Do keloids tend to recur after surgical removal?

Keloids are a type of raised scar that occur when the body produces an excess of collagen during the healing process. Surgical removal of keloids is often performed with the hope of achieving a smoother skin appearance. However, recurrence is a well-documented phenomenon in the management of keloids.

After surgical excision, keloids can regrow, and studies indicate that the recurrence rates can be significant, often exceeding 50%. This tendency for keloids to reform stems from the underlying genetic and physiological mechanisms associated with their development. When the skin is cut, it triggers the healing process, which can sometimes lead to the formation of a new keloid at the excision site, particularly if there is a predisposition to keloid formation in the individual.

While certain factors, such as age and skin type, may influence the likelihood of recurrence, the predominant characteristic of keloids is their propensity to return even after surgical intervention. Therefore, understanding this tendency is crucial for effective patient management and setting realistic expectations for those undergoing treatment for keloids.