Many of my patients ask me if I am scarred. From the perspective of a scar specialist, the definition of a keloid is very strict. A scar is a natural product of tissue repair after an injury to the body, which means that a scar will remain as long as the injury reaches a certain depth. However, there are some people who have keloid scars that can become hyperplastic. In layman’s terms, hyperplasia means that the scar will bulge against the skin, become red in color, harden in texture, and sometimes become painful and uncomfortable. Even people with keloid scars or even keloid scars may not be keloid. The number of people who are truly keloid is extremely small. This term, in the hearts of folk or some non-specialist doctors, has been completely misunderstood for a long time, so we should pay attention to these points: First, people with keloid will keep growing after the skin is traumatized, and some of them will grow or fuse into a huge crabfoot shape, eroding the surrounding normal skin, and will hardly stop growing without external interventions for treatment. Secondly, keloid people will basically have significant growth of keloid scars after whatever part of the body is injured. Third, clinically, hyperplastic keloid scars are often characterized by a clear red circle around the scar, which is a manifestation of inflammatory reaction, indicating that the scar proliferation is in a very active state and the cells in the skin of the area are abnormal. Fourthly, from the perspective of treatment prognosis, the possibility of hyperplasia and recurrence is much higher in keloid patients than in non-keloid patients after receiving various regular and effective treatments. Although the treatment of keloid patients is more troublesome for doctors, it does not mean that patients with keloid should give up treatment. The treatment of such patients advocates comprehensive treatment, especially focusing on physical adjustment (including light diet, life routine, oral medication, etc.). As long as there is an accurate and objective psychological expectation and a positive attitude towards life with treatment, there is still a good chance that the lesion can be improved or even cured.