Keloid Scar Removal

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Welcome to City Dermatology Clinic, your trusted specialist for keloid scar removal in the heart of London. Situated in the City of London and Harley Street, we are committed to effectively reducing keloid scars with cutting-edge treatments. We commit to providing a professional and reassuring experience, helping you achieve smoother skin and renewed confidence in your appearance.

Keloid scars are a type of raised scar that occur where the skin has healed after an injury. They can be much larger than the original wound itself. Unlike other scars, keloids do not subside over time and can actually grow progressively larger. Keloids form due to an overactive healing process, wherein an excess of collagen, a fibrous protein, is produced by the body. This overproduction leads to a firm, rubbery lesion or shiny, fibrous nodule that is often pink, red, or purple in colour. Keloids are typically not harmful to health, but they can cause cosmetic concerns and, occasionally, discomfort.


  • The scar rises abruptly above the rest of the skin and has a dome-like shape.
  • The texture is typically hard and rubbery due to excess collagen.
  • The scar extends beyond the edges of the initial injury site.
  • The scar may start as pink or red and darken to purple or brown over time.
  • Keloids can be itchy or cause a stinging sensation; in some cases, they can be painful to the touch.
  • Unlike normal scars, keloids grow larger with time and do not regress.

Treating keloid scars effectively involves several potential methods. Each treatment aims to reduce the size of the keloid, alleviate any discomfort, and improve the cosmetic appearance of the scar. Here’s a detailed look at the common treatment options available at City Dermatology Clinic:


Surgical Removal

In some cases, surgical removal of the keloid may be considered, especially when other treatments have failed to reduce the scar effectively. Surgery can remove the keloid tissue. The surgery is typically performed under local anaesthesia. The keloid is carefully excised, and the skin is sutured back together. Post-surgical treatment with corticosteroids or other modalities may be recommended to prevent the keloid from reoccurring. Surgical removal can provide immediate results in terms of eliminating the keloid. However, careful monitoring and follow-up treatments are crucial to manage the risk of recurrence.


Steroid Injections

This is one of the most common treatments for keloids. Corticosteroid injections involve injecting a steroid directly into the keloid scar tissue to reduce inflammation. The steroid helps to flatten the scar by breaking down the excess collagen fibres that form the keloid. The treatment usually requires multiple injections administered every 4 to 6 weeks. A fine needle is used to deliver the steroid into the keloid, and while the procedure may cause some discomfort, it is generally well-tolerated. Over time, the keloid becomes softer and less noticeable. The injections can also relieve itching and discomfort. Some patients may see significant improvement, while others may only notice a slight change.

Your doctor will explain everything fully during your consultations, ensuring that you are well-informed and comfortable with the proposed treatment plan. Undergoing treatment for keloid scars at City Dermatology Clinic involves steps designed to provide the most effective and comfortable experience possible.  Here’s what you can typically expect from the start to the end of the treatment process:


Initial Consultation

During your first visit, a dermatologist will examine your keloid scars to assess their size, texture, and severity. This assessment helps in determining the most suitable treatment approach. You’ll have the opportunity to discuss your medical history, previous treatments, and any concerns you might have about the procedure.


Treatment Planning

Based on the initial assessment, the dermatologist will outline a personalised treatment plan. This plan may involve one or a combination of treatments, such as corticosteroid injections, cryotherapy, or surgical removal, depending on what’s best suited to your specific case. The potential benefits, risks, and expected outcomes of each treatment option will be discussed thoroughly.


Treatment Procedure

Treatments will be scheduled over a period of time, especially for methods that require multiple sessions like corticosteroid injections or cryotherapy. Procedures such as injections or cryotherapy are usually quick, often completed within a few minutes, and are performed in the clinic. Surgical removal, if chosen, is conducted under local anaesthesia, and you may need to spend a few hours in the clinic for both the surgery and initial recovery.


Post-Treatment Care

After each treatment session, you’ll receive instructions on how to care for the treated area to promote healing and reduce the risk of complications. This might include advice on cleaning the area, applying topical medications, and avoiding direct sunlight. Regular follow-up appointments may be scheduled to monitor the healing process and evaluate the effectiveness of the treatment. This is crucial to adjust the treatment plan if needed. Keloid treatment can be a process that requires persistence and patience. We provide ongoing support and guidance to manage your condition effectively over time. Depending on the response to the initial treatments, additional sessions may be recommended to achieve optimal results.

Keloids vary not just in size and location but also in their characteristics and how they might respond to treatment.


Nodular Keloids (Single Knot Scar)

These keloids appear as a single, solid knot that is often round or oval-shaped. They typically form at the site of a puncture, such as from a piercing or an injection. Nodular keloids are generally well-defined, dense, and can be tender or itchy. They are usually smaller than other types of keloids but can be quite deep.


Linear Keloids (Line Scar)

These develop along the lines of a surgical cut or injury and are elongated and ridge-like. They can also form from scratches or other injuries that have a linear healing pattern. Linear keloids often have a tight, rope-like texture and can be quite restrictive, sometimes affecting mobility if located near a joint. They tend to be more superficial but can cover a larger area.


Spreading Keloids (Butterfly or Crab Claw Scar)

These keloids are larger and spread widely beyond the original wound borders, often resembling the shape of a butterfly or crab claws. Spreading keloids are typically seen on high-tension areas of the body, such as the shoulders, upper back, or chest. They are the most visible type and can be highly itchy and uncomfortable.


Major Keloids (Large Area Scar)

These are extensive keloids that form after severe skin trauma or in cases where smaller keloids join together over time to form a large, confluent scar. Major keloids are thick, bulbous, and can significantly alter the appearance of the skin. Due to their size, they may cause more profound emotional and physical discomfort.

At City Dermatology Clinic, we understand that each case of keloid scarring is unique. That’s why we offer tailored treatment plans designed to meet the specific needs of each patient. Our approach begins with a detailed assessment of your keloid scars, considering factors such as the type, location, and severity of the scarring. Based on this comprehensive evaluation, our expert dermatologists utilise the most suitable treatment techniques available. Whether it involves injections, cryotherapy, or surgical methods, each plan is meticulously crafted to ensure the most effective and personalised care.


Same Day ‘See and Treat’ Service

We value your time and understand the importance of prompt treatment. City Dermatology Clinic is proud to offer a Same Day ‘See and Treat’ service for keloid scars. This service is designed to streamline your visit, allowing you to receive an expert consultation and commence treatment on the same day. Our goal is to start your journey to smoother skin without delay, providing a convenient and efficient service that fits into your busy schedule.


No Downtime

One of the key benefits of choosing City Dermatology Clinic for your keloid scar treatment is the minimal downtime associated with our procedures. Most treatments can be performed quickly and do not require a significant recovery period, allowing you to continue with your day-to-day activities almost immediately. We ensure that the treatment process is not only effective but also minimally invasive, helping you maintain your lifestyle with little to no interruption.


Dedication to Patient Satisfaction

At City Dermatology Clinic, patient satisfaction is at the core of everything we do. From the initial consultation through to the completion of your treatment, our team is dedicated to ensuring that your experience is positive and rewarding. We strive to provide not only the highest standards of medical care but also exceptional customer service. Our commitment to your well-being and satisfaction drives us to continually improve our services and adopt the latest advancements in dermatological treatment.

Our Team

Doctors for Keloid Scar Removal

Discover expert care and compassionate support from our leading doctors for keloid scar treatment in London, dedicated to reducing your scars with state-of-the-art techniques while ensuring your comfort and well-being.

Discover expert care and compassionate support from our leading doctors for keloid scar treatment in London, dedicated to reducing your scars with state-of-the-art techniques while ensuring your comfort and well-being.

Headshot portrait photo of Dr. Jana Torres-Grau at City Dermatology Clinic
Dr. Jana Torres-Grau
BSc (Hons), MBChB, FRCS (Plast)
Headshot portrait photo of Dr. Georgios Pafitanis at City Dermatology Clinic
Dr. Georgios Pafitanis
Headshot portrait photo of Dr Andreea Anton at City Dermatology Clinic
Dr. Andreea Anton
Headshot portrait photo of Dr. Nicki Bystrzonowski at City Dermatology Clinic
Dr. Nicki Bystrzonowski
Headshot portrait photo of Dr. Jana Torres-Grau at City Dermatology Clinic

Dr. Jana Torres-Grau

BSc (Hons), MBChB, FRCS (Plast)


Headshot portrait photo of Dr. Georgios Pafitanis at City Dermatology Clinic

Dr. Georgios Pafitanis



Headshot portrait photo of Dr Andreea Anton at City Dermatology Clinic

Dr. Andreea Anton



Headshot portrait photo of Dr. Nicki Bystrzonowski at City Dermatology Clinic

Dr. Nicki Bystrzonowski




Recent Reviews for Our Doctors


Cost of Keloid Scar Treatment

The initial consultation with our doctor is priced at £100. We schedule ample time for this consultation to accommodate the procedure immediately afterwards, should you choose to proceed. It’s important to note that the costs of our treatments vary based on the specific area being treated and the extent of the condition. All prices will be finalised during your consultation, after a thorough assessment of your needs.


  • Surgical Removal from £295
  • Steroid Injections from £150


After your keloid scar treatment at City Dermatology Clinic, proper aftercare is crucial for optimal healing and results. We recommend keeping the treated area clean and protected from direct sunlight. Avoid any activities that could stress the area and follow any specific instructions provided by your dermatologist. To ensure your progress is on track, we offer a free follow-up appointment. This visit allows us to assess your healing, address any concerns, and ensure the treatment’s effectiveness.

Keloid Scar FAQs

What causes keloid scars?

Keloid scars are caused by an overly aggressive healing response to skin injuries. When the skin is wounded – whether by cut, burn, or even minor abrasions – fibrous tissue called collagen forms over the wound to repair and protect it. In some individuals, excessive collagen production leads to keloid formation, creating a raised area on the skin that grows larger than the original wound. Genetics, skin type, and the location of the injury play significant roles in whether a person is likely to develop keloids.

Can keloid scars be completely removed?

Complete removal of keloid scars can be challenging. While treatments like surgical removal, steroid injections, and laser therapy can significantly reduce their appearance and alleviate discomfort, there is always a risk of keloids recurring. Each treatment has varying degrees of success, and often a combination of therapies is employed to achieve the best results. Ongoing management and preventive care are crucial to prevent new keloid formation, especially in individuals prone to them.

Do keloid scars ever disappear on their own?

Keloid scars do not typically disappear on their own. Unlike other types of scars, keloids tend to grow over time and do not regress. Without treatment, they can continue to thicken and possibly cause discomfort or movement restrictions, depending on their location. Early intervention can help manage their size and reduce potential complications.

Is it possible to break down the tissue in a keloid scar?

Yes, it is possible to break down the tissue in a keloid scar through certain medical treatments. Corticosteroid injections are commonly used to reduce the amount of collagen in the scar tissue, which can help flatten and soften the keloid. Other methods such as cryotherapy (freezing the scar) or laser treatments also target the fibrous tissue to reduce the size and appearance of keloids. These treatments usually need to be repeated over time and may be combined for better results.

What is the composition of a keloid scar?

A keloid scar is primarily composed of type I and type III collagen fibres, which are the major components of the extracellular matrix in the dermal skin layer. Keloids have a notably higher proportion of type III collagen compared to regular scar tissue. Additionally, keloids contain large amounts of fibroblasts, the cells responsible for producing collagen. The dense, fibrous network of collagen and the overabundance of fibroblasts give keloid scars their thick, raised texture.

Is it safe to cut off a keloid?

It is not safe to cut off a keloid without professional medical supervision. Surgical removal can be a treatment option, but it must be done by a qualified dermatologist or surgeon to minimize the risk of the keloid reoccurring or becoming worse. Post-surgical treatment, such as steroid injections or silicone sheeting, is often recommended to prevent a new keloid from forming at the site of the incision.

Can you manually remove a keloid at home?

Attempting to remove a keloid at home is strongly discouraged. Home remedies and unsupervised treatments lack the effectiveness of medical procedures and carry significant risks of complications such as infection and exacerbated growth. It’s important to consult with healthcare professionals who can provide treatments tailored to your specific needs and ensure your safety throughout the process.

How painful is keloid removal surgery?

Keloid removal surgery can be associated with some discomfort, but the pain is typically well-managed with local anesthesia during the procedure. Post-surgery, patients might experience mild to moderate pain as the area heals, which can usually be controlled with over-the-counter pain relievers or prescribed medications. The level of pain can also vary depending on the size and location of the keloid, as well as the individual’s pain tolerance.

What are the different stages of keloid development?

Keloid development can generally be categorised into three stages:

  • Shortly after the skin injury, fibroblasts begin to produce excess collagen, leading to a thick, raised scar.
  • Over time, the keloid continues to grow and harden. The scar becomes more prominent and may change in colour.
  • Eventually, the keloid may stop growing but remain raised and firm. Unlike other types of scars, keloids typically do not regress over time and may require treatment to reduce their size or appearance.
Is it safe to just leave a keloid untreated?

While keloids are not harmful to general health and leaving one untreated is not necessarily dangerous, they can lead to cosmetic concerns and discomfort, including pain and itchiness. In some cases, keloids may also restrict movement, especially if located near a joint. Therefore, it is advisable to consult with a dermatologist for management options to prevent further growth and alleviate symptoms.

How can I tell if my scar is hypertrophic or a keloid?

Distinguishing between hypertrophic scars and keloids can be challenging, as both are raised and result from excessive collagen growth. However, hypertrophic scars typically stay within the boundaries of the original wound and may diminish over time, whereas keloids spread beyond the wound edges and do not regress. Keloids also tend to be more prominent, are often itchier, and have a higher tendency to recur after removal.

Why might a keloid scar feel itchy?

The itchiness associated with keloid scars is mainly due to the increased fibroblast activity and collagen production within the scar tissue, which can irritate nerve endings in the skin. Additionally, the stretching of the skin by the growing keloid can further stimulate itchiness. Managing the size and activity of the keloid through medical treatments can help reduce these symptoms.

What is the cost to remove a keloid in the UK?

The cost of keloid removal in the UK can vary widely depending on the treatment method, the size and location of the keloid, and the number of required sessions. On average, prices might range from a few hundred pounds for steroid injections to several thousand pounds for surgical removal or laser treatments. It’s best to consult with a clinic or healthcare provider for a detailed estimate based on your specific case. Some treatments may also be covered by NHS or private health insurance, which can affect the overall cost.

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