What to do if keloid scars recur even after Triamcinolone Scar Injection? | [Yonsei Star Dermatology Sinchon]

Keloid scars, once formed, do not easily subside and are challenging scars that swell again with minor irritation. If you've had injection treatment but the scar has reappeared over time, the first question that usually comes to mind is, "Why did it recur again?" To put it simply, keloids are considered a refractory scar with frequent recurrence, and an approach that addresses the causal pathway with laser in addition to injections can help reduce the likelihood of recurrence.

When a scar appears on the face or body, no matter how small, it can be very bothersome to the individual. If it's a hard, raised keloid, the stress caused by it is bound to be even greater.

Many people experience various difficulties, such as discomfort in daily life or loss of confidence due to the raised shape depending on the location. Many of you may have tried injection treatment to get rid of such scar marks as quickly as possible.

Injection treatment itself is not unhelpful. It remains a popular method for many people, as it can bring noticeable improvements in a relatively short time. However, what needs to be considered further here is how long that effect lasts.

Keloids are considered a refractory skin condition with frequent recurrence. This is because the exact cause of their formation is still difficult to pinpoint. Usually, if the root cause of a disease is accurately identified, a clear treatment plan can be established, increasing the likelihood of recovery. However, keloid scars are difficult to pinpoint the cause of, making treatment feel challenging, and it's easy to feel like a vicious cycle of problems reappearing over time.

In the early stages, the size of keloid scars is not very large, so treatment satisfaction is reported to be relatively high. Therefore, starting treatment as early as possible is helpful.

Skin redness often persists and does not easily subside. If treatment is prematurely stopped at this point, the probability of recurrence increases. The key to treatment is to continue consistently and sufficiently.

Here are some important points for patients to remember regarding keloid scar management:

• Starting treatment when the size is small in the early stages is beneficial for the outcome.
• Do not arbitrarily stop treatment if redness remains.
• It is important to complete a sufficient number of sessions according to the prescribed intervals.
• Be careful not to apply repetitive irritation or pressure to the scar area.
• Even if changes feel slow, maintain the plan in consultation with medical staff.

If you have any questions, please feel free to leave them via chat consultation regarding keloid scar treatment.

When starting treatment, some people often say, "I only want injections." Indeed, steroid injection therapy is so commonly sought after that it's considered a representative method. However, for a better outcome, combining laser with injections is more helpful than injection-only treatment. This is because it can further reduce the likelihood of recurrence, which is considered a drawback of injections.

In the examination room, even with the same keloid, the degree of hardness and redness varies from person to person, and it is not uncommon for a single method to be insufficient.

Keloids refer to a state where collagen is excessively produced and accumulated in the skin for unknown reasons. It is true that injections play an important role in keloid scar treatment, as already accumulated collagen can be dissolved with steroid injections. However, one more aspect that should not be overlooked is blood vessels.

Excessive collagen production requires more oxygen and nutrients. To meet this demand, blood vessels abnormally expand and proliferate, which causes the affected area to appear red.

This phenomenon is difficult to resolve with injection treatment alone, so treatment that uses a vascular laser to block the blood vessels supplying the raw material for collagen must be applied together. If you are also concerned about redness, we recommend referring to the information on causes and management of facial redness.

In summary, the key is to take a two-pronged approach together.

If existing keloid scars are dissolved with injections and blood vessels are blocked with a laser to prevent further collagen production, a more satisfactory result can be expected. Examining Triamcinolone Scar Injection tailored to the scar area and keloid scar management directions together will aid understanding.

The process of treating scars after they have formed takes longer than expected. It is a challenging task that requires patience and consistency. Especially for keloids, which tend to expand or rise over time, it is even more difficult to give up on treatment.

If you are starting treatment, we recommend proceeding meticulously in a professional medical environment to reduce the recurrence rate and achieve satisfactory results. If you are also concerned about hypertrophic scars or other scars, cosmetic surgery scar management information may also be helpful.

Scar treatment is less about a single procedure and more about a process of adjusting the plan while checking the condition. Since there can be individual differences in results, prioritizing an approach that suits your skin condition is essential.

If you are curious about which treatment combination is right for your scar, we recommend checking before making a decision.

If you are curious about the right treatment combination for your scar, check keloid treatment options via chat consultation.

This article was reviewed by Dr. Lee Sang Joo, the chief director of Yonsei Star Dermatology Sinchon (dermatologist). He has extensive experience in scar treatment as an adjunct professor at the Department of Dermatology, Yonsei University College of Medicine. First published 2025-01-31 · Last reviewed July 23, 2026

This content provides general information about keloid scars, and individual differences in treatment response and progress may occur. Please confirm the exact diagnosis and treatment plan through consultation.