Keloid treatment in Gurgaon
Raised, thick scars on the chest, shoulders, earlobes and jawline, flattened and softened with a staged plan from dermatologist Dr. Tanya Kochhar. Keloids can be controlled well, and the plan is built around keeping them from coming back.
How are keloids treated in Gurgaon?
Keloids are treated with injections and radiofrequency, usually combined with silicone or pressure at home. Injections are commonly repeated every 4 to 6 weeks, and scars flatten gradually over months. At Le Dermaire, Dr. Tanya Kochhar plans follow-up because keloids can regrow. They can be controlled well, though no treatment guarantees they will never return.
Keloid treatment, in short
Typical figures for a raised scar. Your own plan depends on the scar's size, age, site and how it has responded to anything tried before.
Keloid or hypertrophic scar?
When skin heals, it lays down collagen to close the wound. In some people that process does not switch off, and too much collagen builds up. The result is a raised scar. A hypertrophic scar stays within the borders of the original wound, often appears within weeks, and may flatten partly on its own over a year or two. A keloid spreads beyond the original wound into normal skin, keeps growing for months or years, and rarely settles without treatment.
Keloids can follow something as small as an ear piercing, an acne spot, a vaccination, a scratch or a chickenpox mark, and some appear with no injury the person remembers. They are often itchy or tender, and can feel like a pricking or crawling sensation. They are not cancer and do not turn into cancer, but they can be distressing, visible and uncomfortable.
The tendency runs in families and is noticeably more common in darker skin, which includes most skin types in India. It is also more common between puberty and the thirties.
A lump that grows fast, bleeds, ulcerates or looks different from a typical scar is examined properly, and a biopsy may be advised before treating it as a keloid.
Common sites and triggers
Keloids favour areas where the skin is under tension or moves a lot. The site affects how the scar is treated and how likely it is to return.
Chest & shoulders
The breastbone, shoulders and upper back are the most keloid-prone areas on the body, often after acne, surgery, a vaccination or a minor cut. These scars tend to spread sideways and can be itchy.
Earlobes
Earlobe keloids usually follow piercing, sometimes years later, and can appear on the front, back or both sides of the lobe. They respond well to combined treatment, and pressure earrings help keep them down.
Jawline & neck
Along the jaw and beard area, keloids often start from acne or ingrown hairs, particularly in men. Treating the acne or razor bumps is part of stopping new ones forming.
After surgery or injury
Scars from caesarean section, operations, burns or accidents can thicken in the weeks after healing. Starting treatment early, while the scar is still red and active, usually gives a better result.
How keloids are treated
Treatment is staged. Most keloids need a combination of methods, adjusted at each visit to how the scar is responding.
Assessment
Dr. Tanya examines the scar, confirms whether it is a keloid or hypertrophic scar, asks how and when it formed and what has been tried, and checks for other keloids or active acne that could start new ones.
Reducing the bulk
Thick scars are flattened with intralesional steroid injections, intralesional radiofrequency, or both. Softening the scar also usually eases itching and tenderness early in the course.
Home support
Silicone gel or sheets are used daily between visits, and pressure earrings for earlobe keloids. These make a real difference to the final result and to recurrence.
Follow-up
Once the scar is flat and settled, visits are spaced out rather than stopped. Any sign of regrowth is treated early, when a small top-up works far better than restarting.
Keloid treatment options explained
Each method works differently, and most plans use two or three together.
Intralesional steroid injection
The standard first treatment for most keloids and hypertrophic scars. A steroid is injected directly into the scar to reduce collagen build-up and inflammation, usually over several sessions. How it is given and its side effects are explained on the scar treatment page.
Read the full guideIntralesional radiofrequency (RF)
Treats the scar from the inside. After numbing, a fine insulated needle electrode is passed into the body of the keloid and short pulses of radiofrequency energy heat the dense tissue at its core, while the surface skin is largely spared. The heated tissue is broken down and reabsorbed over the following weeks, so the scar shrinks and softens. It suits bulky keloids that injections alone struggle to reach, and scars that have stopped responding to steroid, and is often followed by a steroid injection to lower the chance of regrowth. One to a few sessions, several weeks apart, are usual. The evidence comes from smaller studies and clinical experience rather than large trials, so it is used within a combined plan rather than as a stand-alone cure.
Silicone gel and sheets
Silicone hydrates the scar surface and helps normalise collagen production. It is simple and safe, useful both for active scars and for stopping a fresh surgical or injury scar from thickening, but it needs daily use for several months to work.
Pressure and pressure earrings
Steady pressure flattens scars by reducing blood flow and collagen formation. After an earlobe keloid is treated, pressure earrings or clip-on discs worn for many hours a day are one of the most effective ways to keep the lobe flat.
Surgery, only with adjuvant treatment
Cutting a keloid out on its own very often leads to a larger keloid in its place, so surgery is never a first choice. For selected keloids, such as a large earlobe keloid, excision may be considered, but only with adjuvant treatment started straight away: steroid injections into the wound, pressure and silicone, and in some cases radiation-based treatment through a specialist centre. Where surgery is the right option, it is arranged where appropriate.
Keloid treatment cost in Gurgaon
The cost depends on the size and number of scars, which treatments are combined and how many sessions they need. Once Dr. Tanya has examined the scar, you are given a written plan with the cost before anything is started.
Why stopping early costs more
A keloid that is flattened and then left alone often starts to regrow within months. Finishing the course, keeping up silicone or pressure, and coming back for a review when asked costs far less than treating a keloid that has returned larger than before.
Results, recurrence and safety
Most keloids and hypertrophic scars become flatter, softer, paler and less itchy with treatment. A scar does not disappear: the aim is a flat, comfortable mark that is much less noticeable. Hypertrophic scars usually respond more completely than keloids.
Keloids have a genuine tendency to come back, even after a good result, because the underlying tendency to over-heal remains. The risk is higher on the chest and shoulders, in large or long-standing keloids, and after surgery without adjuvant treatment. Follow-up visits exist to catch regrowth early. It also helps to avoid new piercings, tattoos and elective cuts in keloid-prone areas, and to treat acne promptly.
Steroid injections can thin the skin around the scar, leave small visible blood vessels or cause lighter patches, which is more noticeable on darker skin; careful dosing limits this. Intralesional RF can cause soreness, swelling and, occasionally, a small area of crusting or breakdown on the surface while it heals, and temporary darkening of the skin.
People who form keloids should mention it before any surgery, piercing, laser or other procedure, including dental and cosmetic work, so that the scar can be protected from the start.
What helps and what to avoid
Helps
- Using silicone gel or sheets every day, for as long as advised.
- Wearing pressure earrings consistently after earlobe keloid treatment.
- Treating acne and ingrown hairs early on the chest, back and jawline.
- Protecting the scar from the sun so it does not darken.
- Keeping follow-up visits after the scar has flattened.
Avoid
- Having a keloid cut or shaved off without adjuvant treatment planned.
- New piercings or tattoos in keloid-prone areas, and repiercing a treated earlobe.
- Picking, squeezing or rubbing the scar.
- Applying acids, home remedies or unprescribed steroid creams to the scar.
- Tight straps or clothing that rub over a scar on the chest or shoulders.
Keloids assessed by a dermatologist
Keloids reward patience and a plan that looks beyond the first injection. A dermatologist can tell a keloid from a hypertrophic scar or a different growth, choose the combination that suits its size and site, recognise early side effects on darker skin, and plan the follow-up that keeps a flattened keloid from returning.
Dr. Tanya Kochhar holds an MBBS from Kasturba Medical College, Manipal, an MD in Dermatology, Venereology and Leprosy from MGM Medical College, a DNB, and a post-doctoral fellowship in Aesthetic Dermatology (FRGUHS). She is registered with the National Medical Commission and the Delhi Medical Council.
Keloid treatment FAQs
Can a keloid be removed permanently?
Keloids can be flattened and controlled, but no treatment can guarantee one will never return, because the tendency to over-heal remains in the skin. Combining treatments, continuing silicone or pressure, and following up after the scar has flattened gives the lowest chance of recurrence. Regrowth caught early usually responds to a small top-up.
What is the difference between a keloid and a hypertrophic scar?
Both are raised scars caused by excess collagen. A hypertrophic scar stays within the edges of the original wound and may flatten partly on its own. A keloid spreads into the surrounding normal skin, keeps growing and rarely settles without treatment. The distinction matters because keloids need a longer plan and closer follow-up.
How much does keloid treatment cost in Gurgaon?
At Le Dermaire the cost depends on the size and number of scars, the treatments used and how many sessions they need, and is quoted in writing after the consultation. The consultation fee is Rs 1,800. There are no charges that are not quoted to you first.
What is intralesional RF for keloids?
It is a treatment in which a fine needle electrode is placed inside the numbed keloid and radiofrequency energy heats the scar tissue at its core. The tissue is reabsorbed over the following weeks, so the scar shrinks and softens. It suits bulky or steroid-resistant keloids and is usually combined with injections.
How many sessions will my keloid need?
Most keloids need several sessions over a few months. Steroid injections are commonly repeated every four to six weeks until the scar is flat, and intralesional RF usually takes one to a few sessions. Small, recent scars respond faster than large, old ones. Dr. Tanya reviews the response at each visit.
Should I have my earlobe keloid cut out?
Cutting out a keloid alone often leads to a bigger one. Many earlobe keloids can be flattened with injections or intralesional RF without surgery. Where excision is the sensible option, it is only done with adjuvant treatment such as steroid injections and pressure earrings started straight away, to limit the chance of it returning.
Can I get my ears pierced again after a keloid?
It is generally wiser not to repierce an ear that has formed a keloid, and to be cautious about new piercings anywhere. If you are set on it, discuss it with Dr. Tanya first so that the risk is understood and early treatment can be planned if a bump starts to form.
Where is the clinic in Gurgaon?
Le Dermaire is at 10P, 3rd Floor, Sector 28, Chakkarpur, Golf Course Road, Gurugram, opposite Phase 1. It is open Monday to Saturday from 3:30 PM to 9:00 PM and on Sunday from 11:00 AM to 9:00 PM.
Keloid treatment on Golf Course Road, Gurugram
Close to DLF Phases 1 to 5, Sushant Lok, Sohna Road and Golf Course Extension Road. Evening and Sunday slots make repeat injection visits easier to keep.
Golf Course Road, opposite DLF Phase 1,
Sector 28, Chakkarpur, Gurugram
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ExploreGet a plan for your raised scar
You will leave knowing whether it is a keloid or hypertrophic scar, which treatments suit it, how many visits to expect and what the course will cost.