Silicone sheets, excisions, and more
Photo-Illustration: by The Cut; Photos: Getty Images When I got my first-ever secret tattoo at the tender age of 16, I expected my mom to be livid. I braced myself for the typical parental admonishment around how I would feel about it on my wedding day in 20 years. What I did not foresee, however, was a sobering reminder that keloids run in my family and that what seemed like a fun, rebellious moment could quickly become a saga of frustration and suffering if I wasn’t careful.
A keloid is a type of raised scar that grows larger than the original wound, often becoming a rounded, solid mass that can be painful, itchy, obstructive, and generally unwelcome. Any type of trauma to skin, from an ear piercing to a surgical incision, can trigger a keloid that can continuously expand over the course of months to years. Like hyperpigmentation, keloids are more common in people of color, namely those of African ancestry.
Although I was lucky to come out of that tattoo unscathed, the reality of a predisposition to keloidal scarring is not lost on me. Darker-skinned individuals develop keloids 15 times more frequently than others, according to research done on plastic surgery on ethnic skin. These scars have a high rate of recurrence, and no single treatment method has proved superior.
“I wish people knew there are actual keloid treatments,” Dr. Henry reassures us. “They think they’ve just inherited them and there’s nothing to do, but we have many viable options and, in most cases, you get significant improvement.” Those looking to treat and prevent keloids can expect to undergo a combination of the following approaches for best results.Steroid Injections Steroid injections are the first line of attack against keloids at Henry’s practice.
While the general inaccessibility of dermatology services paired with a cultural mistrust of medicine poses unique obstacles for Black people looking for answers, Henry is adamant about spreading the word on keloid care: “A lot of people with keloids come in for something else and just don’t believe they can fix it, but we end up talking about it and being able to treat it.”
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