Keloids: Can They Occur on the Scalp?

Regarding the locations where keloids occur?

I previously hit my head against a cabinet, and the swelling on my scalp hasn't gone down.
It feels like a keloid, and it doesn't hurt when pressed.
My family has a history of keloid formation.
Can keloids occur on the scalp as well?

yammi, 20~29 year old female. Ask Date: 2015/08/10

Dr. Wu Yuxin reply Dermatology

Of course.

Reply Date: 2015/08/10

More Info

Keloids are a type of raised scar that occurs when the body produces too much collagen during the healing process after an injury. They can appear anywhere on the body, including the scalp. Given your description of a lump on your scalp that resembles a keloid and your family history of keloid formation, it is indeed possible that what you are experiencing is a keloid.

Keloids can develop after various types of skin injuries, including cuts, burns, surgical incisions, and even minor injuries such as insect bites or acne. In your case, the trauma from hitting your head against a cabinet could have triggered the keloid formation. The fact that the lump is not painful and has a firm texture is consistent with keloid characteristics.
It's important to note that keloids are more common in individuals with a family history of keloid formation, as genetic factors play a significant role in their development. Certain ethnic groups, particularly those with darker skin, are also more prone to developing keloids.
If you suspect that the lump on your scalp is a keloid, it would be advisable to consult a dermatologist. They can perform a thorough examination and may recommend treatment options if necessary. Treatment for keloids can include:
1. Corticosteroid Injections: These can help flatten the keloid and reduce inflammation.

2. Surgery: In some cases, surgical removal of the keloid may be an option, but there is a risk of recurrence.

3. Laser Therapy: This can help reduce the size and color of the keloid.

4. Silicone Gel Sheets: These can be applied to the keloid to help flatten it over time.

5. Cryotherapy: Freezing the keloid can help reduce its size.

It's crucial to approach treatment with caution, as keloids can recur after treatment, and some methods may not be effective for everyone.
In summary, yes, keloids can occur on the scalp, especially in individuals with a predisposition to keloid formation. Given your family history and the nature of the lump, it would be wise to seek medical advice to confirm the diagnosis and discuss potential treatment options.

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