Keloid Piercing

Introduction: When Piercings Heal Differently

Getting a new piercing can be exciting, but sometimes the healing process doesn’t go as smoothly as planned. One common concern people notice is the formation of a keloid around the piercing site. These raised, often shiny growths are more than just a normal part of healing, and understanding what they are, why they develop, and how to deal with them can help you make informed choices about your piercing care.

What Is a Keloid?

A keloid is an overgrowth of scar tissue that develops where the skin has been injured. In the case of piercings, they form when the body responds to the small wound with excessive collagen production. Unlike normal scars, keloids extend beyond the original wound and do not usually go away on their own. They can appear as firm, raised lumps around the jewellery and may vary in colour from pink to darker shades depending on your skin tone.

Why Do Keloids Form After Piercings?

Not everyone will develop keloids, but some people are genetically predisposed to them. They are more common in individuals with darker skin tones, people under the age of 30, and those with a family history of keloids. Trauma to the piercing site, improper aftercare, infections, or wearing jewellery that irritates the skin can all trigger keloid formation. Ear piercings, particularly in the cartilage, are more prone to keloids, although they can form on almost any body piercing.

How to Tell the Difference Between a Keloid and a Piercing Bump

It is important to distinguish between a keloid and a typical piercing bump. Normal piercing bumps or hypertrophic scars are smaller, usually softer, and remain within the boundary of the piercing hole. They often improve with proper cleaning and aftercare. Keloids, on the other hand, continue to grow beyond the piercing site and become firmer and more prominent over time. If you are unsure, it is always best to seek professional advice from a piercer or a healthcare professional.

Treatment Options for Keloids

Treating keloids can be challenging because they are known for recurring even after removal. Common treatments include corticosteroid injections to reduce inflammation and flatten the scar, silicone gel or sheets to soften the tissue, and in more persistent cases, surgical removal or laser therapy. Cryotherapy, which involves freezing the keloid, is another option sometimes used. It is important to consult a dermatologist rather than attempting home remedies, as some treatments may worsen the keloid or cause irritation.

Can You Still Wear Jewellery?

If you develop a keloid, continuing to wear jewellery in the piercing may make the problem worse. In some cases, your piercer or doctor may advise removing the jewellery to allow treatment. However, removing it too early without guidance could trap the keloid in place or lead to further issues. Always seek professional advice before making a decision about removing jewellery from a keloid-affected piercing.

Preventing Keloids

While you cannot change your genetic predisposition, you can take steps to reduce your risk of keloids forming. Choose a reputable studio that follows strict hygiene practices and uses high-quality jewellery made from implant-grade titanium or gold. Follow aftercare instructions carefully, avoid unnecessary trauma to the piercing, and do not change the jewellery too soon. If you know you are prone to keloids, it may be worth reconsidering certain piercings, especially in high-risk areas such as the cartilage.

When to See a Professional

If you suspect you are developing a keloid, it is important not to ignore it. Early treatment is often more effective. Speak to your piercer for initial advice, but for medical management, see a GP or dermatologist who can recommend the right treatment options. Do not attempt to cut, pierce, or apply harsh substances to the keloid at home, as this can worsen the problem.

Final Thought

Keloids are an uncommon but frustrating complication of body piercings. While they can affect confidence and comfort, professional treatments are available to manage them. Being aware of your personal risk factors, following good aftercare, and seeking expert advice early can make a big difference. For some people, choosing alternative piercings or different forms of body art may be a safer option if keloids are a known issue.