Is Waxing Safe for Keloid-Prone Skin? Expert Insights - Dermatology

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Keloid wax hair removal


When I was a child, I had acne on my chest, which later developed into multiple keloids.
Currently, I manage them with regular injections, but I haven't experienced keloids in other areas.
Recently, with the hot weather, I want to get full arm and leg waxing, as well as VIO waxing, but I'm unsure if waxing is suitable given my keloids.
Could waxing trigger a flare-up?

yz, 20~29 year old female. Ask Date: 2023/07/24

Dr. Wu Yuxin reply Dermatology


Most people will not get burned.

Reply Date: 2023/07/24

More Info


Waxing can be a popular method for hair removal, but for individuals with keloid-prone skin, such as yourself, it is essential to approach this practice with caution. Keloids are raised scars that can form after skin injury, and they can be triggered by various forms of trauma, including waxing.
When you wax, the process involves pulling hair out from the root, which can cause trauma to the skin. For someone with a history of keloids, this trauma could potentially lead to the formation of new keloids or exacerbate existing ones. The risk is particularly significant in areas where keloids have previously developed, such as your chest.
Experts generally advise individuals with keloid-prone skin to avoid any hair removal methods that can cause skin trauma, including waxing, shaving, and even certain types of laser hair removal. Instead, alternative hair removal methods that are less likely to cause skin irritation or injury may be recommended. These alternatives include:
1. Depilatory Creams: These are chemical-based creams that dissolve hair at the skin's surface. However, it is crucial to perform a patch test first to ensure that your skin does not react adversely to the chemicals.

2. Electrolysis: This method involves using an electric current to destroy hair follicles. It is a more permanent solution and does not typically cause the same level of trauma as waxing.

3. Laser Hair Removal: While this method can be effective, it is essential to consult with a dermatologist experienced in treating keloid-prone skin. They can assess your skin type and history to determine if this method is safe for you.

4. Trimming: Using scissors or an electric trimmer can help manage hair without causing trauma to the skin.

If you are considering waxing despite the risks, it is crucial to consult with a dermatologist or a healthcare professional who understands your skin condition. They can provide personalized advice and may recommend a test patch on a small area of skin that is not prone to keloids to see how your skin reacts before proceeding with larger areas.

In summary, while waxing may be a common hair removal method, it poses risks for individuals with keloid-prone skin. The potential for skin trauma and the subsequent risk of keloid formation or exacerbation should be carefully considered. Consulting with a dermatologist is the best course of action to ensure that you choose a hair removal method that is safe for your skin type and condition.

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