Keloids are a type of raised scar that grows beyond the boundaries of the original wound due to an overproduction of collagen during the healing process. While they are not harmful, keloids can be itchy, uncomfortable, and often a cosmetic concern—especially when they appear after surgery. For those living with a history of keloid formation or who are genetically predisposed to them, post-surgical care is critical. In some cases, people turn to professional Keloid Treatment in Islamabad to manage or remove existing keloids and to prevent new ones from forming.
Below, we’ll explore everything you need to know about preventing keloids after surgery—from preparation and aftercare to expert interventions.
What Are Keloids?
Keloids are thick, fibrous tissue overgrowths that form when the body heals a skin injury. Unlike normal scars, keloids extend beyond the wound site, and they may continue to grow long after the wound has healed. They typically appear on the chest, shoulders, back, and earlobes but can occur anywhere.
People with darker skin tones, a family history of keloids, or a personal history of raised scars are more susceptible. Surgery, unfortunately, is a common trigger.
Why Do Keloids Form After Surgery?
Surgical wounds are deliberate cuts into the skin. Even with the most skilled procedures, your body sees these incisions as injuries and tries to repair them. In individuals with keloid-prone skin, the healing process becomes overactive, producing excess collagen and resulting in a raised, thick scar.
Several factors influence this process:
Genetics
Infection or wound tension
Delayed healing
Poor wound care
Understanding these triggers is essential for prevention.
Steps to Prevent Keloids After Surgery
1. Pre-Surgical Consultation
If you have a history of keloid formation, inform your surgeon before the operation. Dermatologists and plastic surgeons can take special precautions during and after surgery, such as:
Choosing less tension-prone surgical techniques
Using special dressings or closure materials
Administering corticosteroid injections during or immediately after surgery
This step is crucial in customizing your post-operative care plan.
2. Keep the Surgical Site Clean and Moisturized
Proper wound care is your first line of defense. Clean the area gently using mild soap and water. Avoid harsh chemicals or alcohol-based products that can irritate healing skin.
Apply an antibiotic ointment or prescribed topical cream as recommended. Moisture helps prevent scab formation and supports smooth healing.
3. Use Silicone Sheets or Gels Early
As soon as the wound closes (usually after 2–3 weeks), begin using silicone-based products. These are considered the gold standard in keloid prevention.
Silicone sheets or gels:
Flatten the scar
Reduce redness
Hydrate the tissue
Minimize collagen buildup
Apply silicone for 12–24 hours a day, continuing for at least 2–3 months for optimal results.
4. Avoid Stretching or Irritating the Skin
Minimize tension on the healing site. Movement, heavy lifting, or stretching near surgical scars can worsen scarring by continuously pulling at the healing tissue. If your surgery was on a joint or mobile area, your doctor might recommend compression garments or support braces.
5. Apply Pressure Dressings (if Recommended)
For those particularly prone to keloids, your surgeon may advise pressure therapy post-surgery. These dressings apply consistent pressure to the wound, which helps flatten the scar and prevent it from overgrowing.
These are often used after surgeries on areas like the chest or earlobes and can be worn for several months.
6. Protect the Area from Sun Exposure
UV rays can darken healing scars, making them more noticeable. Apply a broad-spectrum sunscreen (SPF 30 or higher) to the surgical site once healed enough for product application.
Using mineral-based sunscreens (with zinc oxide or titanium dioxide) is best for sensitive skin. You can also cover the area with clothing or medical tape when exposed to sunlight.
7. Watch for Early Signs of Keloid Formation
Be proactive. If you notice that the scar is becoming raised, red, or itchy, it could be an early sign of keloid formation. Seeking treatment early can stop it from progressing. Treatments include:
Corticosteroid injections
Cryotherapy
Laser therapy
Topical retinoids
Consult a dermatologist as soon as changes are visible.
8. Consider Preventive Injections
If you are at high risk, your doctor may recommend corticosteroid or interferon injections right after surgery or during the first few weeks of healing. These anti-inflammatory agents help suppress the skin's overactive response and regulate collagen production.
9. Avoid Unnecessary Trauma to the Area
Even minor injuries or friction from clothing or accessories (like bra straps or necklaces) can trigger keloid formation on a surgical scar. Keep the area protected and avoid anything that can irritate the skin.
10. Follow-Up with Your Specialist
Regular follow-up appointments allow your surgeon or dermatologist to monitor healing and intervene early if complications arise. Stick to all post-operative care instructions and voice any concerns immediately.
When to Seek Professional Help
If you're already noticing signs of a keloid or if you’ve had trouble with keloids in the past, don’t wait. Professional dermatologists can offer customized treatments such as:
Laser therapy: Reduces redness and flattens the keloid
Surgical revision: Removing the keloid followed by radiation or steroid therapy to prevent regrowth
Cryotherapy: Freezes and shrinks the scar
Radiation therapy: In resistant cases, especially after surgical removal
Each case is unique, so a tailored treatment plan is essential for long-term success.
Conclusion
Preventing keloids after surgery requires diligence, awareness, and sometimes, expert help. While at-home skincare strategies such as silicone sheets, gentle wound care, and sun protection play a vital role, they may not be enough for everyone—especially those genetically predisposed to raised scarring.
For personalized care and advanced treatment options, many individuals choose professional services. If you're in Pakistan and looking for experienced specialists, consider visiting SKN Cosmetics clinic. They offer comprehensive Keloid Treatment in Islamabad using state-of-the-art technology and medically proven techniques. With a skilled team and patient-focused care, SKN Cosmetics can help you manage and prevent keloids with confidence.
