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Keloid Scars After Laser Tattoo Removal

Keloid scars after laser tattoo removal are raised, overgrown tissues that form beyond the boundaries of the original tattoo when the body’s wound healing response produces excess collagen. While hypertrophic scars (which stay within the wound area) are more common, true keloids are rarer and can be triggered if the laser irritates the skin in susceptible individuals.

People with darker skin tones or a known history of keloid formation are generally at higher risk. To minimize the chance of developing these scars, effective pre-treatment counseling is essential to manage expectations. It is also crucial to work with an experienced practitioner who can adjust the laser settings appropriately and monitor your skin’s response throughout the process.

Careful aftercare, such as keeping the area clean, moisturized, and protected from sun exposure, significantly reduces irritation. If a scar does begin to form, treatments like silicone gel sheets, steroid injections, cryotherapy, or pressure therapy can help flatten the tissue. Consulting a dermatologist early allows for proactive measures and prompt treatment of keloid scars after laser tattoo removal.

BY BURAK DELIBAS DECEMBER 19, 2025
Close-up view of raised skin tissue illustrating keloid scars after laser tattoo removal.

Understanding Scars and Keloids

When tattoos are removed with lasers, there is a chance of developing scars. These scars can be:

– Hypertrophic scars: These stay within the tattoo area and are more common.

– Keloids: These extend beyond the tattoo area and are less common.

Can Laser Tattoo Removal Cause Keloids?

While there is always a risk with any procedure, studies show that the incidence of keloid formation following laser tattoo removal is very low. In one large study of over 1,000 patients, no new keloid scars were reported after the removal process. 

Risks of Raised Scars

– The risk of developing hypertrophic scars is slightly higher, but it is still low (0.28% in the study mentioned).

– Raised scars usually remain within the boundaries of the tattoo, unlike keloids.

 

Differences Between Hypertrophic Scars and Keloids

– Hypertrophic scars are confined to the original tattoo site and may fade with time.

– Keloids may appear months to years later and continue to grow.

 

Steps to Minimize Risk

To significantly lower the chance of developing keloid scars after laser tattoo removal, start by selecting a certified practitioner who performs a patch test to gauge your skin’s reaction before full treatment. Strict adherence to aftercare is crucial; this includes keeping the area clean, hydrated, and shielded from UV rays to reduce inflammation. Additionally, applying silicone gel sheets immediately after the skin heals can serve as a proactive measure to suppress potential overgrowth before it begins.

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