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Keloids Growing Back After Removal
Keloids are formed as a result of irregular, dense collagen redistribution after injury or surgery and have a high recurrence rate. Ways to help minimize the rate of recurrence following surgical removal of keloids are steroid injections at the time of removal and subsequently at 4 week intervals, silicone sheeting, and pressure dressings. Other common treatment options for recurrent keloids are cryotherapy (freezing), radiation, and laser treatment. A multitude of additional, less common treatment options exist if traditional methods fail.
Clinical Context
Keloids and hypertrophic scars are often confused. Hypertrophic scars stay within the original wound borders and can improve on their own over time. Keloids grow beyond the wound edges and typically continue enlarging unless actively treated. This is why keloids are harder to manage than hypertrophic scars and why recurrence after removal is common — ongoing treatment, not a single procedure, is usually what keeps the tissue from regrowing.
