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​​Keloid Treatment in Richmond, VA

Keloids, The Scars That Don’t Fade Easily

Keloids are raised, thickened scars that form when the skin produces excessive collagen in response to an injury. They can develop after cuts, piercings, acne, surgery, or even vaccinations. Unlike typical scars, keloids may continue to grow beyond the original wound, often becoming itchy, tender, or visually bothersome.

At Commonwealth Dermatology in Richmond, VA, we understand how frustrating keloids can be especially when they don’t fade on their own and keep returning despite at-home efforts. Our dermatologists provide safe, effective treatments tailored to reduce scar tissue, improve comfort, and restore smoother skin.

Comprehensive Treatment Options for Keloids:

Cortisone Injections

Often the first step in treatment, cortisone injections reduce inflammation and excess collagen, helping scars flatten and fade over time. These are quick, in-office procedures with minimal downtime, and most patients notice steady improvement after a series of treatments.

Cryotherapy

For smaller keloids, cryotherapy may be recommended as a treatment option. This approach uses controlled freezing to reduce scar tissue and alleviate discomfort. It is often combined with other therapies for stronger results.

Laser Treatments

Laser therapy targets scar tissue with precise energy, improving both the raised texture and discoloration of keloids. By stimulating collagen remodeling, laser treatments can also enhance the appearance of the surrounding skin.

Surgery (Limited Use)

Surgical removal is rarely recommended because keloids often return and sometimes grow larger after excision. In some instances, however, surgery may be considered alongside other therapies such as radiation or injections to lower recurrence risk.

Benefits of Keloid Treatments:

Flattens raised scars

Reduces itching and discomfort

Improves skin texture and tone

Helps prevent further scar growth

Boosts confidence in personal and professional settings

How Keloid Treatment Works:

Comprehensive Evaluation

Your visit begins with a consultation and skin exam to review your history, symptoms, and scar type.

Customized Plan

Our dermatologists design a treatment plan tailored to your keloid, often combining therapies for better results.

In-Office Treatment

Most procedures are quick and require little downtime, though mild tenderness or redness may occur temporarily.

Ongoing Improvement

Some results can be seen early, but full improvement may take several months as the skin continues to remodel.

Who Is an Ideal Candidate?

You may be a good candidate if you:

Have raised scars that continue to grow or thicken over time.

Experience itching, tenderness, or sensitivity in scarred areas.

Feel self-conscious about scars on visible areas like the ears, chest, or shoulders.

Have tried over-the-counter remedies with little to no improvement.

Cannot avoid further irritation due to lifestyle, clothing, or work environment.

Before & After Your Appointment:

Before Your Treatment:

Avoid harsh soaps, heavy fragrances, or irritating products that can exacerbate scars.

Limit friction from clothing or accessories that rub against the area.

Track when symptoms flare (such as seasonal changes, specific products, or stress) to provide your dermatologist with a clearer picture.

After Your Treatment:

Follow your dermatologist’s instructions exactly skipping steps can slow down the healing process.

Apply prescribed creams on schedule and moisturize daily to support recovery.

Protect scars from sun exposure to prevent darkening and thickening.

Keep regular follow-up visits, especially if you have recurring or family-linked scarring.

Frequently Asked Questions

Can keloids go away on their own?

No. Unlike regular scars, keloids do not fade naturally and may continue to grow without treatment.

Keloids are not medically harmful, but they can cause itching, discomfort, and cosmetic concerns that affect confidence.

It depends on the size, location, and severity of the scar. Some patients experience improvement after a few sessions, while others require a series of treatments for optimal results.

Keloids can recur, but combining therapies and following aftercare instructions reduces the chances of regrowth.

Most treatments cause only mild discomfort and are well-tolerated. Any temporary swelling or tenderness usually resolves quickly.

Schedule Your Consultation

If you’re tired of dealing with raised, itchy, or bothersome scars, professional keloid treatment at Commonwealth Dermatology in Richmond, VA can help. Our dermatologists offer proven solutions tailored to your skin’s needs. Without professional treatment, keloids often grow larger, itchier, and more uncomfortable, affecting your daily life and confidence. Call Commonwealth Dermatology today to schedule your consultation. 

Are you ready to take the next step?

We are accepting new patients! Commonwealth Dermatology accepts most insurance. Contact us to learn what we can do for you.

Get In Touch

To request an appointment, please fill out the form below and we will contact you about availability. Please allow us up to 48 hours to process your request.

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