Nose piercing keloid.

19th January 2026

Answer: Dear Anjali, Sorry to hear you have had problems. I'm afraid this is something we do not treat. You could try UK Skin, based in Birmingham. We believe they may offer something to help. Kind regards

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19th January 2026

Answer: Hello

Thank you for your enquiry.

I'm sorry we are unable to help. I think a Dermatologist would be your best bet.


Kind regards

The Skyn Gym team.

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20th January 2026

Answer:
Steroid Injections: Can be administered into the hypertrophic or keloid scar. The raised scar tissue will become softer, flatter and whiter in colour, matching the surrounding skin. Steroid injections can improve symptoms such as itching or pain. Several sessions are usually required to produce good results. A consultation with Dr Fatima is required, our speciality Doctor in dermatology, this is charged at £175. Treatment prices also start at £175 and if this treatment is carried out on the day of the consultation, then the consultation cost is waived and just the treatment cost would be payable.

The treatment recommended for you will depend entirely on the severity of your condition.
If you have any further questions or you would like to book an appointment for your consultation, please do not hesitate to contact us.


Our opening hours are:
Monday to Saturday 9-5pm

I look forward to hearing from you.

Helpful?

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20th January 2026

Answer:
Steroid Injections: Can be administered into the hypertrophic or keloid scar. The raised scar tissue will become softer, flatter and whiter in colour, matching the surrounding skin. Steroid injections can improve symptoms such as itching or pain. Several sessions are usually required to produce good results. A consultation with Dr Fatima is required, our speciality Doctor in dermatology, this is charged at £175. Treatment prices also start at £175 and if this treatment is carried out on the day of the consultation, then the consultation cost is waived and just the treatment cost would be payable.

The treatment recommended for you will depend entirely on the severity of your condition.
If you have any further questions or you would like to book an appointment for your consultation, please do not hesitate to contact us.


Our opening hours are:
Monday to Saturday 9-5pm

I look forward to hearing from you.

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20th January 2026

Answer: Hello Anjali

Scar treatments – explained by Dr Victoria

When I assess a scar in clinic, the first and most important step is accurate diagnosis of the scar type. Scars behave very differently, and effective treatment depends on respecting that biology rather than fighting it.

Common scar types and treatment approaches

1. Atrophic scars (sunken scars, often post-acne)
These form due to collagen loss.
• Microneedling or RF microneedling
• Fractional laser resurfacing
• Biostimulatory treatments (to encourage collagen regeneration)
• Subcision in selected cases

These scars generally respond well to treatment because we are stimulating normal wound healing.

2. Hypertrophic scars (raised but confined to the original wound)
• Silicone gel or sheets
• Pressure therapy
• Laser treatment
• Microneedling

These scars may improve over time and can often be softened and flattened.

3. Pigmented scars
• Topical medical-grade skincare
• Chemical peels
• Targeted laser therapy

Pigmentation often improves significantly once inflammation is controlled.



Why keloid scarring is uniquely challenging

Keloid scars are fundamentally different.
They represent a pathological wound-healing response, where the body continues to produce excessive collagen well beyond what is needed—often spreading beyond the original injury.

From a clinical perspective, this creates a major problem:

Any trauma to a keloid—including needles, injections, lasers, or surgery—can trigger further keloid formation.

This is why keloids are notoriously unpredictable and frustrating for both patients and clinicians.

The risks of treating keloids aggressively
• Injections can stimulate further fibroblast activity
• Needling or laser may worsen the scar rather than improve it
• Surgical excision alone has a high recurrence rate, often returning larger and more aggressive

Even when treatments are described as “standard,” outcomes vary widely and relapse is common.



My professional opinion on keloid scars

This is where I am very clear and honest with patients.

In many cases, the safest and most sensible option is acceptance, not intervention.
• If a keloid is stable, non-painful, and not functionally limiting
• If it is not inflamed, itchy, or ulcerating
• If previous treatments have worsened it

Avoiding injections and procedures is often the least harmful choice.

This is not about giving up—it is about preventing further harm.

I always explain that:
• Doing “something” is not always better than doing nothing
• The goal is long-term stability, not short-term cosmetic change
• Respecting the skin’s behaviour is part of good medicine



A compassionate final word

Keloid scars can be emotionally distressing, and I never minimise that. But as a clinician, my responsibility is to protect patients from interventions that may leave them worse off.

In keloid-prone skin, less is often more, and informed acceptance can be the most medically sound—and empowering—decision.

Kind regards
Dr Victoria

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