Keloid Skin Peeling: Causes, Effects, and Care

Keloid peeling

I previously had a sebaceous cyst on my chest that required surgery, which resulted in the formation of a keloid.
I received several injections, and in the meantime, it flattened somewhat, but the edges are still a bit raised.
The center shows some vascularity, and the periphery is slightly pink.
A few days ago, my keloid suddenly started to peel.
I found it a bit bothersome, so I gently removed it, and it didn't hurt.
The skin that came off was very red, resembling blood, and I could see some linear structures that looked like blood vessels.
After removing the skin, the color of my keloid is not as red and is now similar to the surrounding skin.
I'm wondering if this will affect my keloid.
Although there is still a very thin layer of skin in the center, that layer is painful.
Today, I accidentally touched that thin skin, causing a little bleeding, but it stopped quickly and has since scabbed over.
I'm very worried about the possibility of recurrence.

Hua En, 20~29 year old female. Ask Date: 2015/09/11

Dr. Wu Yuxin reply Dermatology

Because I do not understand the actual condition of your skin, the written description still does not clearly convey your symptoms.
Therefore, I recommend that you contact your clinical physician for further assistance.

Reply Date: 2015/09/11

More Info

Keloids are a type of raised scar that can occur after an injury or surgical procedure, such as the removal of a cyst. They are characterized by an overproduction of collagen during the healing process, leading to a thick, fibrous tissue that extends beyond the original wound site. The situation you described, where your keloid has started peeling and has a red appearance with visible blood vessels, raises several important considerations regarding care and management.

Firstly, the peeling of the keloid may indicate that the outer layer of skin is shedding, which can happen for various reasons, including irritation, inflammation, or changes in the skin's moisture levels. However, it is crucial to avoid forcibly removing any skin, as this can lead to further irritation, bleeding, and potentially exacerbate the keloid formation. The fact that you noticed a reduction in redness after peeling may be misleading; while the outer layer may appear less inflamed, the underlying tissue could still be sensitive and prone to further complications.

The presence of blood vessels and a red appearance suggests that the keloid is still active and may be inflamed. This is not uncommon, especially after multiple treatments such as injections, which are often used to reduce the size and appearance of keloids. However, any manipulation of the keloid, including peeling or picking at it, can lead to additional trauma, which may trigger the keloid to grow back even larger or become more pronounced.

In terms of care, it is essential to keep the area clean and moisturized. Applying a gentle, non-irritating moisturizer can help maintain skin hydration and support the healing process. Avoid using harsh products or those that could cause further irritation. If the thin layer of skin over the keloid is painful or bleeding, it is advisable to protect it with a sterile bandage to prevent infection and further injury.

If you are concerned about the potential for recurrence or worsening of the keloid, it is crucial to consult with a dermatologist or a healthcare professional specializing in scar management. They can provide guidance on appropriate treatments, which may include silicone gel sheets, pressure therapy, or additional corticosteroid injections. These treatments can help flatten the keloid and reduce its appearance over time.

In summary, while the peeling of your keloid may seem like a positive development, it is essential to approach the situation with caution. Avoid manipulating the area, keep it moisturized, and seek professional advice to ensure proper management and minimize the risk of recurrence. Keloids can be challenging to treat, but with the right care and professional guidance, it is possible to achieve a more favorable outcome.

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