A keloid scar is an area of scar tissue that has formed from a previous trauma - this may have been a small injury, such as an insect bite or acne, or a larger and more memorable injury, such as the site of keyhole surgery or a burn. Your body has gone into overdrive trying to repair the wound and has formed a lot of collagen. This raised shiny area will feel smooth and firm, and usually in an oval or line shape, and commonly seen on the chest, back, shoulders, neck and stomach. It often extends beyond the original wound. You may have other such scars, or family members may also have a tendency to form keloid scars. They are more common in Afro-Caribbean and Asian skin, where scars turn dark brown or black rather than the red or pink scars on Caucasian skin. They most commonly form between the ages of 10 and 30 but can form at any age. The protrusion may shrink with time and grow paler, but will likely be lifelong. Keloid scars carry no risk in themselves, although some people are bothered by how they appear, and they may be itchy, painful or give a burning sensation.
Keloid scars are not contagious. If you have a tendency towards keloid scars, you should be cautious about getting piercings or unnecessary minor surgery. Scars and other unusual aspects of appearance can be damaging to our self-confidence, causing self-consciousness or low self-esteem. It can cause low mood and anxiety. There are a number of organisations that can provide more information and support, or advise on specialist cosmetics to camouflage the scar.
Keloid scars are best to be discussed with your doctor if they are really bothersome, although there are some pharmacy options to trial. These options include topical silicone gel, silicone gel sheets, or skin camouflage (make-up). Combinations of these treatments can be trialled, although we should be clear that the treatments can sometimes have very minimal results.
You are fit for work with a keloid scar.
If this is new or bothersome, it is worth getting this checked with your doctor. Successful treatment is difficult, and may not be available on the NHS. Treatment often aims to flatten the scar or reduce the redness. If you are particularly bothered by the appearance or sensation of your keloid scar, book a routine appointment with your doctor to discuss, or you may wish to see a Dermatologist privately. If you are suffering depression or anxiety as a result of your scar, you should see your doctor in a routine appointment.