutions. In conclusion, keloids, while non-threatening, can often be a source of discomfort or self-consciousness. Their stubborn nature makes them a complex issue to address. However, understanding what keloids are and why they're hard to get rid of is the first step towards effective management. Always consult with a dermatologist or a skin care professional for personalized advice on dealing with keloids. Through their expertise, they can help navigate the complexity of this skin condition and guide you towards the most suitable treatment options.


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