Keloids on the Face: Causes, Treatments, and Concerns

Keloids on the face

Hello Doctor, I came to the UK about six months ago, and five months ago, I developed a pimple on my right cheek.
After I squeezed it, it turned into a raised wound.
Since I do not have a history of keloid formation, I did not pay much attention to it until it suddenly became more prominent and started to expand over the last two months.
My questions are: 1.
Given that I do not have a keloid tendency and have been developing other pimples over the past six months without them turning into keloids, is it possible for a single wound to develop into a keloid? 2.
Since it is on my face, could cosmetics, facial cleansers, skincare products, or makeup removers affect it and cause it to grow larger? 3.
Since coming to the UK, my menstrual cycle has changed from occurring monthly to every two weeks; could there be a connection? 4.
I am currently working abroad and am unsure if it would be better to see a doctor in Taiwan.
:( Thank you.

M, 20~29 year old female. Ask Date: 2017/02/26

Dr. Wu Yuxin reply Dermatology

1.
The chances are slim.
2.
No.
3.
Without actually seeing the lesion, it cannot be determined.
If it is very concerning, please seek medical attention promptly.

Reply Date: 2017/02/26

More Info

Keloids are a type of raised scar that can develop at the site of an injury, including acne lesions. They occur when the body produces an excess of collagen during the healing process, leading to a thick, fibrous tissue that extends beyond the original wound site. Understanding the causes, treatments, and concerns related to keloids, especially on the face, is essential for effective management.

Causes of Keloids
1. Genetic Predisposition: While you mentioned that you do not have a history of keloids, it is important to note that some individuals are genetically predisposed to developing keloids. This means that even if you have not experienced keloids in the past, a single injury can trigger their formation in susceptible individuals.

2. Injury or Trauma: Keloids can develop from various types of skin injuries, including surgical incisions, cuts, burns, and even acne. In your case, the acne lesion that was squeezed may have led to an abnormal healing response, resulting in a keloid.

3. Skin Type and Location: Keloids are more common in individuals with darker skin tones and can occur more frequently on certain body parts, including the chest, back, and shoulders. The face is also a common site for keloids, which can be particularly concerning due to cosmetic implications.

Treatment Options
1. Corticosteroid Injections: One of the most common treatments for keloids involves injecting corticosteroids directly into the keloid. This can help reduce inflammation and flatten the keloid over time.

2. Surgical Removal: In some cases, surgical excision of the keloid may be considered. However, there is a risk of recurrence, and often, this is combined with other treatments like corticosteroid injections or radiation therapy to minimize the chance of the keloid returning.

3. Silicone Gel Sheets: These can be applied to the keloid to help flatten it over time. They are often recommended as a non-invasive treatment option.

4. Laser Therapy: Laser treatments can help reduce the redness and size of keloids. This option is often used in conjunction with other treatments.

5. Cryotherapy: Freezing the keloid with liquid nitrogen can also be effective, especially for smaller keloids.

Concerns Regarding Skincare Products
Regarding your question about whether cosmetics, cleansers, and skincare products can affect the keloid, it is essential to be cautious. Some products may irritate the skin or cause allergic reactions, potentially exacerbating the keloid. It is advisable to:
- Use Non-Comedogenic Products: Choose skincare and makeup products labeled as non-comedogenic to avoid clogging pores and causing further acne.

- Patch Test New Products: Before applying any new product to your face, perform a patch test on a small area of skin to check for adverse reactions.

- Consult a Dermatologist: A dermatologist can provide personalized recommendations for skincare products that are safe for your skin type and condition.

Menstrual Cycle Changes
As for the changes in your menstrual cycle since moving to the UK, it is not uncommon for women to experience alterations in their menstrual patterns due to various factors, including stress, changes in diet, and environmental factors. While it may not be directly related to the keloid, it is worth discussing with a healthcare provider if the changes are significant or concerning.

Seeking Medical Advice
Given the concerns about the keloid on your face and the changes in your menstrual cycle, it would be prudent to consult a healthcare professional. If you are considering returning to Taiwan for medical advice, ensure that you find a qualified dermatologist or plastic surgeon who specializes in scar management. They can provide a thorough evaluation and recommend the most appropriate treatment options based on your specific situation.

In conclusion, while keloids can develop even in individuals without a prior history, effective treatment options are available. Being proactive about your skincare and seeking professional advice will help you manage the keloid and any related concerns effectively.

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