Condition guide · Wilmslow and Didsbury

Keloid scars: assessment before cosmetic treatment

A raised or growing scar needs the right assessment. A Dr Sknn cosmetic consultation does not establish a keloid diagnosis or promise removal.

Start with the diagnosis

A raised scar needs the correct assessment before a treatment plan.

Keloids behave differently from hypertrophic scars and other skin lesions. Site, symptoms, growth, skin tone, previous treatment and recurrence risk all affect the safest route.

Dr Eddie Shaffu, Medical Lead at Dr Sknn
Dr Eddie Shaffu Medical Lead · Dr Sknn
The condition explained

Keloids are persistent scars with a significant recurrence risk.

Read more about Keloid scarring consultation Treatment details and clinical context

A keloid is scar tissue that grows beyond the original injury. Other raised scars can look similar, so a label or photograph cannot establish the diagnosis.

Keloids may persist or return after treatment. No scar cream, laser course or cosmetic package can promise complete removal or a permanent result.

A changing, painful or troublesome scar, or uncertainty about what a mark is, needs appropriate healthcare assessment. A cosmetic discussion does not replace disease diagnosis or specialist management.

This guide gives general patient information. It cannot diagnose a lesion, confirm that a procedure is suitable, advertise a prescription medicine, or promise removal or freedom from recurrence.
What to expect

Assessment comes before any scar procedure.

The consultation should establish the diagnosis, goals, risks and correct clinical route. It may lead to advice, referral, observation or no procedure.

01 · Before Bring the scar history

Explain the original injury, changes, symptoms and previous care. Seek appropriate healthcare assessment first for an unexplained or concerning change.

02 · Consultation Discuss the appropriate scope

The consultation should clarify the concern, realistic limits and whether another healthcare assessment is needed. No procedure is promised.

03 · Next step Consider the actual proposal

If a cosmetic option is appropriate, review its evidence, risks, price, aftercare and alternatives before deciding. No treatment is a valid choice.

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Browse the clinic's current skin, face, body and hair results. Every result is individual, and your clinician will explain what may be realistic for you.

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What patients say about Dr Sknn.

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Evidence and further reading

Keep the scar assessment and cosmetic discussion clear

Understand the concern and the appropriate next step before considering a procedure.

Describe the scar and its history

Explain when it appeared, the original injury, changes over time, symptoms and previous care. Tell the practitioner if you have formed raised scars after earlier procedures.

Review scope before treatment

Ask whether the concern is suitable for a cosmetic consultation or needs a separate healthcare route. An appointment listing does not establish that a particular procedure is appropriate or available.

Discuss realistic limits

Any proposed procedure needs its own explanation of evidence, material risks, recovery, alternatives and recurrence. No treatment is a valid option.

Avoid unassessed intervention

Do not attempt to cut, burn or inject a scar yourself. Seek appropriate assessment if the scar is changing or causing symptoms.

Clinics and consultation

Wilmslow is our primary clinic. Didsbury offers selected services only. Check the exact service, clinic and eligible practitioner in the live booking app; Leigh is closed.

Doctor consultations are free; a separate £50 reservation fee applies. Check the booking app for current cancellation and rescheduling terms.

Sources were checked on 15 September 2026. They support general patient information and do not establish an individual diagnosis, Dr Sknn procedure, practitioner suitability or outcome.

Common sites

Site changes symptoms, risks and treatment choices.

Keloids can occur anywhere after skin injury. These examples help guide assessment and do not establish a diagnosis or procedure.

View treatment areas and concerns 4 options covered on this page
EarsKeloids can follow ear piercing or other injury. Pressure devices, injections, cryotherapy or specialist surgery with additional care may be considered; recurrence remains possible.
Chest and shouldersThese are common sites and may remain under tension. Itch, pain, size, previous treatment and recurrence risk influence the plan.
Face, jaw and neckAcne, shaving injury, piercing or surgery can precede scarring. Diagnosis, pigment risk and the visibility of treatment effects need careful discussion.
Near a jointA keloid can feel tight or restrict movement. Functional symptoms may require an appropriate medical or specialist pathway.
Questions before booking

Frequently asked questions.

These answers are general and do not replace examination or individual advice.

Is every raised scar a keloid?
No. Raised scars can have different features. The diagnosis should not be assumed from a webpage or photograph.
Can a keloid always be removed permanently?
No. Keloids can persist or recur. A cosmetic consultation cannot promise complete or permanent removal.
Does a consultation mean a procedure will follow?
No. The outcome may be further assessment, another healthcare route, a discussion of a suitable cosmetic option or no procedure.
What should I bring to the consultation?
Bring the scar history, previous assessment or treatment information, relevant health history and medicines, and the questions you would like answered.
Consultation first

Start with an assessment and realistic goals.

A consultation can clarify the diagnosis, recurrence risk and appropriate route. It does not promise a procedure or complete removal.