The Issue: Keloids "Keloids are abnormal scars in the wound-healing process that cause scar tissue to expand beyond the wound's edges," says Palm. You can easily spot keloids because they are raised and, unlike regular scars, tend to enlarge over time instead of gradually fading. Studies show that keloids are much more common in African American patients, but experts don't know why. "All we know for now is that it's a genetic predisposition and that it causes collagen to be laid down abnormally," Palm explains. Keloids typically form after surgery or injury, but even slight inflammation due to a pimple, a recent piercing or a burn can trigger keloids.
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