Keloid scars are most definitely the worst kind that can befall upon anyone. Apart from the way they are formed, they are very difficult to eradicate as they tend to re-appear repeatedly and there is a hereditary component involved as if the parents develop keloid scars, their children will do too.
Caucasians are the luckier of the ethnic groups in reference to developing this kind of scarring as, according to the relevant statistics and studies, they appear 15 times more often in ethnic groups with highly pigmented skin especially the Africans.
Keloids (as referred to more frequently) are the result of excessive and very rapid growth of granular tissue at the position where an injury occurred. This tissue is gradually replaced by collagen and they are developed after the wound has healed in most cases. Any kind of injury that can cause a skin abrasion (pimples, insect bites, scratching, vaccination spots, burns, acne, chickenpox scars or any other of the sort) can cause the development of a keloid.
They can also be developed after a surgery and they appear in the back, the shoulders, the central chest and the ear lobes mostly. It makes no difference what kind of skin you have and in which state as they can all contribute to keloid scarring. Keloids are benign in nature and not contagious and various degrees of itching, pain and texture alterations may be involved.
In reference to hypertrophic scars they are easy to distinguish as they are firm elastic lesions or shiny fibrous knots instead of raised scars. Their color may vary from the color of the surrounding skin to pink and from dark brown to red. The tissue that forms keloids extends beyond the area of the original wound, and in contrast with the other types of scars they do not retreat naturally as time passes by and should they be located in close proximity to a joint they may limit the mobility of the limb.
After a surgical intervention and an excision they have the tendency of recurrence, and if they grow uncontrollably it is time to seek medical assistance and advice as it is a definite indication of skin cancer.
The human physiology makes no distinction between the genders. However, women have a much higher rate of development because of the equally much higher frequency and percentage of ear and body piercing. On the other hand, the male population leaves keloid scars untreated due to the cultural imperatives that demand proof of manhood and toughness (the “manly scars”).
The treatment of keloid scars can include corticosteroid injections to reduce the inflammation, pressure or silicone gel pads, prescription scar removal creams, the application of radiation locally for a reduction of the scar, surgery for removal and freezing of the area for the purpose of killing the skin cells. There are also homemade remedies, make-shift solutions and procedures of alternative medicine available that may provide results.