How Sandee Clinic treats keloids and raised scars
Keloids and ordinary raised scars look alike, but they are treated differently. At Sandee Clinic, Ubon Ratchathani, the doctor first looks at the scar to see which type it is, then chooses a method that fits its size and location.
Thai medical licence no. ว.55040 • reviewed on 10/10/2026
English translation of the Thai page. If the two differ, the Thai version applies.
- A keloid spreads beyond the edge of the original wound and usually does not go down on its own, unlike an ordinary raised scar.
- The clinic can treat with scar sheets, creams, injections and surgery. In some cases Fractional CO₂ laser is added. The doctor chooses based on size and location.
- Keloids can come back, so follow-up visits matter as much as the treatment.
- You can send scar photos on LINE for first advice before you come.
What a keloid is
An earlobe keloid, often after ear piercing
Illustration
It is a scar where the body makes too much tissue, so it becomes raised and spreads beyond the edge of the original wound.
Raised scar vs keloid
Besides how it looks, a keloid may be itchy, painful or tight, especially while it is still growing.
- A raised patch or lump, larger than the original wound
- Often red at first, then slowly darker
- The skin over it is shiny and has no hair
Causes and common places
Illustration, left to right
A keloid comes from abnormal wound healing: the body makes more tissue than it needs to close the wound. It can happen even from a small wound, and is more common in people with a family history of keloids. It can happen to anyone, but people aged 10–30 tend to get it more.
Wounds that often start one
Common places for keloids
- Earlobes, often after ear piercing
- Chest
- Shoulders
- Back (the back of the body)
Treatments at the clinic
Illustration, left to right
They can be used alone or together, as the doctor assesses.
Scar sheets
Placed over the scar every day. They help soften the scar, are easy to use, and can also be used to keep a new wound from becoming raised.
Scar creams
Available as creams and gels. They help reduce itching and redness, and suit small scars such as acne scars. The doctor recommends a suitable type.
Keloid injections
An anti-inflammatory medicine is injected into the keloid tissue so it slowly becomes flatter and softer. Usually needs a course of several injections.
Read more →Keloid surgery
The doctor cuts out the keloid tissue under local anesthesia. You go home the same day, then treatment continues to lower the chance of it coming back. Usually used when other methods have not helped.
Read more →
Fractional CO₂ laser
Used with injections in some cases to make the skin over the scar smoother. It does not replace injections. The clinic also has a Fractional RF device, and the doctor chooses based on the scar.
Read more →
Follow-up visits
Photos from the same angle every time to see how the scar responds, then the plan is adjusted. The clinic sends appointment reminders on LINE.
Which scar suits which method
This table is only a rough guide. The doctor must always see the actual scar first.
| Type of scar | Usual approach |
|---|---|
| Small to medium lump | Start with injections |
| Large lump or one that hangs like a tag, such as on the earlobe | Surgery, then further treatment afterward |
| Shrunk only a little after several injections | The doctor reassesses and may consider surgery |
| On the chest or shoulders | Usually injections as the main treatment, because the skin is tight and a new surgical wound may turn into a keloid again |
If the size or location is beyond what the clinic can do, the doctor will refer you to Sappasitprasong Hospital or 50th Anniversary Mahavajiralongkorn Hospital.
Injection vs surgery
| Keloid injections | Keloid surgery | |
|---|---|---|
| Time | A few minutes | 30 minutes – 2 hours |
| Pain | A little pain during the injection. You can ask for a numbing medicine. | Local anesthesia |
| What to expect | The scar slowly goes down and softens, but it can come back | The lump is removed, but the surgical wound may become a new keloid |
| Recovery | No recovery time needed | About 1–2 weeks |
| Usually used for | Scars that are not very large, new keloids, areas of thin skin | Scars larger than 1 cm, scars that do not respond to other methods, or keloids that come back |
Many cases use both, for example surgery followed by injections. The doctor assesses each person. You can send scar photos on LINE for the doctor to see first.
Can keloids come back?
Follow-up visits, with photos from the same angle every time
Illustration
Yes, and this is something to know before you start treatment.
A surgical wound is a new wound that can turn into a keloid again. With removal alone, the chance of it coming back is high. The doctor will plan further treatment and check the scar from time to time.
- Come to your appointments even if the scar looks better.
- Do not pick, scratch or squeeze the scar.
- If you are thinking about another ear piercing or tattoo, ask the doctor first.
- If the scar starts to rise, turn red or itch again, message the clinic straight away without waiting for your appointment.
Results vary from person to person.
Caring for wounds so they do not become keloids
If you have had keloids, or someone in your family has, care for any new wound from the start.
- In the early period, use a pressure sheet over the wound or silicone gel on it, starting after surgery or after the stitches come out.
- Wear or apply it 12–24 hours a day, for about 3–6 months.
- Stitched wounds are often raised in the first 6 months, which is normal. Scars that stay raised within the stitch line usually go down on their own once fully healed, within 6 months to 1 year.
- If a raised scar spreads beyond the line of the original wound, it may be a keloid. Have the doctor look at it.
Follow-up photos from the clinic
Photos from real clients who agreed to share them
Results vary from person to person. • Photos are not retouched. Camera angle and lighting may differ slightly between the two photos. • See all follow-up photos
Costs
Costs depend on the size, location and number of keloids, and the method used. See prices and promotions on the prices and promotions page.
The doctor will give you a rough cost after the exam. For a first estimate, ask on LINE @sandeeclinic or call 087-491-6969.
Frequently asked questions
Can a keloid go away on its own?
Most do not go down on their own, and some slowly grow, unlike ordinary raised scars, which in many people flatten on their own. So have the doctor check which type it is.
Is a keloid dangerous?
A keloid is not cancer, but it may be itchy, painful or tight, or get in the way of daily life. If a lump grows unusually fast, has a wound or bleeds, have the doctor examine it.
Can it come back after treatment?
Yes. Keloids can come back, especially when only removed by surgery. So the doctor plans further treatment and follow-up visits to catch any new raising early.
How many treatments do I need?
It depends on the size, thickness, location and age of the keloid. Most need a course of several treatments. The doctor will give you a rough plan after the exam.
Can children or teenagers have keloid treatment?
The doctor decides case by case, and a parent or guardian joins in hearing the treatment plan.
Can I send keloid photos on LINE before I come?
Yes. Our staff will give first advice and help book a day to see the doctor. Diagnosis and treatment planning are done by the doctor only after an exam at the clinic.
Let the doctor assess you before choosing a treatment
Sandee Clinic Ubon–Trakan Road, Mueang Ubon Ratchathani • Open 11:00–20:00 · Closed on Tuesdays
This page is general information and does not replace an examination by a doctor • Results vary from person to person
