Walk into any pharmacy or browse online, and you’ll see dozens of creams promising to “remove scars” or “flatten keloids.” The problem is, not all creams are created equal. In fact, some may do more harm than good. Understanding the difference between good creams and bad creams is essential if you want to manage keloids effectively and safely.

Bad Creams: Why They Can Make Keloids Worse

Many over-the-counter scar creams contain steroids. While steroids can reduce inflammation and flatten keloids in the short term, they are not without risks—especially when used for long periods or without medical supervision.

Potential side effects of bad (steroid-based) creams:

• Skin thinning (atrophy) – making the skin more fragile.
• Depigmentation – light or white patches on the skin.
• Telangiectasia – visible small red blood vessels on the surface.
• Acne or folliculitis – steroid-induced pimples or hair follicle infections.
• Rebound growth – keloids may grow back larger once steroid use stops.

The most serious risk? These side effects can actually trigger new keloid formation in susceptible individuals. That’s why long-term, unsupervised use of steroid creams is never a good idea.

Good Creams: The Power of Silicone

When it comes to safe, effective keloid management, silicone-based creams and sheets are the gold standard. Silicone works by creating a protective, breathable layer over the scar, which:

• Helps maintain hydration in the skin.
• Reduces excessive collagen production.
• Softens and flattens raised scars over time.
• Improves scar texture and color.

Unlike steroids, silicone does not thin the skin, cause pigmentation changes, or increase the risk of acne. It’s safe for long-term use and suitable for all skin types, including sensitive skin.

Why SkinCity Recommends Combination Therapy

At SkinCity, we believe creams should be part of a comprehensive treatment plan, not the only solution. While good creams like silicone can help, they work best when combined with other advanced therapies, such as:

• Laser treatments (Ultrapulse SCAAR FX) to melt bad collagen and stimulate good collagen.
• Fractional Drug Delivery (FDD) for deeper penetration of medications.
• Trigger factor management to remove the underlying causes of keloid growth.

This approach gives faster, longer-lasting results while minimizing side effects.

How to Choose the Right Cream

1. Read the label carefully – Avoid any cream with steroids unless prescribed by a dermatologist for short-term use.
2. Look for medical-grade silicone – Available as gels, ointments, or sheets.
3. Be consistent – Apply as directed, often twice daily, for several months.
4. Consult an expert – A dermatologist can tailor your treatment plan to your skin type and keloid condition.

Final Word

Choosing the right cream can make a big difference in keloid care. Avoid steroid-based creams for long-term use, and opt for silicone-based options to safely soften and flatten scars. For best results, pair your cream with professional treatments that target both the visible keloid and its underlying causes.