Where
Plot No 13D/B, Wellington Rd, Vikrampuri Colony, Karkhana, Secunderabad, Telangana 500009.
- Serves Trimulgherry, West Marredpally, Bowenpally, Alwal
- Formerly BNR Skin & Vitiligo Hospital
Hyderabad
Keloid and raised scar treatment in Hyderabad
A keloid is scar tissue that did not know when to stop. It can be flattened, softened and made much less symptomatic, but it is managed as a tendency rather than removed, and anyone offering to simply cut it out is describing how keloids get bigger.
45 years in dermatologyDermatologist & dermatosurgeonKarkhana, SecunderabadBooking on WhatsApp
At a glance
- Treats
- Keloids and hypertrophic scars
- First line
- Intralesional injection, spaced weeks apart
- Realistic outcome
- Flatter, softer, less itchy: not erased
- Recurrence
- Common; planned for rather than denied
- Surgery alone
- Usually the wrong answer
- Where
- Secunderabad clinic
What it is
Not a bad scar. A different one.
An ordinary scar stays within the boundary of the original wound. A keloid grows past it, into skin that was never injured, and keeps going: often months after the wound itself healed. That distinction matters, because it is what makes surgery on its own counterproductive: cutting a keloid out creates a fresh, larger wound in skin that has already demonstrated how it heals.
A hypertrophic scar is the milder relative. It is raised and red but stays within the original wound, and it frequently settles considerably on its own over a year or two. Telling the two apart changes the plan, which is why the scar is examined rather than treated from a description.
Ear lobes after piercing, the chest, shoulders and upper back are where they form most readily, and a personal or family history of them is the strongest predictor that the next wound will do the same. If you know you are prone to keloids, that is worth saying before any elective procedure, including a cosmetic one.
Before you decide
Who is treating you, and what his patients said.
Dr. (Lt Col) Khagendra Varada
- 45 years in dermatology and dermatosurgery
- 25 of them in the Indian Army Medical Corps
- MBBS, Osmania Medical College
- Dip. Practical Dermatology, Cardiff · Dip. Dermatology, AAAM
Reg. No. 10461, Hyderabad State Medical Council
Full background →“I have been going pillar to post to get my son cured of his white spot on his left side of lip and chin. It appeared 8 years back. I was told it’s special type of nerve vitiligo which has no cure. After reporting to him he told us that it is SEGMENTAL VITILIGO and unlikely and difficult to be cleared by medications alone. He suggested for surgical melanocyte transplant… I was amazed after around one month that he started rapidly getting pigmentation. I wholeheartedly suggest please do not waste time like I did.”
“Explains the entire condition faced by the patient really well and is actively involved in the progress. Always open to answering all queries and the treatment was extremely effective. Went from horrible acne condition to having a smooth face. Even the support staff working with the doc are kind and take care of the patient well.”
The difference
A keloid outgrows its own wound.
An ordinary scar fills the injury and stops. A keloid keeps producing collagen after the wound has closed and spreads onto skin that was never injured — which is what makes it a different problem rather than a bad version of the same one.
- 1
- 2
- 1Collagen stays inside the wound
- 2Collagen grows past it
Treatment aims to flatten and quieten, not to erase. A keloid that stops growing, stops itching and settles is the realistic result.
- Collagen stays inside the wound
- Collagen grows past it
Illustration, not a photograph.
The options
What is used, and what it does
| Approach | What it achieves | Notes |
|---|---|---|
| Intralesional steroid | Flattens and softens; settles itch and pain | First line for most; repeated every few weeks |
| Steroid with 5-fluorouracil | Often flatter, faster, than steroid alone | Used where response is slow or the scar is dense |
| Cryotherapy | Useful for smaller, early lesions | Repeated cycles; can lighten surrounding skin |
| Silicone gel or sheeting | Modest, mainly preventive | Needs months of daily use to be worth anything |
| Pressure therapy | Standard after ear lobe keloid excision | Clips or pressure earrings, worn for months |
| Excision, with adjuvant treatment | Considered for selected lesions | Never alone: recurrence after plain excision is high |
The last row carries the whole page. Excision of a keloid without an adjuvant plan afterwards has a high recurrence rate, and what returns is frequently larger than what was removed.
How a course runs
Injections, spaced, and reviewed.
Examine and classify
Keloid or hypertrophic, how long it has been there, whether it is still growing, and what it does to you. Itch and pain are often the reason to treat, not appearance.
Start injections
Delivered into the scar itself, which is uncomfortable for a few seconds and quick. Sessions are spaced by several weeks so the response can be judged before the next.
Judge at the third or fourth
Softening and reduced itch usually come first, flattening after. If there has been no movement by then, the protocol changes rather than repeating indefinitely.
Plan for recurrence
Keloids recur, and a scar that has flattened may need occasional top-up treatment. Being told that at the start is the difference between a managed condition and a disappointment.
Honest limits
Flatter and quieter, not gone.
The realistic result is a scar that is much less raised, much less itchy and considerably less noticeable, usually leaving a flat mark that differs in colour from the skin around it. Skin that has been stretched by a keloid for years does not return to how it was.
Injections have their own trade-offs, and they are explained before the first one rather than discovered afterwards: the treated area can thin, and in darker skin it can lighten, sometimes visibly. Conservative dosing spread across more sessions is the usual way to limit that.
If the keloid is on an ear lobeColour change is likely
A treated keloid usually leaves a flat mark. Whether that is an improvement on what you have is your call to make.
Prevention counts double
If you form keloids, say so before any elective procedure. It changes the technique used and the aftercare given.
Where to book
One clinic, in Secunderabad
Consulting rooms, phototherapy and the surgical list at one address in Secunderabad. The practice was formerly known as BNR Skin & Vitiligo Hospital.
How to book
On WhatsApp: one number, answered by the clinic team, who confirm a time and say what to bring.
- Photographs welcome before you travel
- Video consultation arranged the same way
Questions patients actually ask
Keloid questions
Can a keloid be removed completely?
It can be flattened and softened substantially, and in selected cases excised, but excision alone has a high recurrence rate and what returns is often larger. Treatment aims at a flat, quiet scar rather than skin with no mark at all.
How many injection sessions will I need?
Sessions are spaced several weeks apart and the response is judged over the first three or four. Some scars settle in a handful, dense long-standing ones take longer. The number is reviewed, not fixed at the first visit.
Do the injections hurt?
There is a strong stinging sensation for a few seconds as the injection goes into the scar, which is firmer than normal skin. It is brief, and the session itself takes only minutes.
Why did my keloid come back after surgery elsewhere?
Almost certainly because it was excised without adjuvant treatment afterwards. Cutting a keloid out creates a fresh wound in skin already proven to over-heal, so surgery is planned as part of a protocol rather than as the treatment.
Will treatment lighten my skin?
Steroid injections can thin the treated area and lighten it, which is more visible in darker skin. Dosing is kept conservative and spread across sessions to limit it, and the risk is discussed before starting.
My keloid is from an ear piercing. Can it be treated?
Yes, and ear lobe keloids are among the more satisfying to treat. Depending on size the plan may be injections alone, or excision with injections and pressure therapy afterwards to hold the result.
References
The clinical statements on this page follow the guidance and evidence below. They are independent sources. None of them is connected to this clinic, and none of them sells the treatments described here.
- Keloid and hypertrophic scarDermNet (New Zealand Dermatological Society)
- Keloid scarsNHS (United Kingdom)
- Skin phototypeDermNet (New Zealand Dermatological Society)
Keep reading
Related on this site
The first appointment is a diagnosis.
Not a treatment plan sold on the spot. Message the clinic and bring your history.