Scars are a natural part of healing, but for some individuals, scar tissue grows excessively, becoming raised, thick, uncomfortable, and cosmetically distressing. Keloid & Hypertrophic Scar Excision is a specialized plastic surgery procedure designed to remove abnormal scar tissue and restore smoother, more natural-looking skin.
If you are searching for:
- Keloid removal in Islamabad
- Hypertrophic scar excision surgery
- Raised scar treatment cost
- Keloid surgery near me
- Best plastic surgeon for keloid removal
- Permanent keloid treatment
This comprehensive, medically structured guide explains everything about keloid and hypertrophic scar excision — including causes, surgical techniques, recovery, recurrence prevention, and long-term outcomes.
What Are Keloid & Hypertrophic Scars?
Although both are raised scars, they are different conditions.
What is a Hypertrophic Scar?
A hypertrophic scar:
- Is raised and red
- Stays within the original wound boundaries
- May improve over time
- Is often thick but confined
Common causes:
- Surgical incisions
- Burns
- Trauma
- Piercings
What is a Keloid Scar?
A keloid scar:
- Grows beyond the original wound
- Is firm, rubbery, and sometimes itchy
- May continue growing over time
- Does not regress naturally
Common areas:
- Chest
- Shoulders
- Jawline
- Ears (after piercing)
- Back
Keloids are more common in individuals with darker skin tones and may have a genetic predisposition.
Why Do Keloids and Hypertrophic Scars Form?
These scars result from abnormal collagen production during healing.
When skin is injured:
- The body produces collagen to repair the wound.
- In some individuals, collagen production becomes excessive.
- Scar tissue overgrows and becomes thick and raised.
Factors influencing scar formation:
- Genetics
- Skin type
- Infection during healing
- Tension on wound
- Hormonal factors
- Location on body
Understanding the biology of abnormal scar formation is essential for successful surgical correction.
When is Keloid & Hypertrophic Scar Excision Recommended?
Surgical excision may be advised when:
- Scar is painful or itchy
- Scar restricts movement
- Scar continues growing
- Scar causes emotional distress
- Non-surgical treatments failed
- Scar is cosmetically unacceptable
Excision is often combined with preventive therapies to reduce recurrence risk.
Non-Surgical Treatments vs Surgical Excision
Non-surgical options include:
- Steroid injections
- Silicone gel sheets
- Pressure therapy
- Laser therapy
- Cryotherapy
These treatments may help small hypertrophic scars but often fail in:
- Large keloids
- Thick, mature scars
- Recurrent lesions
Keloid & Hypertrophic Scar Excision becomes necessary when conservative therapy is insufficient.
What is Keloid & Hypertrophic Scar Excision?
Scar excision is a surgical procedure that:
- Removes abnormal scar tissue
- Reduces scar bulk
- Reshapes skin edges
- Improves contour
- Restores function
For keloids, excision alone is rarely enough. It is combined with:
- Post-operative steroid injections
- Silicone therapy
- Pressure therapy
Combination treatment reduces recurrence significantly.
Step-by-Step Surgical Procedure
1. Pre-Surgical Consultation
Your plastic surgeon will:
- Evaluate scar type
- Assess size and location
- Review medical history
- Discuss recurrence risk
- Plan adjunct therapy
Detailed examination ensures personalized treatment.
2. Anesthesia
- Local anesthesia for small scars
- Sedation or general anesthesia for larger areas
3. Scar Removal
- Scar tissue carefully excised
- Healthy surrounding skin preserved
- Tension-free layered closure applied
Advanced suturing techniques reduce scar stress and improve healing.
4. Adjunct Therapy
For keloids especially:
- Steroid injection during surgery
- Post-operative steroid therapy
- Silicone sheets
- Regular follow-up monitoring
Recovery After Keloid & Hypertrophic Scar Excision
First Week
- Mild swelling
- Minor discomfort
- Sutures removed in 7–14 days
2–4 Weeks
- Scar begins healing phase
- Silicone therapy may start
3–6 Months
- Scar gradually softens
- Redness fades
Complete scar maturation may take up to 12 months.
Will the Keloid Come Back?
Keloids have a higher recurrence rate compared to hypertrophic scars.
Recurrence risk depends on:
- Genetic tendency
- Location
- Surgical technique
- Post-operative compliance
With proper combination therapy, recurrence risk significantly decreases.
Hypertrophic scars have lower recurrence rates.
Areas Commonly Treated
Keloid & hypertrophic scar excision is commonly performed on:
- Earlobes (after piercing)
- Chest
- Shoulders
- Neck
- Back
- Abdomen
- Surgical incision sites
- C-section scars
Each area requires specific surgical planning.
Psychological Impact of Raised Scars
Raised scars may cause:
- Embarrassment
- Low self-esteem
- Social anxiety
- Avoidance of certain clothing
- Emotional discomfort
Scar excision can improve:
- Body confidence
- Comfort in social settings
- Physical ease
Risks & Complications
When performed by a qualified plastic surgeon, risks are minimal but may include:
- Recurrence
- Infection
- Pigmentation changes
- Delayed healing
- Mild asymmetry
Careful surgical technique reduces these risks.
Keloid & Hypertrophic Scar Excision Cost in Pakistan
Cost varies based on:
- Scar size
- Location
- Complexity
- Need for steroid therapy
- Number of scars
Estimated Range:
PKR 80,000 – 250,000
Multiple or large scars may cost more.
International comparison:
- USA: $2,000 – $5,000
- UK: £1,500 – £4,000
- UAE: $2,500 – $5,000
Pakistan provides high-standard plastic surgery at competitive costs.
Male vs Female Scar Treatment Considerations
Technique does not differ significantly, but aesthetic planning may vary based on:
- Skin type
- Scar visibility
- Clothing habits
- Cosmetic concerns
Personalized planning ensures optimal results.
Post-Surgery Scar Care Instructions
- Avoid sun exposure
- Use silicone sheets as prescribed
- Attend follow-up visits
- Avoid wound tension
- Maintain healthy nutrition
- Avoid smoking
Compliance significantly reduces recurrence.
How to Prevent Future Keloids
If you have keloid tendency:
- Avoid unnecessary piercings
- Inform surgeon before elective surgery
- Start early steroid therapy if needed
- Monitor wound healing closely
Early intervention prevents progression.
Why Choosing a Qualified Plastic Surgeon Matters
Scar excision requires:
- Deep understanding of wound healing
- Precision surgical technique
- Experience managing recurrence
- Knowledge of adjunct therapies
- Aesthetic judgment
Improper excision may worsen keloids.
Always verify:
- Board certification
- Recognized plastic surgery training
- Active medical registrations
- Ethical consultation
Why Choose Aesthedoc Clinic for Keloid & Hypertrophic Scar Excision?
At Aesthedoc Clinic, patient safety and natural outcomes are prioritized.
Dr Nadiya Tariq – Plastic Surgeon
Academic Qualifications
- FCPS (Plastic Surgery) – College of Physicians & Surgeons Pakistan (CPSP), 2025
- MBBS – University of Health Sciences (UHS), Lahore, 2016
Professional Registrations
- Pakistan Medical & Dental Council (PMDC) – Active Registration
- Irish Medical Council (IMC) – Active Registration
Dr Nadiya Tariq offers:
- Advanced scar excision techniques
- Combination therapy for keloid prevention
- International surgical standards
- Ethical patient counseling
- Customized treatment plans
Each patient receives individualized care tailored to scar type and skin characteristics.
Aesthedoc – Islamabad
I-8 Markaz, Islamabad
📞 +92 333 7277272
📧 info@aesthedoc.com
Instagram: @aesthe_doc
Mon – Sun 9:00 – 19:00
Aesthedoc Clinic – Rawalpindi
3rd Floor, Rajas United Height
Opposite Future World School
Bahria Town Phase 8, Rawalpindi
📞 +92 300 7706050
📧 info@aesthedocclinic.com
Instagram: @aesthedocclinic
Mon – Sun 9:00 – 19:00
Book Your Keloid & Hypertrophic Scar Excision Consultation Today
If you are struggling with raised, painful, or cosmetically distressing scars, professional evaluation can determine the most effective and safest treatment approach.
Keloid & Hypertrophic Scar Excision requires surgical precision, experience, and proper recurrence prevention strategies.
Consult Dr Nadiya Tariq, FCPS Plastic Surgery, at Aesthedoc Clinic in Islamabad or Rawalpindi for personalized scar treatment.
Restore smoother skin. Reduce discomfort. Regain confidence.
