When your skin heals from an injury or procedure, it usually leaves behind a flat or slightly raised mark that becomes less noticeable with time. In some cases, however, the body produces more tissue than needed, leading to a thicker, raised area called a keloid scar. While it’s not harmful, it can change in size, shape, or texture as it develops. Understanding how these scars begin and recognising early signs can help you know when to seek advice.
What Causes This Type of Scarring?
This type of scarring occurs when the healing process doesn’t stop after the skin has closed. Collagen, a protein that helps repair skin, keeps forming and builds up in the area, creating extra tissue. Over time, this forms a raised, firm surface that may extend beyond the original wound. The skin may feel thicker or tighter, and the change can progress slowly. For this reason, it’s important to observe how a scar develops after any injury or procedure.
Where Do They Commonly Develop?
Thickened scars can develop anywhere on the body, but they are more common in areas that move often or experience pressure. The chest, shoulders, upper back, jawline, and earlobes are particularly prone to them. Even small injuries, such as acne marks, piercings, or minor cuts, can result in raised scars in these locations. These areas are often affected by friction from clothing or jewellery, which can influence how the skin heals. Paying attention to these regions during recovery may help you manage early signs more effectively.
What Are the First Signs to Look Out For?
The earliest sign is usually a small, firm bump appearing where the skin has healed. The area might feel itchy, tight, or slightly tender. As time passes, the scar can become smoother, shinier, and darker or redder than the surrounding skin. It may also grow wider or thicker than the original wound. Watching for these early changes can help you know when to seek advice about possible management options.
How Long Does It Take for a Scar to Thicken?
Raised scars don’t usually appear right away. They often start developing weeks or months after the initial wound has closed. The thickening process may continue gradually, and in some cases, the scar can grow for several months or even years before stabilising. Keeping an eye on your skin during the months following an injury or procedure can help you notice unusual changes early on.
Can These Scars Itch or Feel Sensitive?
Yes, these scars can feel itchy, tight, or uncomfortable as they develop. This often happens because the extra tissue stretches the surrounding skin and nearby nerves. The area may also feel more irritated with friction, heat, or changes in temperature. It can become dry or tight, which makes it more noticeable. Avoid scratching or rubbing the scar, as this can increase irritation and interfere with healing.
How Can You Tell the Difference Between a Normal and a Thickened Scar?
A normal scar usually becomes flatter and lighter with time, while a thickened scar tends to stay raised and firm. It may also extend beyond the edges of the original wound and remain more visible for longer. The surface often feels smoother and stiffer, and the colour can appear darker or redder than the surrounding skin. If a scar continues to grow or change months after healing, it may be useful to have it checked to determine the type of scar and whether management is recommended.
Who Might Be More Likely to Develop Them?
Some people are more prone to developing raised scars. Factors such as family history, skin tone, and the depth or location of the wound can all play a role. People with darker skin tones or those who have had similar scars in the past may be more likely to experience them again. Areas of the body that are under more tension, such as the shoulders or chest, can also be more prone to this type of scarring. Understanding your skin’s healing pattern can help guide how you care for new injuries or procedures.
When Should You Seek Professional Advice?
You should consider getting professional advice if a scar continues to grow, feels itchy or uncomfortable, or looks different from others you’ve had. Early assessment helps identify whether it is a keloid or another type of raised scar. At The DOC Clinic in Melbourne, Dr Ed provides consultations to review the area, discuss your skin history, and explain safe and suitable ways to manage scarring. Getting advice early can help reduce irritation and prevent further thickening.
What Options Are Available for Managing These Scars?
The approach to managing these scars depends on their size, location, and how the tissue behaves. Some methods focus on reducing thickness or tightness, while others aim to support the skin’s overall condition and healing process. During your consultation at The DOC Clinic, Dr Ed will explain the available options, what to expect, and any possible side effects or risks. You’ll also receive aftercare guidance to help protect your skin and support recovery.
Can They Come Back After Treatment?
In some cases, raised scars can return after treatment. This depends on factors such as skin type, scar location, and how the body heals. Following aftercare instructions carefully can help reduce this risk and support recovery. You may also be advised to attend follow-up visits to monitor healing and manage any changes early. Protecting the area from friction and sun exposure can further support long-term results.
Why Choose The DOC Clinic for Keloid Scar Treatment in Melbourne
The DOC Clinic in Melbourne provides consultations and care for patients with raised or thickened scars. Under the guidance of Dr Ed Omarjee, each case is assessed carefully to determine suitable management options. Dr Omarjee has over 20 years of experience in cosmetic medicine and has worked with a range of skin and scarring concerns.
Each consultation allows time to examine the keloid scar, discuss possible management approaches, and explain what may be involved during and after treatment. Patients receive clear information about aftercare, recovery, and potential risks related to their treatment plan.
The DOC Clinic focuses on patient education, communication, and consistent care. You are encouraged to ask questions and take part in planning your treatment. This approach supports informed decisions and provides a professional, supportive experience throughout your care.
Further Reading about Keloid Scars with Dr Ed:
- Read the DOC keloid scar removal/treatment page
- Check the DOC keloid scar removal before and after gallery
- Read the DOC blog: Keloid scarring: What are the real facts?
- Read the DOC blog: What are keloid scars and can they be treated?
- Read the DOC blog: What is the best treatment for keloids & hypertrophic scarring?
- Read the DOC blog: How to prevent keloid scars from growing back?
- Read the DOC blog: Piercing bump vs keloid scar: What’s the difference?
- Read the DOC blog: How much would it cost to get rid of a keloid?
- Read the DOC blog: What is the success rate of keloid scar treatment?
- Read the DOC blog: How to treat an itchy keloid scar?
- Read the DOC blog: What to do with a swollen keloid scar?
- Read the DOC blog: I Have a Keloid Scar; What Do I Need to Know?
Medical References about Keloid Scars
