For many years, keloids have been one of the most frustrating challenges in dermatology. They are often misunderstood, misdiagnosed, and mistreated. Patients are told, “Nothing can be done,” or worse, they undergo treatments that make the condition return bigger and more stubborn than before. It’s time to break these myths and look at the facts.

Myth 1: Surgery Removes Keloids Forever

Many patients believe that cutting out a keloid will permanently remove it. Unfortunately, surgery alone often triggers the very process that created the keloid in the first place—excess collagen production by overactive fibroblasts. In many cases, the keloid grows back larger and thicker than before.

Truth: Surgery can be part of treatment, but it must be combined with other therapies like lasers, keloid chemotherapy drugs, and trigger factor management to reduce recurrence.

Myth 2: All Scars Are the Same

Keloids are not just “big scars.” They are biologically different from normal scars and even from hypertrophic scars. While most scars stop growing once the wound heals, keloids continue to expand beyond the original injury site.

Truth: Keloids require a specialized approach. At SkinCity, we use the “Safe Combination Protocol,” which blends laser technology, fractional drug delivery, and targeted medication to address the unique biology of keloids.

Myth 3: Steroid Injections Are Always the Best Option

Steroids can reduce inflammation and flatten keloids temporarily, but long-term use often causes skin thinning, pigmentation changes, and even worsens the condition. Many patients experience recurrence within months.

Truth: While steroids can be useful in some cases, combining them with other treatments—like Ultrapulse SCAAR FX laser or keloid-safe chemotherapy agents—provides better, longer-lasting results with fewer side effects.

Myth 4: There’s Nothing You Can Do to Prevent Keloids

Some people believe keloids are purely genetic and unavoidable. While genetics do play a role, external triggers often worsen the condition—friction, hair follicles, acne, burns, surgical wounds, and skin tension are common aggravating factors.

Truth: Identifying and removing triggers is critical. For example, beard hair removal with lasers can prevent neck keloid recurrence, and reducing bra strap friction can help chest and shoulder keloids in women.

The New Reality of Keloid Treatment

With advances in dermatology, keloids are no longer a life sentence. SkinCity’s approach focuses on:

• Trigger Factor Management: Eliminating the causes that make keloids grow.
• Laser Technology: Using Ultrapulse SCAAR FX to melt bad collagen and stimulate good collagen.
• Keloid Chemotherapy: Safe, targeted medicines like 5-fluorouracil, methotrexate, and bleomycin in precise combinations.
• Steroid-Free Protocols: Avoiding side effects while achieving lasting results.

Final Word

Keloids can be treated successfully when the right combination of therapies is used, tailored to each patient’s unique triggers and skin type. At SkinCity, we’ve helped countless patients flatten keloids, reduce discomfort, and regain confidence.

You don’t have to live with the myth that keloids can’t be cured—modern science and expert care can make a real difference.