Expert Keloid Scar Removal in London
£400 Fixed Price
Low Recurrence
Specialist keloid scar removal by GMC-registered consultant plastic surgeons. Advanced intralesional excision combined with steroid therapy for optimal results and minimal recurrence.
What Is a Keloid Scar?
A keloid scar is an overgrowth of scar tissue that extends beyond the original wound boundaries. Unlike normal scars that stay flat and fade over time, keloids grow into thick, raised, often discolored masses. They appear red, dark brown, or purple depending on skin tone, and can continue growing for months or years after the initial injury.
Keloids can form after any skin trauma—surgery, piercings, acne, burns, cuts, or even minor scratches. They’re particularly common on chest, shoulders, earlobes, and cheeks. While medically harmless, keloids often cause itching, pain, tenderness, and significant psychological distress.
Key Characteristics
- Appearance: Thick, raised, shiny, smooth surface
- Color: Red, pink, purple, or dark brown
- Growth: Extends beyond original wound boundaries
- Texture: Firm, rubbery, sometimes tender
- Symptoms: Itching, pain, tightness, restricted movement
- Common Sites: Chest, shoulders, earlobes, upper arms, cheeks
Physical Relief
Keloids can cause itching, pain, and discomfort. Removal eliminates these symptoms and improves quality of life.
Restore Confidence
Visible keloids significantly impact self-esteem. Professional treatment improves appearance and psychological wellbeing.
Prevent Growth
Untreated keloids continue enlarging. Early treatment prevents further expansion and complications.
Improve Function
Keloids near joints can restrict movement. Removal restores normal range of motion and comfort.
- Skin Type: More common in darker skin types (African, Asian, Hispanic descent)
- Age: Most frequent between ages 10-30
- Genetics: Strong family history—runs in families
- Location: Chest, shoulders, earlobes particularly susceptible
Hypertrophic Scars: Stay within wound boundaries, may improve over time, lower recurrence risk.
Professional assessment distinguishes between these conditions and determines appropriate treatment.
Our Two-Phase Keloid Treatment Approach
We use a specialist two-phase protocol combining surgical excision with steroid therapy to minimize recurrence—the primary challenge with keloid treatment.
Phase 1: Intralesional Excision
Specialized Surgical Technique: Keloid removed from within its borders without excising healthy surrounding skin.
- Performed under local anaesthetic (completely painless)
- Keloid core carefully excised while preserving healthy tissue
- Minimizes trauma that could trigger new scar formation
- Wound closed with non-dissolvable sutures (less inflammatory)
- Immediate steroid injection into wound edges
- Takes 45-60 minutes depending on keloid size
Why Intralesional Excision? Traditional excision (removing keloid plus surrounding skin) has 50-100% recurrence rates. Intralesional technique combined with steroids significantly reduces this risk.
Phase 2: Triple Steroid Protocol
Prevents Recurrence: Three carefully timed corticosteroid injections suppress keloid regrowth.
First Injection (Day 0):
- Given immediately after surgical excision
- Corticosteroid injected directly into wound edges
- Suppresses initial inflammatory response
Second Injection (Week 2):
- Administered during stitch removal appointment
- Continues suppressing excess collagen production
- Critical timing during active healing phase
Third Injection (Week 6):
- Final treatment to ensure long-term suppression
- Consolidates results and minimizes recurrence risk
- Wound fully healed, scar maturation beginning
Why Three Injections? Single steroid treatment has limited effect. Our triple protocol targets different healing phases, significantly reducing recurrence compared to surgery alone.
Transparent Fixed Pricing
Standard Keloid
Additional keloids: £250 each
- Comprehensive consultation
- Intralesional surgical excision
- Three steroid injection sessions
- Stitch removal appointment
- All follow-up care
- Scar management advice
Large Keloid
Comprehensive treatment included
- Extended surgical time
- Specialist excision technique
- Triple steroid protocol
- Additional follow-up visits
- Comprehensive aftercare
- Scar optimization support
Your Treatment Journey
Consultation
Comprehensive assessment with Mr. Gilleard or Mr. Alamouti. Examination of keloid(s), medical history review, discussion of realistic outcomes and recurrence risks. Personalized treatment plan developed.
Surgery Day (45-60 minutes)
Area cleaned and numbed with local anaesthetic. Intralesional excision performed, keloid carefully removed. Wound closed with non-dissolvable sutures. First steroid injection administered immediately. Dressing applied.
Week 2: Stitch Removal
Return for stitch removal (quick, minimal discomfort). Wound healing assessed. Second steroid injection given. New aftercare instructions provided.
Week 6: Final Injection
Third steroid injection administered. Scar maturation assessed. Silicone gel therapy may be recommended. Long-term care advice provided.
- Keep dressing dry for 5 days, then change every 5 days
- Can shower from day 2 (keep dressing dry or replace if wet)
- Avoid exercise: 2 weeks (torso keloids), 3 days (face/ear keloids)
- Avoid pressure, friction, or stretching treated area
- Apply silicone gel as directed from week 3-4
Recovery Timeline
- Days 1-5: Initial dressing stays in place. Mild discomfort managed with paracetamol. Avoid strenuous activity.
- Days 5-14: Dressing changed every 5 days. Gradual reduction in soreness. Stitches ready for removal at day 14.
- Week 2: Stitches removed, second steroid injection given. Wound healing well.
- Weeks 3-6: Scar maturing, may use silicone gel. Third injection at week 6.
- Months 2-12: Scar continues improving. Final appearance assessed at 6-12 months.
- Signs of infection (increasing redness, pus, fever)
- Excessive pain not controlled by paracetamol
- Wound separation or excessive bleeding
- Early signs of keloid regrowth
Frequently Asked Questions
▼
A keloid scar is an overgrowth of scar tissue that extends beyond the original wound boundaries. Unlike normal scars, keloids are thick, raised, often darker than surrounding skin, and can continue growing for months or years. They form after any skin injury—surgery, piercings, acne, burns—and are particularly common on chest, shoulders, and earlobes. While benign, they cause itching, pain, and significant cosmetic concern.
▼
Standard keloids: £400 for first, £300 for additional keloids in same session. Large keloids (>8cm): £550. Pricing includes everything: consultation, surgical excision, all three steroid injections (at 0, 2, and 6 weeks), stitch removal, and follow-up care. No hidden fees.
▼
Keloids have high recurrence risk with simple excision (50-100%). Our two-phase protocol significantly reduces this: intralesional excision (minimizing trauma) combined with triple steroid therapy (suppressing regrowth at critical healing phases). While no treatment guarantees zero recurrence, our specialist approach offers the best available outcomes. Following all aftercare instructions is crucial for success.
▼
No, keloids are benign (non-cancerous) and don’t become malignant. However, they cause significant problems: physical discomfort (itching, pain, tenderness), functional issues (restricted movement if near joints), and substantial psychological distress from appearance. Treatment improves quality of life, though isn’t medically necessary from health-risk perspective.
▼
Keloids result from abnormal wound healing where body produces excessive collagen. Risk factors: darker skin types (African, Asian, Hispanic descent), age 10-30, strong genetic component (family history), certain body areas (chest, shoulders, earlobes), specific injury types (piercings, acne, burns). Underlying cause is genetic predisposition to overactive healing response.
▼
Traditional excision: Removes keloid plus surrounding healthy skin. Creates larger wound, more trauma, higher recurrence (50-100%). Intralesional excision: Removes keloid from within its borders, preserving healthy tissue. Less trauma, combined with steroids, significantly lower recurrence. This specialist technique requires greater surgical skill but offers superior outcomes.
▼
During surgery: Performed under local anaesthetic—you’ll feel brief stinging from injection (10-15 seconds), then complete numbness. No pain during excision. After surgery: Moderate soreness for 2-3 days (4-6/10), managed with paracetamol. Discomfort decreases steadily. Steroid injections: Brief stinging during injection (2-3/10), resolves immediately. Overall, well-tolerated procedure.
▼
NHS keloid treatment is available but with limitations: long waiting times (often 6-12 months), may offer steroid injections only (less effective than combined approach), surgical removal rarely funded unless causing functional problems. Private treatment offers immediate access to specialist dual-phase protocol (surgery plus steroids), consultant plastic surgeon expertise, and significantly better outcomes. For many patients, the investment in effective treatment is worthwhile.
▼
Yes, multiple keloids can often be treated in one session—cost-effective (£250 each additional vs £400 separately) and convenient (single recovery). However, number depends on keloid sizes, locations, and total surgical time required. Very large or numerous keloids may require staged treatment. Your consultant will recommend optimal approach during assessment.
▼
Book online at londonwartremoval.org/book-now or call 020 3916 6200. No GP referral needed. Initial consultation with Mr. Gilleard or Mr. Alamouti assesses your keloid(s) and discusses treatment. Located at 101 Harley Street, London W1G 6AH—excellent transport links (Oxford Circus 5 min walk, Regent’s Park 8 min walk).
Specialist Keloid Treatment Surgeons
All keloid treatments performed by GMC-registered consultant plastic surgeons with specialist expertise in complex scar management.
Mr. Onur Gilleard
Consultant Plastic Surgeon
GMC specialist register. Former NHS consultant at St Bartholomew’s Hospital London. Specialist in complex scar reconstruction and revision surgery with extensive keloid treatment experience.
Mr. Reza Alamouti
Consultant Plastic Surgeon
GMC specialist register. Masters in Reconstructive Microsurgery and MSc Aesthetic Surgery. Expert in scar management with meticulous surgical technique ensuring optimal cosmetic outcomes.
Why Choose London Wart Removal for Keloid Treatment?
Specialist Protocol
Two-phase approach (intralesional excision + triple steroid therapy) minimizes recurrence vs simple excision alone.
Consultant Expertise
GMC-registered plastic surgeons with specialist scar management training and extensive keloid experience.
Comprehensive Care
All three steroid injections, follow-ups, and aftercare included in fixed price. No hidden fees.
Evidence-Based
Treatment protocol based on latest research showing combined approach superior to surgery or steroids alone.
Fixed Transparent Pricing
£400 includes everything—consultation, surgery, all injections, follow-up. Know costs upfront.
Central London
Prestigious Harley Street location. Easily accessible with excellent transport links.
Expert Keloid Scar Treatment
Specialist two-phase protocol by consultant plastic surgeons. Surgery combined with steroid therapy for optimal outcomes.
No GP referral needed. Intralesional excision plus triple steroid protocol. Comprehensive follow-up care.