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Piercing Bump vs Keloid Scar: What’s The Difference

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After a new piercing, it’s common to see a small bump near the area. Some of these bumps are mild and go away on their own, while others may last longer and need more attention. Understanding the difference between a piercing bump and a keloid scar can help patients identify what is happening and seek appropriate advice.

What is a Piercing Bump?

A piercing bump is a small, raised area that may appear near the site of a new piercing. Several factors, like minor irritation, pressure from jewellery, or friction, can contribute to their development. These bumps often develop during the healing process and are usually soft, pink or red, and may be tender to the touch.

What Causes a Piercing Bump to Form?

A piercing bump can develop due to repeated irritation, trauma to the area, or improper aftercare. Common triggers include sleeping on the piercing, accidental pulling, or contact with unclean surfaces. Reactions to certain jewellery materials may also play a role. These bumps are usually harmless and may settle with time and proper care.

How Long Does a Piercing Bump Usually Last?

A piercing bump resolves within a few weeks to months. However, it is important to keep in mind that healing time varies depending on the location of the piercing, the body’s healing response, and whether the area experiences ongoing irritation. Consistent aftercare and avoiding trauma can help reduce the duration.

What are the Common Signs of a Keloid Scar?

A keloid scar is a type of raised scar that continues to grow beyond the original wound. It may appear shiny, smooth, and firm, and can become larger over time. Unlike piercing bumps, keloids may feel itchy or cause discomfort and often do not go away on their own.

How Can You Tell the Difference Between a Piercing Bump and a Keloid?

Piercing bumps are generally small, temporary, and limited to the area around the piercing. Keloids, on the other hand, may develop weeks or months later and expand beyond the piercing site. If the raised area continues to grow or becomes thicker and harder, it may be a keloid.

Are Keloids Linked to Genetics or Skin Type?

Yes. Keloids are more common in individuals with a family history of keloid formation and are more frequently seen in patients with darker skin tones. Not everyone develops keloids, even with similar types of skin trauma.

Can a Piercing Cause a Keloid Scar to Develop?

Yes, in some cases, the skin’s healing response to a piercing may result in keloid formation. This is not common for everyone, but it may occur in patients with a known tendency to form keloids. Not all bumps are keloids, so professional assessment can help clarify the cause.

When Should You See a Healthcare Provider?

If the bump gets larger, feels firm, or causes discomfort, it’s best to seek advice from a healthcare provider. Dr Ed, who practises at The DOC Cosmetic and Skin Clinic in Melbourne, can examine the area, check for signs of infection, and recommend suitable treatment options based on the patient’s specific needs. Dr Omarjee has been assessing and treating Keloid and Hypertrophic scars for over 20 years.

What are the Treatment Options for Piercing Bumps?

Piercing bumps may settle with gentle cleaning, saline soaks, and avoiding friction or pressure. Switching to jewellery made from titanium or surgical steel may help if irritation is present. It’s best to avoid squeezing the bump or using products that haven’t been recommended by a healthcare provider.

What Treatments are Considered for Keloid Scars?

Keloids may require medical intervention. Options discussed in consultation may include corticosteroid injections, silicone gel sheets, laser therapy, or surgical removal. Each option is considered based on the size, location, and symptoms of the keloid.

Can You Prevent Keloids After a Piercing?

There is no guaranteed way to prevent keloids, but patients with a known history of keloids may choose to avoid piercings. If a piercing is still considered, discussing this with a healthcare professional beforehand is recommended.

Are Some Piercing Sites More Likely to Develop Keloids?

Yes. Areas such as the ears, chest, shoulders, and upper back are more prone to keloid formation. Earlobe (and other ear sites) piercings are commonly associated with keloid scars, particularly in those with a personal or family history of keloids.

Is It Safe to Remove Jewellery If You Have a Bump?

Removing jewellery should be done with caution and after professional guidance. In some cases, removing the jewellery may help, especially if it’s causing irritation or pressure. However, abrupt removal can also risk closing the piercing or trapping infection.

Can Keloids Return After Treatment?

Yes. A keloid scar has a tendency to return after treatment, including after surgical removal. Follow-up care and maintenance strategies, such as pressure dressings, injection based treatments and silicone therapy, may be discussed to help reduce the risk of recurrence.

Why Choose The DOC Clinic for Keloid Scar Treatment in Melbourne

The DOC Cosmetic and Skin Clinic offers patient care that follows recognised medical standards. Treatments are provided under the direction of Dr Ed Omarjee, a Fellow of the Royal Australian College of General Practitioners, the Cosmetic Physicians College of Australasia (CPCA), and the Australasian College of Aesthetic Medicine (ACAM). His clinical experience includes training in skin surgery with a focus on cosmetic medicine and non-surgical skin concerns. He has been managing Keloid and hypertrophic scars for over 20 years.

Treatment options for keloid scars may include both non-surgical and surgical approaches, depending on the size, location, and response to previous care. Before proceeding with any treatment, patients are given clear information about the options, what the treatment involves, and any potential risks. This approach supports informed choices and helps set realistic expectations.

Dr Ed and his team are experienced in managing various skin conditions, including scarring that may occur following injury or surgery. Each treatment is tailored to the individual’s needs and reviewed during a consultation. Information is provided in a clear and accurate way to support safe and informed care.

Further Reading about Keloid Scars with Dr Ed:

Medical References about Keloid Scars