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Several treatment options can help remove or shrink keloids, bulbs of scar tissue that form on piercings. This includes procedures at the dermatologist’s office and home remedies. You may also be able to prevent a keloid with prompt action.
Dear Alley: My Skin Is Growing Over My Piercing... What Do I Do?
Keloids are overgrowths of scar tissue caused by trauma to your skin. They’re common after ear piercings and can form on both the lobe and cartilage of your ear. Keloids can range in color from light pink to dark brown.
As wounds heal, fibrous scar tissue starts to replace old skin tissue. Sometimes your body makes too much scar tissue, leading to keloids. This extra tissue starts to spread out from the original wound, causing a bump or small mass that’s larger than the original piercing.
On the ear, keloids typically begin as small round bumps around the piercing site. Sometimes they develop quickly, but usually they appear several months after you pierce your ear. Your keloid may continue growing slowly for the next few months.
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Keloids are particularly hard to get rid of. Even when they’re successfully removed, they tend to reappear eventually. Most dermatologists recommend a combination of different treatments for long-lasting results.
Your doctor can surgically remove a keloid from your ear using a scalpel. However, this creates a new wound that will likely develop a keloid as well. When treated with surgery alone, keloids usually come back. That’s why doctors typically recommend other treatments, in addition to surgery, that prevent the keloid from coming back.
If you have surgery to remove an ear keloid, your doctor may recommend wearing a pressure earring after the procedure. These are earrings that place uniform pressure on part of your ear, which can help prevent a keloid from forming after surgery.
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However, pressure earrings are also very uncomfortable for most people, and they need to be worn for 16 hours a day for 6 to 12 months.
There are also several nonsurgical treatment options you can try. While you might not be able to completely get rid of a keloid, many of these options can help to significantly shrink it.
Doctors can inject medications directly into your keloid to help shrink it, relieve symptoms, and make it softer. You’ll receive injections every three to four weeks until the keloid improves. This usually takes about four office visits.
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According to the American Academy of Dermatology, about 50 to 80 percent of keloids shrink after treatment with injections. However, they also note many people experience a reoccurrence within five years.
Cryotherapy treatments freeze the keloid. They work best when combined with other treatments, especially steroid injections. Your doctor may recommend three or more cryotherapy treatments, either before or after receiving your series of steroid injections.
Laser treatments can reduce the size and fade the color of keloids. Like most other treatments, laser therapy is usually done in conjunction with another method.
The Dreaded Piercing Bump
A ligature is a surgical thread that’s tied around the base of larger keloids. Over time, the thread cuts into the keloid and causes it to fall off. You’ll need to have a new ligature tied on every three to four weeks until your keloid falls off.
While there are no clinically proven home remedies that can completely remove keloids, there are a few treatments you can use to reduce their appearance.
Show that silicone gels can improve the texture and fade the color of keloids. One study found that 34 percent of raised scars became significantly flatter after daily application of a silicone gel.
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Also show that silicone can help prevent keloid formation, so your doctor might recommend using it after surgery as well. You can buy both silicone gel and silicone gel patches online without a prescription.
One study found that an onion extract gel can reduce the height and symptoms of raised scars. However, it didn’t have much of an effect on the overall appearance of scars.
Keloids are hard to treat. If you’re prone to developing them, follow these tips to reduce your risk of developing a new one:
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Keloids are hard to treat, so it’s best to seek out advice from your doctor. Most people with keloids, either on their ears or elsewhere, respond best to a combination of treatments.
If you know you tend to develop them, there are also steps you can take to try to prevent future keloids from forming. It’s best to consult a dermatologist, who may suggest a combination of several different treatments.
Has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.This article explains what piercing bumps and keloids are and how to tell the difference between the two. It also discusses the treatment options for both, as well as the other conditions that may cause skin issues after getting a piercing.
Is Your Piercing Infected
Piercing bumps are small lumps that can appear after a piercing. They often occur following cartilage piercings, such as in the nose or upper ear.
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 a 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 typical. Other symptoms that are not typically a cause for concern may include:
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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.
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.
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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.
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:
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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 can 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 believes 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.
A healthcare professional or dermatologist can advise on the best way to treat keloids. Anyone who believes that they may have a keloid or another condition that may be causing a lump should speak with a healthcare professional.
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