Keloid Treatment

What is it?

A keloid forms when fibroblasts become overactive during wound healing and too much collagen builds up, sometimes growing beyond the original wound. Injecting triamcinolone (a steroid) directly into the scar suppresses fibroblast activity and collagen production, gradually flattening the scar and easing itching and pain. Adding a vascular laser (such as Vbeam) reduces blood flow to the scar, helping improve redness and curb regrowth.

Who it's for

• Keloids (common on the ears, chest, shoulders, jawline, etc.)
• Hypertrophic scars (raised scars after surgery, injury or acne)
• Results: thinner scars and less redness, itching and pain — but several sessions are needed, and scars can come back

At Datena

Intralesional triamcinolone injection → UltraPulse pinhole

Before treatment

• We check whether you're pregnant or breastfeeding
• Check the scar area for infection or open wounds
• Explain upfront that "this isn't a one-session fix" (setting realistic expectations)

After treatment

• Don't rub or irritate the injection sites
• Come in early if you notice signs of recurrence (the scar rising again or itching)
• Can be combined with silicone gel/sheets and pressure therapy
• Be careful with keloid triggers such as new wounds or piercings

Good to know

• Pain and bruising at injection sites
• Skin thinning or indentation, lighter skin color (with excessive or repeated injections)
• Visible small blood vessels (telangiectasia)
• Rarely, temporary menstrual irregularities in women
• Scars may return after treatment ends

Pairs well with

• Vascular laser (Vbeam): reduces redness and regrowth
• Fractional laser: smooths surface texture (once the scar has stabilized)
• Silicone gel/sheets and pressure therapy
• For large or stubborn scars, surgical removal plus supporting treatments is sometimes discussed (general information)

"We inject directly into the scar tissue to gradually flatten it down." "Usually several sessions 4–6 weeks apart — consistency is key." "Redness improves faster when combined with laser." "If you're prone to recurrence, you may need ongoing care."