SERVICES
Chronic Wound Management and Advanced Skin Repair
At Vega, we provide advanced chronic wounds treatment in Bangkok, Thailand for patients whose injuries have failed to heal through conventional care. Chronic wounds are one of today’s most critical healthcare concerns, affecting millions of patients globally. A chronic wound is a biological riddle that has “stalled” in a state of continuous inflammation, as opposed to acute injuries, which have a predictable healing timeframe. At our Bangkok clinic, we consider chronic wound healing to be an active reconstruction rather than only a passive process. Our team has created a methodical clinical pathway to restart the body’s natural repair mechanisms and restore skin integrity.
Key Takeaways
- Keloids are raised scars that grow past the original wound and rarely flatten on their own.
- Medical treatment for keloids works best as a combination of injections, laser, surgery, and aftercare.
- Surgery alone has a high recurrence rate and is usually paired with adjunct therapy.
- Keloid scar removal plans are tailored to scar size, location, and skin type.
- Vegaderma Bangkok offers combination protocols with access to cell-based regenerative support.
Keloids are raised scars that grow past the edges of the original wound and rarely flatten on their own. Effective care usually combines several therapies rather than a single procedure. At Vegaderma, treatment for keloids is built around recurrence-aware planning, with options that may include supportive regenerative strategies after the primary therapy.
We see keloids on the earlobe, jawline, chest, shoulder, back, and along C-section scars at our Bangkok clinic.
What Are Keloids? Causes and Treatment Options Explained
A keloid is a firm, raised scar that extends past the original injury and can continue to thicken over time. Keloids may feel itchy, tender, or tight, and many patients find them cosmetically distressing. They are benign tissue, not skin cancer, though they can persist and grow without intervention.
Signs Your Scar May Be a Keloid
- The scar continues to grow months after the wound has closed
- The raised tissue extends past the original wound edges
- The surface feels firm, rubbery, or shiny
- You notice itching, tenderness, or a pulling sensation
- The color appears pink, red, purple, or darker than surrounding skin
If any of these apply, an early consultation can help. Smaller, newer keloids generally respond better to medical treatment for keloids than older, larger ones.
Keloid vs Hypertrophic Scar
Both are raised scars caused by excess collagen during healing, but they behave differently.
Feature | Keloid | Hypertrophic Scar |
Borders | Grows past the wound edges | Stays within the wound edges |
Onset | May appear months after injury | Usually appears within weeks |
Progression | Can keep growing over time | Often softens and flattens |
Common sites | Earlobes, chest, shoulders, jawline | Joints, areas of high tension |
Recurrence after treatment | High without combination care | Lower |
For deeper scar-type education, see ourscar and tissue remodeling page.
What Causes Keloid Scars?
Keloids form when the wound-healing response produces too much collagen. Genetics, local skin tension, prolonged inflammation, and skin type all influence the outcome. The result is fibrous tissue that keeps building long after a normal scar would have settled.
Common Triggers
- Ear piercings: a frequent cause of earlobe keloids, especially in younger patients.
- Surgery and trauma: any incision can heal as a keloid in predisposed individuals.
- C-section scars: abdominal tension and longer healing times encourage keloid growth in some patients.
- Acne: cystic acne on the chest, shoulders, and back can leave keloid scars.
- Burns and lacerations: deeper injuries carry a higher risk.
- Vaccinations and insect bites: smaller skin breaks can also trigger keloids in prone patients.
Who Is More Prone to Keloids?
Patients with Fitzpatrick skin types III through VI, a family history of keloids, or those between their teens and thirties tend to have a higher likelihood of forming them. None of this means treatment is out of reach. It simply helps your doctor plan a more careful approach and counsel you on prevention before any future skin procedures.
Where Keloids Form Most Often
Keloids most commonly appear on the earlobes, jawline, shoulders, upper chest and sternum, upper back, and C-section sites. Some patients also develop them along the beard line or neck. Keloid scar removal is approached differently depending on the site, since tension, skin thickness, sebaceous activity, and visibility all factor into the treatment plan.
Medical Treatment Options For Keloids
Most keloids respond best to combination care. The table below summarizes the main options your doctor may discuss.
Treatment | How It Works | Best For | Typical Sessions | Notes on Recurrence |
Steroid injections | Reduces collagen and inflammation | Small to medium keloids | Monthly series | Lower when fully completed |
Laser therapy | Improves redness, thickness, and texture | Color and surface concerns | Multiple sessions | Often paired with injections |
Surgical excision | Removes scar bulk | Larger or pedunculated keloids | Single procedure plus adjuncts | High without adjunct therapy |
Silicone and pressure therapy | Hydrates and applies steady pressure | Post-procedure support | Daily home use | Supports long-term control |
Cell-based regenerative support | Encourages organized collagen and tissue quality | Select post-treatment cases | Per protocol | Designed to support lower recurrence |
Steroid Injections
Intralesional corticosteroid injections soften and flatten keloids by reducing collagen production and inflammation. They are typically given monthly until the scar improves. Possible side effects include skin thinning, pigment changes at the injection site, and short-term discomfort.
Laser Therapy
Laser treatment can improve redness, thickness, and surface texture. Results are generally stronger when laser is paired with steroid injections or other therapies as part of a broader plan.
Surgical Excision
Surgery removes the bulk of the keloid but carries a high chance of recurrence if used on its own. Vegaderma plans adjunct therapy alongside excision, which may include injections, silicone, pressure dressings, or supportive regenerative strategies.
Cell-Based Regenerative Support
As part of select treatment plans, Vegaderma offers cell-based regenerative support designed to encourage more organized collagen and healthier tissue quality after primary treatment. The goal is to reduce the likelihood of recurrence, though no approach can eliminate it entirely.
Learn more on our scar and tissue remodeling page.
Aftercare and Recurrence Prevention
Keloid care continues long after the in-clinic session. Your doctor may recommend:
- Daily silicone gel or sheets for several months
- Sun protection on the treated area to limit pigment changes
- Avoiding new piercings, tattoos, or elective skin procedures in keloid-prone zones
- Early review of any new raised tissue at the treatment site
- Follow-up injections or maintenance laser sessions as planned
Consistent aftercare is one of the strongest factors in long-term results.
What to Expect at Your Consultation
Your first visit at Vegaderma includes a full assessment of the scar, your medical and family history, and your treatment goals. Your doctor will explain the recommended combination, expected timeline, possible side effects, and a personalized cost estimate before any procedure begins.
Book Your Keloid Consultation in Bangkok
Early assessment gives the best chance of long-term control. Book a consultation at Vegaderma to discuss your scar, review the right combination of therapies, and receive a personalized treatment for keloids plan. Schedule your consultation today.
Frequently Asked Questions
Q: What is the most effective medical treatment for keloids? |
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| A: No single therapy works for every keloid. Combining steroid injections with laser, or pairing surgical removal with planned adjunct therapy, generally gives better long-term control. Your ideal plan depends on scar size, location, skin type, and prior recurrence. |
Q: How is keloid scar removal performed in Bangkok? |
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| A: Keloid scar removal in Bangkok typically uses a mix of intralesional injections, laser devices, and in selected cases, surgical excision with additional therapies such as post-operative radiation or silicone. At Vegaderma, we tailor a combination protocol rather than relying on one procedure. |
Q: Will my keloid come back after surgery? |
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| A: Surgery alone has a high recurrence rate. Pairing excision with adjuvant options such as radiation, steroid injections, or supportive regenerative strategies is designed to lower this risk, though it cannot be reduced to zero. |
Q: How do stem cells treat keloids? |
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| A: Research suggests that mesenchymal stem cells may help regulate the activity of fibroblasts, the skin cells responsible for collagen production. By modulating excessive collagen output and reducing local inflammation, they may support more balanced healing after primary keloid treatment. Clinical applications are still developing, and outcomes vary by patient. |
Q: How many steroid injection sessions are needed? |
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| A: Most patients require a series of monthly injections rather than a single session. The exact number depends on how the scar responds and what other therapies are included. |
Q: How much does keloid treatment cost in Thailand? |
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| A: Costs vary based on whether your plan involves injections, laser sessions, surgical removal, or hospital-based radiation. Vegaderma provides a personalized estimate after consultation and explains how each component contributes to the total. |
Q: Is keloid treatment painful? |
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| A: Injections, laser, and minor surgery can cause some discomfort. Local anesthetic and cooling methods help keep sessions tolerable, and most are performed on an outpatient basis. Mild soreness or swelling afterward is usually short-lived. |