Table of ContentsView AllTable of ContentsFactors Influencing HealingHome RemediesTreatmentsPreventionImproving Self-Esteem

Table of ContentsView All

View All

Table of Contents

Factors Influencing Healing

Home Remedies

Treatments

Prevention

Improving Self-Esteem

Keloids are raised scarsyou might develop after a skin injury, like apiercingor surgery. When keloids form, they can grow or become misshapen due to abnormal overgrowth of scar tissue as a wound heals. In rare cases, people develop a spontaneous keloid in an area where they were never injured.Certain people are prone to keloids, which can occur anywhere on the body and may be more bothersome in certain places. Areas that are highly noticeable or where your skin rubs together are some of the more difficult places to live with a keloid.This article will explore how keloids form and the dos and don’ts of getting rid of keloids.piccerella / Getty ImagesMore Skin ConditionsFactors That Influence Keloid HealingKeloids form because the body produces excess collagen during the healing process. Although anyone can potentially develop a keloid, some people are more likely to have keloid-prone skin, such as:People of Black, Asian, or Latinx ethnicityPeople with more melanin anddarker skin tonesPeople with a family history of keloidsPeople aged 10 to 30 years of ageKeloids also can develop during pregnancy.Keloids and PregnancyPregnancy hormones can contribute to keloid formation, as well as the changing appearance of other scar tissue. The size and color of scars may fade after delivery, but most of the time, it is because pregnant people have more treatment options after pregnancy than during.Keloid treatment during pregnancy is not well-researched, and if you develop keloids during pregnancy, you’ll likely be advised to delay treatment until after delivery.Keloids can develop from any injury or spontaneously in rare cases. However, certain types of injuries are associated with keloid development:Deeper woundsBody piercingsBurnsCuts or scrapesBug bitesSurgical incisions or woundsTattoosInflammatory skin diseasesSkin Discoloration Causes and TreatmentsDosCrush aspirin tablets to make a paste and apply it to a scar.Apply honey to the affected area.Try topical garlic or onion extract.Talk to a healthcare provider about medical treatment options.Don’tsDo not use hydrogen peroxide or other products that could dry out a wound.Do not epose your scar to the sun without any sun protection.Do not act impulsively (consider your risk of keloids before getting a piercing, tattoo, or engaging in other activities that increase your risk).Home Remedies for KeloidsPrevention is generally regarded as the best strategy for dealing with keloid-prone skin. The following home remedies may assist in wound healing and preventing a scar from developing into a keloid:Aspirin: Crushed aspirin tablets made into a paste and applied to the scar for one or two hours may help reduce scars that appear larger or darker due to inflammation.Honey:Honey is used in various skin treatments and wound dressings for its anti-inflammatory properties. It can help reduce scar size and appearance. Certain types of honey, however, are noted to be more potent and possibly more effective than others, including Kelulut honey (a honey with strong antioxidant properties).Garlic: Garlic historically has been used as a home remedy for wound healing and infection prevention. Several studies have shown that garlic extract applied topically helps prevent and treat scars.Allicinis the active ingredient that is believed to help lighten and reduce scar size and improve healing.Onion: Onion extract, sometimes sold as a topical ointment calledCepalin, has anti-inflammatory properties to prevent scar tissue formation. According to some experts, onion is the next best thing for scar prevention next to silicone-based products.7 Dos and Don’ts for Getting Rid of KeloidsMedical Treatments for KeloidsThere are several medications and therapies to help reduce the appearance of keloids. However, these options also warn that some keloids can worsen after treatment.Since keloids form from scar tissue, they can form again in the area that is left to heal after keloid removal. The most effective keloid treatment strategies include:Cryotherapy(using extreme cold at freezing or near-freezing temperatures)Injected medications (liketriamcinolone acetonide)Laser therapyAdjuvant intralesional kenalogPressure or superficial radiationTopical or injectable 5-fluorouracil (a type of chemotherapy)In one study, keloids treated with laser therapy returned in 95% of people. Recurrence was less common in treatments like injected medication, but treatment efficacy varies from person to person.Another technique used to treat facial keloids employs a flap of skin left over the keloid’s surface after its removal. The thought is that preserving the keloid skin flap over the section of scar tissue that is removed can help prevent the formation of a new keloid.Talk to a healthcare provider about your risks and expected results before starting therapies or keloid treatments.Keloids and Piercings: What You Should KnowKeloid formation is a commoncomplication of ear piercing, though the risk is the same with piercings anywhere if you are prone to keloids. Though common, keloids are challenging to treat and often require various types of treatment to see noticeable improvement.There is no single, most effective way to treat them. Before getting a piercing, consider your skin type and family history, and talk to a healthcare provider to learn about your risk of developing a keloid scar.How to Prevent KeloidsOnce you develop a keloid, it can be challenging to eliminate. People with keloid-prone skin or a history of keloid scars should take special precautions to protect themselves from injuries that could turn into a keloid. This might mean avoidingbody piercings, tattoos, andelective or cosmetic surgeries.If you have surgery or develop an injury, proper wound care may help you prevent a keloid. Steps to prevent a wound from turning into a keloid may include things like:Gently cleaning the woundKeeping the wound moistApplying silicone gel or sheets to healing woundsAvoiding products likehydrogen peroxidethat can dry the wound outYou should also protect healing skin from the sun to help prevent discoloration and keloid formation. Keloids can take time to appear, and sun damage can make these scars more visible. Using sunscreen and othersun protectioncan help minimize keloid appearance.Ways to Improve Self-EsteemIf you have keloid-prone skin, the chances that one of these scars will appear on a visible part of your body are high. In a study of 61 people with exposed keloid scars, researchers found that 40% of people reported that their scars negatively impacted their self-image.Itching, movement restrictions, and other discomforts are some physical symptoms that can come with a keloid. There are also psychosocial effects like depression, anxiety, and other daily stresses that can be associated with these scars.A healthcare provider or therapist can help you manage your perception of scarring, especially in highly noticeable areas. Knowing your risk of developing a keloid and how to reduce excessive scarring can help you cope.Other coping strategies include:Join a support group or find a community of people who share your experience.Consider cognitive behavioral therapy (a form of talk therapy) to examine and change dysfunctional beliefs and self-assumptions and help with decision-making, overcoming social anxiety, andimproving your self-worth.Try counseling or meditation to help improve your response to anxiety or stress about your appearance.How to Build Self-ConfidenceSummaryKeloids are scars that grow larger than most and usually appear raised or darker than your natural skin. These scars can cause discomfort and stress but have the most impact when they develop in noticeable areas. If you are prone to keloid scarring, carefully consider piercings or optional procedures that could lead to scar formation.If you can’t avoid a surgery or injury that might leave a facial scar, a healthcare provider can provide treatment options to help minimize the appearance of keloids and other resources to help you cope.

Keloids are raised scarsyou might develop after a skin injury, like apiercingor surgery. When keloids form, they can grow or become misshapen due to abnormal overgrowth of scar tissue as a wound heals. In rare cases, people develop a spontaneous keloid in an area where they were never injured.

Certain people are prone to keloids, which can occur anywhere on the body and may be more bothersome in certain places. Areas that are highly noticeable or where your skin rubs together are some of the more difficult places to live with a keloid.

This article will explore how keloids form and the dos and don’ts of getting rid of keloids.

piccerella / Getty Images

close up image of keloids on the back and shoulder

More Skin Conditions

Factors That Influence Keloid Healing

Keloids form because the body produces excess collagen during the healing process. Although anyone can potentially develop a keloid, some people are more likely to have keloid-prone skin, such as:

Keloids also can develop during pregnancy.

Keloids and PregnancyPregnancy hormones can contribute to keloid formation, as well as the changing appearance of other scar tissue. The size and color of scars may fade after delivery, but most of the time, it is because pregnant people have more treatment options after pregnancy than during.Keloid treatment during pregnancy is not well-researched, and if you develop keloids during pregnancy, you’ll likely be advised to delay treatment until after delivery.

Keloids and Pregnancy

Pregnancy hormones can contribute to keloid formation, as well as the changing appearance of other scar tissue. The size and color of scars may fade after delivery, but most of the time, it is because pregnant people have more treatment options after pregnancy than during.Keloid treatment during pregnancy is not well-researched, and if you develop keloids during pregnancy, you’ll likely be advised to delay treatment until after delivery.

Pregnancy hormones can contribute to keloid formation, as well as the changing appearance of other scar tissue. The size and color of scars may fade after delivery, but most of the time, it is because pregnant people have more treatment options after pregnancy than during.

Keloid treatment during pregnancy is not well-researched, and if you develop keloids during pregnancy, you’ll likely be advised to delay treatment until after delivery.

Keloids can develop from any injury or spontaneously in rare cases. However, certain types of injuries are associated with keloid development:

Skin Discoloration Causes and Treatments

DosCrush aspirin tablets to make a paste and apply it to a scar.Apply honey to the affected area.Try topical garlic or onion extract.Talk to a healthcare provider about medical treatment options.Don’tsDo not use hydrogen peroxide or other products that could dry out a wound.Do not epose your scar to the sun without any sun protection.Do not act impulsively (consider your risk of keloids before getting a piercing, tattoo, or engaging in other activities that increase your risk).

DosCrush aspirin tablets to make a paste and apply it to a scar.Apply honey to the affected area.Try topical garlic or onion extract.Talk to a healthcare provider about medical treatment options.

Crush aspirin tablets to make a paste and apply it to a scar.

Apply honey to the affected area.

Try topical garlic or onion extract.

Talk to a healthcare provider about medical treatment options.

Don’tsDo not use hydrogen peroxide or other products that could dry out a wound.Do not epose your scar to the sun without any sun protection.Do not act impulsively (consider your risk of keloids before getting a piercing, tattoo, or engaging in other activities that increase your risk).

Do not use hydrogen peroxide or other products that could dry out a wound.

Do not epose your scar to the sun without any sun protection.

Do not act impulsively (consider your risk of keloids before getting a piercing, tattoo, or engaging in other activities that increase your risk).

Home Remedies for Keloids

Prevention is generally regarded as the best strategy for dealing with keloid-prone skin. The following home remedies may assist in wound healing and preventing a scar from developing into a keloid:

7 Dos and Don’ts for Getting Rid of Keloids

Medical Treatments for Keloids

There are several medications and therapies to help reduce the appearance of keloids. However, these options also warn that some keloids can worsen after treatment.

Since keloids form from scar tissue, they can form again in the area that is left to heal after keloid removal. The most effective keloid treatment strategies include:

In one study, keloids treated with laser therapy returned in 95% of people. Recurrence was less common in treatments like injected medication, but treatment efficacy varies from person to person.

Another technique used to treat facial keloids employs a flap of skin left over the keloid’s surface after its removal. The thought is that preserving the keloid skin flap over the section of scar tissue that is removed can help prevent the formation of a new keloid.

Talk to a healthcare provider about your risks and expected results before starting therapies or keloid treatments.

Keloids and Piercings: What You Should KnowKeloid formation is a commoncomplication of ear piercing, though the risk is the same with piercings anywhere if you are prone to keloids. Though common, keloids are challenging to treat and often require various types of treatment to see noticeable improvement.There is no single, most effective way to treat them. Before getting a piercing, consider your skin type and family history, and talk to a healthcare provider to learn about your risk of developing a keloid scar.

Keloids and Piercings: What You Should Know

Keloid formation is a commoncomplication of ear piercing, though the risk is the same with piercings anywhere if you are prone to keloids. Though common, keloids are challenging to treat and often require various types of treatment to see noticeable improvement.There is no single, most effective way to treat them. Before getting a piercing, consider your skin type and family history, and talk to a healthcare provider to learn about your risk of developing a keloid scar.

Keloid formation is a commoncomplication of ear piercing, though the risk is the same with piercings anywhere if you are prone to keloids. Though common, keloids are challenging to treat and often require various types of treatment to see noticeable improvement.

There is no single, most effective way to treat them. Before getting a piercing, consider your skin type and family history, and talk to a healthcare provider to learn about your risk of developing a keloid scar.

How to Prevent Keloids

Once you develop a keloid, it can be challenging to eliminate. People with keloid-prone skin or a history of keloid scars should take special precautions to protect themselves from injuries that could turn into a keloid. This might mean avoidingbody piercings, tattoos, andelective or cosmetic surgeries.

If you have surgery or develop an injury, proper wound care may help you prevent a keloid. Steps to prevent a wound from turning into a keloid may include things like:

You should also protect healing skin from the sun to help prevent discoloration and keloid formation. Keloids can take time to appear, and sun damage can make these scars more visible. Using sunscreen and othersun protectioncan help minimize keloid appearance.

Ways to Improve Self-Esteem

If you have keloid-prone skin, the chances that one of these scars will appear on a visible part of your body are high. In a study of 61 people with exposed keloid scars, researchers found that 40% of people reported that their scars negatively impacted their self-image.

Itching, movement restrictions, and other discomforts are some physical symptoms that can come with a keloid. There are also psychosocial effects like depression, anxiety, and other daily stresses that can be associated with these scars.

A healthcare provider or therapist can help you manage your perception of scarring, especially in highly noticeable areas. Knowing your risk of developing a keloid and how to reduce excessive scarring can help you cope.

Other coping strategies include:

How to Build Self-Confidence

Summary

Keloids are scars that grow larger than most and usually appear raised or darker than your natural skin. These scars can cause discomfort and stress but have the most impact when they develop in noticeable areas. If you are prone to keloid scarring, carefully consider piercings or optional procedures that could lead to scar formation.

If you can’t avoid a surgery or injury that might leave a facial scar, a healthcare provider can provide treatment options to help minimize the appearance of keloids and other resources to help you cope.

14 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American Academy of Dermatology Association.Keloid scars: Causes.Ibrahim NE, Shaharan S, Dheansa B.Adverse effects of pregnancy on keloids and hypertrophic scars.Cureus. December 2020;12(12):e12154. doi:10.7759/cureus.12154.Wang ZC, Zhao WY, Cao Y, Liu YQ, Sun Q, Shi P, Cai JQ, Shen XZ, Tan WQ.The roles of inflammation in keloid and hypertrophic scars.Front Immunol.December 2020;11:603187. doi:10.3389/fimmu.2020.603187.Nordin A, Chowdhury SR, Saim AB, Bt Hj Idrus R.Effect of Kelulut honey on the cellular dynamics of TGFβ-induced epithelial to mesenchymal transition in primary human keratinocytes.Int J Environ Res Public Health.May 2020;17(9):3229. doi:10.3390/ijerph17093229.Alhashim M, Lombardo J.Effect of topical garlic on wound healing and scarring: A clinical trial.Derm. Surg.May 2020;46(5):p 618-627, doi:10.1097/DSS.0000000000002123.Poetschke J, Gauglitz GG.Onion extract.Textbook on Scar Management.doi:10.1007/978-3-030-44766-3_24.Morelli Coppola M, Salzillo R, Segreto F, Persichetti P.Triamcinolone acetonide intralesional injection for the treatment of keloid scars: patient selection and perspectives.Clin Cosmet Investig Dermatol. 2018;11:387-396. doi:10.2147/CCID.S133672Lee Y, Kim J, Yang CE, Hong JW, Lee WJ, Lee JH.Combined therapeutic strategies for keloid treatment.Derm. Surg.June 2019;45(6):802-810. doi:10.1097/DSS.0000000000001695.Liu S, Liang W, Song K, Wang Y.Keloid skin flap retention and resurfacing in facial keloid treatment.Aesthetic Plast Surg.February 2018;42(1):304-309. doi:10.1007/s00266-017-0949-1.Jones M, McLane J, Adenegan R, Lee J, Ganzer C.Advancing keloid treatment: A novel multimodal approach to ear keloids.Derm. Surg.September 2017;43(9):1164-1169. doi:10.1097/DSS.0000000000001145.American Academy of Dermatology Association.Keloid scars: Self-care.Motoki THC, Isoldi FC, Azevedo Brito FC, et al.Keloid negatively affects body image.Burns.May 2019;45(3), 610-614. doi:10.1016/j.burns.2018.10.009.Kim SW.Response to letter: Comments on management of keloid scars: Noninvasive and invasive treatments.Archives of Plastic Surgery.January 2020;3;50.01:118. doi:10.1055/s-0042-1758642.Van Loey NEE.Psychological impact of living with scars following burn injury.Textbook on Scar Management: State of the Art Management and Emerging Technologies.December 2020. doi: 10.1007/978-3-030-44766-3_48.

14 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.American Academy of Dermatology Association.Keloid scars: Causes.Ibrahim NE, Shaharan S, Dheansa B.Adverse effects of pregnancy on keloids and hypertrophic scars.Cureus. December 2020;12(12):e12154. doi:10.7759/cureus.12154.Wang ZC, Zhao WY, Cao Y, Liu YQ, Sun Q, Shi P, Cai JQ, Shen XZ, Tan WQ.The roles of inflammation in keloid and hypertrophic scars.Front Immunol.December 2020;11:603187. doi:10.3389/fimmu.2020.603187.Nordin A, Chowdhury SR, Saim AB, Bt Hj Idrus R.Effect of Kelulut honey on the cellular dynamics of TGFβ-induced epithelial to mesenchymal transition in primary human keratinocytes.Int J Environ Res Public Health.May 2020;17(9):3229. doi:10.3390/ijerph17093229.Alhashim M, Lombardo J.Effect of topical garlic on wound healing and scarring: A clinical trial.Derm. Surg.May 2020;46(5):p 618-627, doi:10.1097/DSS.0000000000002123.Poetschke J, Gauglitz GG.Onion extract.Textbook on Scar Management.doi:10.1007/978-3-030-44766-3_24.Morelli Coppola M, Salzillo R, Segreto F, Persichetti P.Triamcinolone acetonide intralesional injection for the treatment of keloid scars: patient selection and perspectives.Clin Cosmet Investig Dermatol. 2018;11:387-396. doi:10.2147/CCID.S133672Lee Y, Kim J, Yang CE, Hong JW, Lee WJ, Lee JH.Combined therapeutic strategies for keloid treatment.Derm. Surg.June 2019;45(6):802-810. doi:10.1097/DSS.0000000000001695.Liu S, Liang W, Song K, Wang Y.Keloid skin flap retention and resurfacing in facial keloid treatment.Aesthetic Plast Surg.February 2018;42(1):304-309. doi:10.1007/s00266-017-0949-1.Jones M, McLane J, Adenegan R, Lee J, Ganzer C.Advancing keloid treatment: A novel multimodal approach to ear keloids.Derm. Surg.September 2017;43(9):1164-1169. doi:10.1097/DSS.0000000000001145.American Academy of Dermatology Association.Keloid scars: Self-care.Motoki THC, Isoldi FC, Azevedo Brito FC, et al.Keloid negatively affects body image.Burns.May 2019;45(3), 610-614. doi:10.1016/j.burns.2018.10.009.Kim SW.Response to letter: Comments on management of keloid scars: Noninvasive and invasive treatments.Archives of Plastic Surgery.January 2020;3;50.01:118. doi:10.1055/s-0042-1758642.Van Loey NEE.Psychological impact of living with scars following burn injury.Textbook on Scar Management: State of the Art Management and Emerging Technologies.December 2020. doi: 10.1007/978-3-030-44766-3_48.

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

American Academy of Dermatology Association.Keloid scars: Causes.Ibrahim NE, Shaharan S, Dheansa B.Adverse effects of pregnancy on keloids and hypertrophic scars.Cureus. December 2020;12(12):e12154. doi:10.7759/cureus.12154.Wang ZC, Zhao WY, Cao Y, Liu YQ, Sun Q, Shi P, Cai JQ, Shen XZ, Tan WQ.The roles of inflammation in keloid and hypertrophic scars.Front Immunol.December 2020;11:603187. doi:10.3389/fimmu.2020.603187.Nordin A, Chowdhury SR, Saim AB, Bt Hj Idrus R.Effect of Kelulut honey on the cellular dynamics of TGFβ-induced epithelial to mesenchymal transition in primary human keratinocytes.Int J Environ Res Public Health.May 2020;17(9):3229. doi:10.3390/ijerph17093229.Alhashim M, Lombardo J.Effect of topical garlic on wound healing and scarring: A clinical trial.Derm. Surg.May 2020;46(5):p 618-627, doi:10.1097/DSS.0000000000002123.Poetschke J, Gauglitz GG.Onion extract.Textbook on Scar Management.doi:10.1007/978-3-030-44766-3_24.Morelli Coppola M, Salzillo R, Segreto F, Persichetti P.Triamcinolone acetonide intralesional injection for the treatment of keloid scars: patient selection and perspectives.Clin Cosmet Investig Dermatol. 2018;11:387-396. doi:10.2147/CCID.S133672Lee Y, Kim J, Yang CE, Hong JW, Lee WJ, Lee JH.Combined therapeutic strategies for keloid treatment.Derm. Surg.June 2019;45(6):802-810. doi:10.1097/DSS.0000000000001695.Liu S, Liang W, Song K, Wang Y.Keloid skin flap retention and resurfacing in facial keloid treatment.Aesthetic Plast Surg.February 2018;42(1):304-309. doi:10.1007/s00266-017-0949-1.Jones M, McLane J, Adenegan R, Lee J, Ganzer C.Advancing keloid treatment: A novel multimodal approach to ear keloids.Derm. Surg.September 2017;43(9):1164-1169. doi:10.1097/DSS.0000000000001145.American Academy of Dermatology Association.Keloid scars: Self-care.Motoki THC, Isoldi FC, Azevedo Brito FC, et al.Keloid negatively affects body image.Burns.May 2019;45(3), 610-614. doi:10.1016/j.burns.2018.10.009.Kim SW.Response to letter: Comments on management of keloid scars: Noninvasive and invasive treatments.Archives of Plastic Surgery.January 2020;3;50.01:118. doi:10.1055/s-0042-1758642.Van Loey NEE.Psychological impact of living with scars following burn injury.Textbook on Scar Management: State of the Art Management and Emerging Technologies.December 2020. doi: 10.1007/978-3-030-44766-3_48.

American Academy of Dermatology Association.Keloid scars: Causes.

Ibrahim NE, Shaharan S, Dheansa B.Adverse effects of pregnancy on keloids and hypertrophic scars.Cureus. December 2020;12(12):e12154. doi:10.7759/cureus.12154.

Wang ZC, Zhao WY, Cao Y, Liu YQ, Sun Q, Shi P, Cai JQ, Shen XZ, Tan WQ.The roles of inflammation in keloid and hypertrophic scars.Front Immunol.December 2020;11:603187. doi:10.3389/fimmu.2020.603187.

Nordin A, Chowdhury SR, Saim AB, Bt Hj Idrus R.Effect of Kelulut honey on the cellular dynamics of TGFβ-induced epithelial to mesenchymal transition in primary human keratinocytes.Int J Environ Res Public Health.May 2020;17(9):3229. doi:10.3390/ijerph17093229.

Alhashim M, Lombardo J.Effect of topical garlic on wound healing and scarring: A clinical trial.Derm. Surg.May 2020;46(5):p 618-627, doi:10.1097/DSS.0000000000002123.

Poetschke J, Gauglitz GG.Onion extract.Textbook on Scar Management.doi:10.1007/978-3-030-44766-3_24.

Morelli Coppola M, Salzillo R, Segreto F, Persichetti P.Triamcinolone acetonide intralesional injection for the treatment of keloid scars: patient selection and perspectives.Clin Cosmet Investig Dermatol. 2018;11:387-396. doi:10.2147/CCID.S133672

Lee Y, Kim J, Yang CE, Hong JW, Lee WJ, Lee JH.Combined therapeutic strategies for keloid treatment.Derm. Surg.June 2019;45(6):802-810. doi:10.1097/DSS.0000000000001695.

Liu S, Liang W, Song K, Wang Y.Keloid skin flap retention and resurfacing in facial keloid treatment.Aesthetic Plast Surg.February 2018;42(1):304-309. doi:10.1007/s00266-017-0949-1.

Jones M, McLane J, Adenegan R, Lee J, Ganzer C.Advancing keloid treatment: A novel multimodal approach to ear keloids.Derm. Surg.September 2017;43(9):1164-1169. doi:10.1097/DSS.0000000000001145.

American Academy of Dermatology Association.Keloid scars: Self-care.

Motoki THC, Isoldi FC, Azevedo Brito FC, et al.Keloid negatively affects body image.Burns.May 2019;45(3), 610-614. doi:10.1016/j.burns.2018.10.009.

Kim SW.Response to letter: Comments on management of keloid scars: Noninvasive and invasive treatments.Archives of Plastic Surgery.January 2020;3;50.01:118. doi:10.1055/s-0042-1758642.

Van Loey NEE.Psychological impact of living with scars following burn injury.Textbook on Scar Management: State of the Art Management and Emerging Technologies.December 2020. doi: 10.1007/978-3-030-44766-3_48.

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