✓ Nurse led by Rashmi Mehta
✓ Langham Hospital, Marylebone
✓ Consultation before every treatment
✓ Part of Contoura Medical

By Dr Edwin Anthony, Lead Clinician, Contoura Medical · Treatments delivered by Nurse Rashmi Mehta · Last updated 1 October 2026

Keloid treatment at Orovenza uses a course of steroid injections given directly into the scar to flatten it, soften it and ease itching or tenderness. Treatment takes place at Langham Hospital in Marylebone, London, and is for adults with raised keloid scars who want a medically led, realistic plan.

What a keloid is

A keloid is a firm, raised scar that keeps growing after a wound has healed. Collagen is laid down in excess, so the scar spreads beyond the edges of the original injury. Keloids can follow piercings, surgery, acne, burns, vaccinations or even very minor skin damage, and some appear with no clear cause.

  • Keloid scars: grow beyond the original wound, can appear months or years after the injury and rarely settle on their own.
  • Hypertrophic scars: raised but stay within the line of the original wound, usually appear within weeks and often flatten slowly over time.
  • Common sites: earlobes after piercing, the upper chest and breastbone, shoulders, upper arms, jawline and neck.
  • Who gets them: the British Association of Dermatologists notes keloids are more common in people of African, Asian or Hispanic descent and most often arise between puberty and 30 years of age. The tendency can run in families.

Telling a keloid apart from a hypertrophic scar matters, because it changes how the scar is treated and what result you can expect.

How steroid injections work

A corticosteroid, usually triamcinolone, is injected into the body of the scar with a very fine needle. It calms inflammation, slows collagen production and reduces the blood supply that feeds the scar. The effect builds up over a course of treatment rather than coming from a single injection.

Steroid injections are a prescription-only medicine. You are assessed face to face before any treatment, and Dr Edwin Anthony (GMC 4776646) provides medical oversight of every keloid plan.

Who it is best suited for

  • Adults with raised, firm keloid scars on the ears, chest, shoulders, arms or jawline.
  • People whose keloid is itchy, tender or catching on clothing or jewellery.
  • Those with newer or smaller keloids, which tend to respond best.
  • People who can commit to a course of injections spaced several weeks apart.

Your treatment journey at Orovenza

  1. Consultation and scar assessment. We examine the scar, confirm it is a keloid rather than a hypertrophic scar or another skin lesion, take photographs and review your medical history and medicines.
  2. Your plan. You receive a written plan covering the number of sessions, the spacing between them and the aftercare that supports the injections.
  3. Treatment day. The skin is cleaned and the steroid is injected into the scar in small amounts. Each session usually takes 15 to 30 minutes.
  4. Aftercare. A small dressing is applied and you go home with written aftercare and a number to call if anything worries you.
  5. Review. Before each further injection we compare photographs, check the height and firmness of the scar and adjust the dose or spacing.

Results and how long they last

Most people notice the scar becoming softer and flatter, and itching easing, after the first two or three sessions. The British Association of Dermatologists describes injections repeated about monthly for four to six months as the most common approach, while some NHS services space them every six to eight weeks. We set the interval around how your scar responds.

The aim is a flatter, paler, more comfortable scar, not removal. Keloids can return, and the British Association of Dermatologists notes that up to half regrow after steroid injections, so occasional top-up treatment may be needed. Avoiding new skin trauma in keloid-prone areas helps protect the result.

Recovery and aftercare

  • Straight after: mild stinging, tenderness and a little bleeding at the injection points are normal.
  • First 24 hours: keep the small dressing on, then remove it and wash gently.
  • Daily life: most people return to work and normal activities the same day.
  • Watch for infection: increasing redness, heat, swelling or pain should be reported to us promptly.
  • Between sessions: avoid picking, rubbing or piercing the area, and protect the scar from the sun with SPF 50.

Safety, side effects and who should avoid it

  • Temporary pain, bruising or bleeding at the injection site.
  • Thinning of the skin around the scar, which can leave a slight dip.
  • Lighter or darker patches of skin, more noticeable in deeper skin tones.
  • Small visible blood vessels on the surface of the scar.
  • Rarely, infection or an allergic reaction. Body-wide steroid effects are rare at the doses used in the scar.
  • Not suitable during pregnancy or breastfeeding, over an active skin infection, or if you have had an allergic reaction to corticosteroids. Tell us if you have diabetes, glaucoma or take blood thinners.

If a raised lesion is bleeding, changing quickly or looks unusual, we will arrange for it to be checked before any treatment.

Keloid treatment options compared

ApproachRoleTypical downtimeOffered at Orovenza
Steroid injectionsFirst-line treatment to flatten and soften the scarNone to 1 dayYes
Silicone gel or sheetsSupports injections and helps prevent new keloidsNoneAdvice given as part of your plan
Surgery aloneHigh chance of regrowth1 to 2 weeksNo
Radiotherapy after surgerySpecialist option for resistant keloidsVariesNo, we refer where appropriate

Price

Keloid steroid injections at Orovenza start from £300 per session. The number of sessions depends on the size, number and age of your keloids, and your personal treatment cost is confirmed in writing at consultation. Consultation fees are fixed and are not deducted from treatment prices.

How Orovenza compares

  • A hospital setting at Langham Hospital, 77 Hallam Street, Marylebone.
  • Care led by aesthetic nurse Rashmi Mehta, with medical oversight from Dr Edwin Anthony (GMC 4776646), Lead Clinician at Contoura Medical.
  • A face-to-face assessment before any prescription-only treatment.
  • Review appointments with standardised photographs, so progress is measured honestly.
  • Clear advice when another treatment or a specialist referral would serve you better.

Related treatments

Your plan starts with an in-person scar assessment at Langham Hospital. Consultation fees are fixed and are not deducted from treatment prices. Call 020 3890 1911 or Book a consultation

Frequently asked questions

How much does keloid treatment cost?

Keloid steroid injections start from £300 per session. Most people need a course of several sessions, and larger or multiple keloids may need more. Your personal cost is confirmed in writing at consultation, and the fixed consultation fee is separate.

How many steroid injections will I need?

Most keloids need at least three sessions, and many people have four to six spaced several weeks apart. Smaller and newer keloids often respond sooner. We review the scar before every injection and stop once it is flat and comfortable.

Can a keloid be removed completely?

No treatment can promise to remove a keloid for good. Injections can make it much flatter, softer and less noticeable, and ease itching and tenderness. Some keloids return over time and need occasional top-up treatment.

Do keloid injections hurt?

Keloid tissue is dense, so you will feel pressure and stinging while the steroid goes in. A very fine needle and small amounts keep discomfort short. Any tenderness afterwards usually settles within a day or two.

Can you treat earlobe keloids from piercings?

Yes. Earlobe keloids after piercing are one of the most common reasons people come to us, and they often respond well to injections. Avoid re-piercing the same ear while it is being treated, and ask us before any future piercing.

Is keloid treatment safe for darker skin?

Yes. Keloids are more common in deeper skin tones, and steroid injections are widely used across all skin types. The main thing to watch is lightening of the skin around the scar, so we inject carefully and adjust the dose if we see early changes.

What is the difference between a keloid and a hypertrophic scar?

Both are raised scars. A hypertrophic scar stays within the line of the original wound and often improves on its own. A keloid spreads beyond the wound edges and rarely settles without treatment. We confirm which you have at consultation.

How can I stop a keloid coming back?

Avoid unnecessary skin injury in keloid-prone areas, including new piercings and tattoos, and treat acne early. Silicone gel or sheets can help once the scar has flattened. Coming back promptly if the scar starts to thicken again means it can be treated while it is small.

Sources

  1. Keloids, British Association of Dermatologists Patient Hub
  2. Keloid and hypertrophic scar, DermNet
  3. Intralesional steroid injection, treatment for keloid scars, St George's University Hospitals NHS Foundation Trust
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