Many people think they are keloidal when they have white, flat keloid scars left on their body years ago. In fact, keloid scars are the body’s way of repairing traumatic injuries, and whenever there is a break in the tissue, keloid scars are produced as a protective response of the body. Only a very small percentage of people are truly keloidal. What kind of person is a keloid? Modern medicine does not yet have a specific way to detect whether a person is keloid or not. Clinically, we recognize keloid scarring in people who have developed multiple large keloids despite only minor trauma or no injury, and these people may have similar conditions in their immediate family. Will I get scars from surgery? Surgical wounds on the human body inevitably leave scarring, and tiny white keloids are normal. However, in areas prone to abnormal scarring, such as the chest, shoulders, back and earlobes, there are often red, raised, hyperplastic scars, or even keloids that grow larger and larger, as shown in the picture below: If you have had surgery in these areas, you should be extra vigilant about abnormal scarring. The face is less prone to abnormal scarring, and some facial surgical incisions are almost invisible after healing. In addition to the differences in surgical sites, the suturing method is crucial. Cosmetic suturing is concerned with wound decompensation, skin edge alignment, and fine stitching with small needles and fine threads, and these suturing details allow for seamless wound recovery, avoiding centipede-leg-like stitches and needle-eye keloid scarring, and minimizing scarring. Will the scar be large and unsightly if it remains? When the human body is injured, there are a series of reactions by the body to repair the trauma. Small wounds can heal on their own, while larger wounds will need a doctor’s help to heal quickly. The size of the scar is related to many factors: first, the size of the wound, the degree of tissue fragmentation and contamination. The more complex the trauma, the longer it takes for the wound to heal and the more pronounced the scar. Second, the time to seek medical attention. Timely medical treatment after injury is the key, the longer the wound is exposed, the greater the possibility of infection, which not only prolongs the healing time, but also increases the scar after healing. Third, the doctor’s treatment method. Plastic and cosmetic surgeons have their own unique methods and requirements for the treatment of emergency trauma to the soft tissues of the skin. The use of cosmetic suture after injury is the best choice, for patients with skin defects should also use skin flaps or skin grafts to repair, minimize scarring and the possibility of secondary surgery. Fourth, for the treatment of scarring after surgery, you can use silicone gel ointment, scar paste and other drugs to inhibit scar proliferation and promote the recovery of scarring after wound healing. For special parts of the scar also need compression or traction immobilization treatment. Scarring is a difficult problem that plagues mankind, and there is no method to remove scarring completely. In order to minimize the appearance of scarring after surgery, plastic surgeons will use a combination of methods to minimize, beautify or hide the scar.