TAKE-HOME LEARNING POINTS
• The size and shape of keloids obscure the original triggering insult, a fact that serves to distinguish them from normal and hypertrophic scars.
• Keloids never resolve spontaneously, whereas hypertrophic scars can and do.
• Areas most prone to keloid formation include the sternum, deltoids, shoulders, earlobes, and trunk; they are almost unknown on the central face.
• In general, the darker the patient’s skin, the higher the risk for keloid formation.
• Elective surgery (eg, cyst removal) on high-risk areas and in keloid-prone patients should be avoided.
• Keloids can be injected intralesionally with glucocorticoid solutions, such as triamcinolone, or can be excised with proper postop follow-up.