Keloids: Can I Still Develop Them After Ear Piercing? - Dermatology

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Keloid formation after ear piercing?


My mother has keloid predisposition, and I'm not sure if I have it too.
I had my ears pierced once in middle school, but I let the piercing heal the next day and did not experience any keloid formation.
Does this mean I might still have a chance of developing keloids?

Feiery, 10~19 year old female. Ask Date: 2017/03/08

Dr. Wu Yuxin reply Dermatology


Such a description alone is insufficient to determine or predict.

Reply Date: 2017/03/08

More Info


Keloids, also known as hypertrophic scars, are raised scars that occur when the body produces too much collagen during the healing process. They can develop after skin injuries, including surgical incisions, cuts, burns, and even ear piercings. The tendency to form keloids can be influenced by genetic factors, skin type, and the location of the injury.
In your case, since your mother has a history of keloids, you may have a predisposition to developing them as well. However, just because your mother has keloids does not guarantee that you will develop them. The fact that you had an ear piercing in middle school and did not experience keloid formation is a positive sign. It suggests that your body may not have a strong tendency to form keloids, at least in that instance.

Keloids can form at any time after an injury, but they are most commonly seen within the first few months of healing. If you had your ear pierced and allowed it to heal without complications, the risk of developing a keloid from that specific piercing is likely low. However, it is important to note that keloids can develop from any skin trauma, even if the initial healing appears normal.

If you are considering getting another ear piercing or any other procedure that could potentially lead to skin trauma, here are some tips to minimize the risk of keloid formation:
1. Choose a Professional Piercer: Ensure that you go to a reputable and experienced professional who follows proper hygiene and technique. This can help reduce the risk of complications.

2. Aftercare: Follow the aftercare instructions provided by your piercer. Keeping the area clean and avoiding irritation can promote proper healing.

3. Monitor Healing: Keep an eye on the piercing as it heals. If you notice excessive redness, swelling, or raised tissue forming around the piercing, consult a healthcare professional.

4. Avoid Tension: If you have a tendency to develop keloids, avoid piercings in areas where there is a lot of movement or tension on the skin, as this can increase the likelihood of keloid formation.

5. Consult a Dermatologist: If you have concerns about keloids or if you have a family history of them, consider consulting a dermatologist before getting a piercing. They can provide personalized advice and may suggest preventive measures.

In conclusion, while you may have a genetic predisposition to keloids due to your mother's history, your previous experience with ear piercing without complications is a good indicator. If you decide to get another piercing, take the necessary precautions to minimize the risk of keloid formation. If you have any further concerns, it’s always best to consult with a healthcare professional who can provide guidance tailored to your specific situation.

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