Nova Derma | Amman, Jordan
Scar & Keloid Treatment in Amman
Treatment for Surgical Scars, Hypertrophic Scars & Keloids
The scar type and behavior choose the treatment.
Scars can develop after surgery, injury, burns, acne, piercings or other forms of skin trauma. Some scars remain flat, while others become thick, raised, itchy or continue growing beyond the original wound.
At Nova Derma, treatment starts by identifying the scar type because a flat surgical scar, a hypertrophic scar and a keloid do not behave the same way and should not automatically receive the same procedure.
What Type of Scar Do You Have?
Flat or Mature Scars
A scar may remain flat but noticeable because of its color, width, texture or contrast with the surrounding skin.
Surgical & Traumatic Scars
Scars after surgery or injury may be widened, depressed, raised or texturally irregular. Treatment depends on scar age, location, tension and appearance.
Hypertrophic Scars
These are thick, raised scars that remain within the boundaries of the original injury. They may gradually improve but can remain red, firm, itchy, tender or prominent.
Keloids
Keloids are raised scars that grow beyond the boundaries of the original wound. They can develop after surgery, burns, acne, piercings or other skin injury and have a tendency to recur after treatment.
Correctly distinguishing a hypertrophic scar from a keloid is important because treatment strategy and recurrence risk are different.
Scar Treatment Options
Treatment is selected according to scar type, thickness, age, location, symptoms, skin type and previous treatment.
Intralesional Corticosteroid Injections
Commonly used for selected hypertrophic scars and keloids. Medication is injected directly into the scar to help flatten and soften it and to reduce symptoms such as itching or tenderness. More than one treatment is often required.
Silicone-Based Scar Therapy
Silicone gel or silicone sheets may be used for selected healed scars, particularly hypertrophic scars and patients at risk of abnormal scar thickening. Silicone is used only after the wound surface has healed appropriately.
Fractional CO₂ Laser
Bison More-Xel® Fractional CO₂ may be considered for selected mature scars when the main concern is texture, surface irregularity or remodeling. It is not automatically the primary treatment for an actively growing keloid.
RF Microneedling
Lutronic INFINI® RF Microneedling may be considered for selected textural or atrophic scars when collagen remodeling is the main goal. It is not a substitute for keloid-directed therapy when the scar is actively thickening or extending beyond the original wound.
Surgical Scar Revision or Keloid Excision
Surgical revision or excision may be appropriate in selected scars. For keloids, surgery is not usually treated as a stand-alone solution because recurrence can be high; when surgery is chosen, it should form part of a broader recurrence-reduction strategy.
Combination Treatment
Some scars need more than one approach, for example intralesional treatment to control a raised scar followed later by treatment aimed at residual texture or appearance.
The aim is to match the treatment to the scar — not to apply every available procedure.
Why Are Keloids Treated Differently?
Keloids behave differently from ordinary scars. They extend beyond the original injury and can continue growing or return after treatment.
Simply cutting out a keloid does not necessarily solve the problem. If excision is considered, the dermatologist evaluates the location, size, symptoms, previous recurrence and how postoperative recurrence risk will be managed.
For this reason, keloid treatment is often gradual and may involve a series of intralesional treatments, silicone-based therapy, surgery in selected cases, or a combination approach.
The goal is control, flattening, symptom relief and improved appearance — not an unrealistic promise of permanent removal.
Explore Dermatologic Surgery & Minor ProceduresCan a Scar Be Completely Removed?
No treatment can return scarred skin completely to its pre-injury state. Scar treatment aims to make the scar less noticeable, flatter, softer, smoother or more comfortable.
The degree of improvement depends on the scar type, its age and thickness, the location and the skin tension, the skin type and its pigmentation tendency, any previous treatment, and the individual's own healing response.
Some scars improve with a single strategy, while others require several sessions or staged combination treatment.
When Should a Scar Be Assessed?
Consider a dermatology assessment if a scar is:
- Becoming thicker or continuing to grow
- Extending beyond the original injury
- Itchy, painful or tender
- Raised, firm or cosmetically noticeable
- Restricting movement
- Returning after previous treatment
- Changing in a way that makes the diagnosis uncertain
A rapidly changing or unusual lesion should not simply be assumed to be a scar; if the diagnosis is uncertain, it should be assessed before treatment.
Scar & Keloid FAQ
What is the difference between a hypertrophic scar and a keloid?
A hypertrophic scar remains within the boundaries of the original injury. A keloid extends beyond the original wound and is more prone to recurrence.
Are steroid injections used for keloids?
Yes. Intralesional corticosteroid injections are commonly used for selected keloids and hypertrophic scars to reduce thickness and symptoms such as itching or tenderness.
How many injections will I need?
There is no fixed number. Raised scars and keloids often require a series of treatments, with the interval and total number based on response.
Can a keloid come back after treatment?
Yes. Recurrence is an important feature of keloids, particularly after excision alone. This is why treatment is planned as a recurrence-control strategy rather than simply removing the visible scar.
Can you surgically remove a keloid?
Sometimes, but surgery is selected carefully and is usually combined with additional measures because excision alone carries a significant recurrence risk.
Can Fractional CO₂ treat scars?
Yes, for selected mature or textural scars. It is not automatically the primary treatment for an actively growing keloid.
Can RF microneedling treat scars?
It can be useful for selected textural or atrophic scars. Raised keloids require a different keloid-directed treatment strategy.
Does silicone gel help scars?
Silicone gel or sheets may help selected healed hypertrophic scars and can be used as part of prevention or treatment of abnormal scar thickening.
Can old scars still be treated?
Yes. Mature scars can often still be improved, although the treatment choice depends on the scar type and what aspect of the scar is most noticeable.
Can a scar be completely erased?
No. The realistic goal is improvement in thickness, texture, symptoms and visibility rather than complete erasure.
Find the Right Treatment for Your Scar
The first step is determining whether the concern is a mature surgical or traumatic scar, a hypertrophic scar, a keloid or another type of skin lesion.
At Nova Derma, the treatment plan may include intralesional injections, silicone-based scar therapy, Bison More-Xel® Fractional CO₂, Lutronic INFINI® RF Microneedling, surgical revision or a staged combination approach according to the scar type.
Nova Derma · Amman, Jordan