Keloids represent a specific type of scar. These are not the same as a hypertrophic scar or a "bad" scar. They involve the body's normal healing mechanism going out of control creating a scar that extends well beyond the original trauma to the skin. They may be the result of trauma, planned surgery, piercings, or something as inocuous as an insect bite. Certain groups are more predisposed to this including those of African descent. The treatment for keloids are different from that of normal scars. They frequently involve a combination of treatments including steroid injections and surgery. Furthermore, it frequently involves maintenance treatment to help minimize the risk of recurrence. As you can see from Dr. Guy's publications, he has extensive experience in the management of keloid scars. Dr. Guy can discuss all of this with you at the time of consultation.