Keloid Piercing Guide: What They Are How to Avoid and Treat Them
What Is a Keloid in Piercing?
A keloid is a type of raised scar that forms when the body produces too much collagen during the healing process. Unlike a normal scar, a keloid grows beyond the boundaries of the original wound and can become large, hard, and sometimes itchy or painful. In the context of piercings, keloids are usually associated with cartilage piercings, such as the ear, nose or even the chest. Not everyone develops keloids, but those with a genetic predisposition—particularly individuals with darker skin tones—may be more prone.
How Do Keloids Form from Piercings?
Keloids form when your body’s healing response goes into overdrive. Piercings cause a controlled injury to the skin, and while most heal without issue, some trigger excessive collagen production. This may happen due to genetics, trauma to the piercing, infection, or improper aftercare. It’s important to differentiate between hypertrophic scarring (a common and temporary reaction) and true keloids, which continue to grow over time and do not shrink on their own.
How to Prevent Keloids After a Piercing
If you know you are prone to keloids, the best prevention is to avoid piercings in high-risk areas, especially cartilage or areas under tension. However, if you choose to proceed:
Choose an experienced piercer who uses sterile needles and high-quality jewellery (titanium is ideal)
Avoid touching, twisting or sleeping on the piercing
Follow a strict aftercare routine using saline solution
Avoid trauma, snagging or changing jewellery prematurely
Watch for early signs and seek advice quickly if abnormal bumps form
Some people also use pressure earrings or silicone sheets after piercing to help reduce the risk.
How to Treat a Keloid Piercing
If you develop a keloid, early intervention is key. You should always consult with a piercer or healthcare professional before starting treatment. Options may include:
Silicone gel or sheets: Applied daily to flatten and soften the scar over time
Steroid creams or injections: Often used by dermatologists to reduce size and discomfort
Laser therapy or cryotherapy: Performed in a medical setting to break down tissue
Surgical removal: A last resort as keloids can re-form after removal without preventative treatment
Do not attempt to pierce through or near a keloid, and never try to pop or squeeze it.
Cost Expectations for Keloid Treatment
In the UK, minor treatments such as silicone sheets or gels may cost between £10 and £30. Dermatological treatments such as steroid injections or cryotherapy can range from £100 to £300 or more depending on the clinic and severity. Some treatments may be available on the NHS for severe or recurring keloids, but this varies.
Are Keloids Dangerous?
Keloids are benign and not dangerous in themselves, but they can cause discomfort, itching or pain and may affect confidence due to their appearance. In rare cases, large keloids may interfere with movement or function if they develop near joints or sensitive areas. Proper management can reduce symptoms and improve appearance, though complete removal is not always guaranteed.
Final Thought
Keloids are a frustrating but manageable complication of piercing for some individuals. The best defence is knowledge—knowing your risk, choosing the right piercer, and committing to proper care. If a keloid does form, early action and professional support can make a huge difference. Whether you’re considering a new piercing or managing an existing scar, being informed puts you in control of your body and healing journey.