Hypertrophic piercing bumps and keloid scars can look similar, but there are ways to differentiate them. For example, hypertrophic scars only occur at the piercing site whereas keloid scars can continue to grow outside the area.
In this article, we explain what piercing bumps and keloids are and how to tell the difference between the two. We also discuss the treatment options for both, as well as the other conditions that may cause skin issues after getting a piercing.
Piercing bumps are small lumps that can appear after a piercing. They often occur following cartilage piercings, such as nose or upper ear piercings.
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Piercing bumps occur when the body’s immune system responds to the wound and initiates the healing response. This response leads to inflammation, which is what causes the bump.
A person may notice bleeding, bruising, and some swelling at the site of the piercing in the first few weeks after getting it. These symptoms are all normal. Other symptoms that are not typically a cause for concern may include:
A keloid is a raised scar that occurs as a result of trauma or injury to the skin. Sometimes, this type of scar may appear after a piercing.
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A keloid forms due to an overgrowth of fibrous tissue. In response to injury, cells in the skin — called fibroblasts —
Keloids can take 3–12 months to develop after the original injury. They start as raised scars that can be pink, red, purple, or brown and typically become darker over time. The appearance can depend on the location of the keloid, as well as the person’s skin tone.
Earlobe keloid scars are likely to be round or oval. They can continue to grow over time — either quickly or slowly — and can become very large.
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The texture of keloids can differ. They can feel soft and doughy or hard and rubbery. Other symptoms that a person with a keloid scar may experience include:
Piercing bumps are part of the body’s natural response to injury, and they do not typically require treatment. However, people can take steps to keep the area clean, prevent infection, and allow the piercing to heal. These include:
Although the American Academy of Dermatology (AAD) suggest applying rubbing alcohol to the piercing, the general guidance is to avoid doing this as it can slow healing.
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Various treatment options are available for keloids. The appropriate treatment option can depend on several factors, including the type and size of the keloid. Treatment options include:
Bumps at the site of a piercing can sometimes be a sign of another condition or health issue. Some other possible causes include:
Infections in new piercings are quite common, and they can occur if the needle was not sterile or a person is unable to keep the piercing completely clean. The symptoms of an infected piercing include:
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Contact dermatitis is a type of skin rash that occurs when something that touches the skin irritates it. The rash may develop as a result of an allergy, friction, or exposure to something corrosive or toxic.
Nickel is responsible for most jewelry allergies. Nickel is present in less expensive jewelry, but gold or silver jewelry may contain small amounts of it, so these could also cause a reaction.
The best way to combat a jewelry allergy is to replace the metal with a hypoallergenic one, such as titanium, stainless steel, or 18- or 24-karat gold.
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If a person suspects that they have a keloid, they should speak with a doctor or dermatologist. Without treatment, the keloid may continue to grow.
Piercing bumps and keloids are different skin conditions that can occur following a piercing. Piercing bumps tend to appear more quickly and do not grow in size, while keloids take time to form and can continue to grow over time.
A doctor or dermatologist can advise on the best way to treat keloids. Anyone who suspects that they have a keloid or another condition that may be causing a lump should speak with a healthcare provider.
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While they can be unattractive, keloids are rarely harmful. However, if they are not treated, they can continue growing for months and sometimes years.
First, it’s important to realize that a keloid often does not occur immediately after the skin injury. Therefore, it may take months after your piercing for one to develop.
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No, but because they have a dramatic impact on your appearance, many people find them upsetting. They may also be painful and itchy. Keloids will likely continue to grow without treatment.
No one has an exact answer or specifics for why they form, but researchers believe it centers around problems with the wound-healing process and collagen. Collagen is a protein that is needed for proper wound healing. However, in some cases, the body may produce an overabundance of collagen. As a result, keloids form.
Keloids will not go away without treatment. As we mentioned earlier, they can continue to grow, and while they will eventually stop expanding, this may not occur for several months or years.
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While keloids aren’t cancerous and don’t affect your health, they can have an impact on your self-esteem. Keloids on your nose or ears can be upsetting, particularly if they are itchy and painful. Keloids will not go away through self-care or home remedies.
Our physicians at Raleigh Capitol ENT utilize the latest techniques to remove keloids in a way that is minimally invasive and doesn’t damage the surrounding tissue. These simple, yet effective, procedures can transform the way you look.
If an unsightly keloid is impacting your life, contact us today to schedule an appointment to see the difference our doctors can make.
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Try not to worry too much, as a nose piercing bump doesn’t have to remain a permanent fixture on your face. By the end of this article, you’ll be equipped with everything you need to know to deal this issue head-on.
As its name indicates, this nose bump is full of pus. Think of a pustule as a pimple or a blister at the piercing site. Sometimes, the’re caused by mild infections. Other times, they are caused by trauma, such as slight knocks or tugs.
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The timetable of when your piercing was done can help determine if you’re dealing with a granuloma, as yhey won’t appear immediately after the procedure. On average, it takes about six weeks until these nuisances show up.
Granulomas can show up in your piercing hole or right next to it. They can be as small as just a couple of millimeters or as large as a couple of centimeters.
Granulomas form when healing tissue composed of blood vessels around the piercing site overgrows, and are caused by trauma or the inflammatory response your body is producing to deal with the piercing wound, which it sees as an unwelcome intrusion.
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A keloid is a fancy term for an overgrown scar. Though it’s no ordinary scar – it’s like a scar on steroids. Keloids are thick and often quite noticeable. Unlike other forms of scaring, keloids can keep growing upwards and outwards through neighboring tissue, so it’s best to get them evaluated by a Board Certified Dermatologist as soon as possible if you’re concerned.
If you see a formation around your piercing site and aren’t sure if it’s a keloid, schedule an appointment with your doctor or piercer. They’ll have seen enough keloids and temporary hypertrophic scarring to know the difference between the two.
Sometimes, bacteria can get in the wound and cause an infection, which can proceed to cause a lump to form as the body tries to fight and force the infection-causing bacteria out of the body.
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Sometimes, inflammation and swelling can cause a small bump to form around the area. If there isn’t an infection present, the bump shouldn’t take too long to go down.
Although you should expect at least minor amounts of redness and swelling after getting a nose piercing, signs of a more serious problem can include the following:
If you begin to experience any of these symptoms, it’s recommended to contact either your piercer or a medical professional as soon as possible for further advice.
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It’s also important not to remove your jewelry in these instances. Once piercing jewelry is removed, a nose piercing hole can close up quickly, trapping potentially harmful bacteria inside the wound and leading to infection.
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