Treating keloids is one of the most delicate challenges in dermatology, as these scars are the result of an "overactive" healing response. Unlike standard scars, keloids extend beyond the boundaries of the original injury, becoming thick, rubbery, and often itchy. Using Microneedling for Scar Removal in Dubai offers a controlled way to "re-educate" the skin. By creating thousands of microscopic channels in the scar tissue, we can break down the dense, chaotic collagen bundles that form the keloid. In clinical settings, we often use microneedling as a delivery system for therapeutic serums, allowing them to penetrate deep into the fibrotic tissue where they can be most effective.
How Does Microneedling Change Keloid Structure?
In clinical settings, we observe that mechanical stimulation alone is often not enough for keloids. The procedure must be combined with "Drug-Incision" protocols to be truly effective.
The clinical benefits of this approach include:
-
Collagen Remodeling: Breaking up the "swirl" patterns of keloid collagen and replacing them with linear, healthy fibers.
-
Enhanced Drug Delivery: Creating channels that allow steroid or 5-FU injections to spread evenly throughout the scar rather than pooling in one spot.
-
Reduced Vascularity: Microneedling can help "starve" the keloid of the excess blood supply that keeps it growing.
-
Softening of Texture: Patients report that the hard, "woody" feel of the keloid softens significantly after 2–3 sessions.
-
Itch Relief: By breaking up the internal tension of the scar, the chronic itching and pain often associated with keloids are reduced.
What are the Actual Pain Levels During Keloid Microneedling?
Because keloids are often hypersensitive or contain trapped nerve endings, the sensation of microneedling can be unique compared to treating flat skin.
Is microneedling painful for raised scars?
To ensure comfort, we apply a high-concentration numbing cream and sometimes use "local infiltration" (numbing injections) for very thick keloids. Once the area is prepared, the sensation is described as a "dull vibration" or "prickling." Based on post-procedure follow-ups, patients rate the pain at a 3/10. However, the "pressure" applied by the practitioner to reach the depth of the keloid can be more noticeable than the needles themselves. After the session, the area may feel "throbby" for a few hours, similar to the sensation of a healing bruise.
Real Patient Sensations: The "Softening" Phase
The transformation of a keloid is gradual, and patients will notice sensory changes before they see visual ones.
What does the keloid feel like as it begins to heal?
During the first 24 hours, the keloid will appear redder and may feel slightly "tight." Between day 3 and day 10, the most common sensation is a "reduction in tension." Patients often describe the keloid as feeling "less angry" and "flatter" to the touch. In clinical settings, we find that the chronic "stinging" sensation many keloid sufferers live with is often the first symptom to disappear. By the second month, the skin over the keloid begins to look more like the surrounding tissue rather than having the shiny, translucent appearance typical of active keloids.
Realistic Expectations: Flattening vs. Total Removal
It is a clinical reality that keloids are "managed" rather than "deleted." The goal is to bring the scar flush with the skin.
Can microneedling make a keloid disappear?
Based on clinical observation, microneedling is highly effective at flattening the scar and reducing its color. While the "footprint" of the original injury may still be visible, the goal is to make the scar soft, skin-toned, and level with the surface. Most patients require a series of 4 to 6 sessions, spaced 4 weeks apart. We often combine this with silicone gel sheeting between appointments to maintain the "flattening" effect and prevent the keloid from trying to regrow.
Safety Considerations: The Risk of Regrowth
The biggest risk when treating keloids is that any trauma—even medical microneedling—could potentially trigger more growth if not handled correctly.
Who should be cautious with keloid treatments?
-
Individuals with "Active" Keloids: If a keloid is currently growing, red, and painful, we must first stabilize it with injections before starting microneedling.
-
Darker Skin Tones: There is a risk of "Post-Inflammatory Hyperpigmentation" (darkening of the skin), which requires the use of specific pre-treatment lightening serums.
-
History of Poor Wound Healing: If you have a systemic condition like uncontrolled diabetes, the micro-channels may take longer to heal, increasing infection risk.
-
Inconsistent Aftercare: Keloids require strict adherence to silicone sheeting; skipping aftercare can lead to a "rebound" where the scar thickens again.
Why Choose Tajmeels Clinic for Keloid Management?
At Tajmeels Clinic, we understand that keloids require a "low and slow" clinical approach to avoid over-stimulating the tissue. Our approach to Scar Removal in Dubai for keloids involves the "Hybrid Infusion" technique. We use medical-grade microneedling devices with adjustable needle depths to specifically target the "root" of the keloid. We follow every session with a cocktail of anti-inflammatory and collagen-softening serums tailored to your scar's specific density. By choosing Tajmeels Clinic, you are working with a team that prioritizes the long-term stability of your skin, ensuring that we flatten the scar without triggering its return.
Genuine Patient Perspectives
"I had a keloid on my chest from a piercing that just kept getting bigger. I was scared to touch it, let alone needle it. But the team at Tajmeels was so gentle. After the third session, the 'hard' feeling was gone, and it’s now almost flat against my skin. The best part is the constant itching has finally stopped." — Amna R.
"Microneedling for my keloid was much better than just getting shots. The shots always hurt and left dents, but the microneedling made the whole scar look more natural and smoother. It’s no longer the first thing I see in the mirror." — Jason M.
Frequently Asked Questions
Is microneedling better than laser for keloids?
In some cases, yes. Microneedling provides a physical breakdown of the tissue without the "heat" of a laser, which can sometimes be safer for certain keloid types.
How soon will I see the keloid flatten?
Most patients begin to notice a significant "softening" and flattening after the second or third session.
Can I do this at home with a derma roller?
Absolutely not. Keloids require professional, medical-grade depths (up to 2.5mm) and a sterile environment to prevent worsening the scar.
Will the keloid turn white?
As the vascularity decreases, the red or purple color will fade into a pale pink or skin-toned color over several months.
Does it work on old keloids?
Yes, even "mature" keloids that are years old can be softened and flattened with a consistent clinical protocol.
Can I wear makeup over the area?
You should wait at least 24 to 48 hours before applying anything to the area to allow the micro-channels to close safely.