Keloid Treatment Guidelines

KRF® is dedicated to the development of a series of clinical practice treatment guidelines for medical management of keloid patients. These Guidelines are authored by KRF and endorsed by clinicians who agree with each Guideline and adhere to the Guideline in treating their own keloid patients.

By disseminating these Treatment Guidelines, KRF hopes to enhance and contribute to the education of physicians who treat keloid patients in order to improve the treatment outcomes.

Guidelines presented here are intended to provide recommendations for treatment of patients with common clinical presentations of keloid disorder. As you will notice throughout these Guidelines, not all keloid patients present in a similar manner. Every patient presents a unique problem. Therefore, the treatment for each keloid lesion should be customized for each patient. Obviously, the first instinct in a young person who develops a keloid lesion is to have that lesion surgically removed. As documented throughout these Guidelines, rushing into surgery will often result in worsening of the keloids - simply because keloid disorder is a progressive and multifocal disorder of the skin. Our better understanding of basic facts about this chronic genetic ailment will guide us to more effective treatment choices.

Help Us to Improve the Guidelines

Preparing the Guidelines is a tedious task. Each document has been reviewed and edited several times. If you notice any typo or other errors in any of these Guidelines, please take a moment to let us know by emailing a note to: ""

If you are a physician treating keloid patients and have reviewed our Guidelines, we would like to hear your thoughts and your input. Please email us at ""

KRF will gradually list and make the following guidelines available.

Treatment Strategy:

1- Overall Treatment Strategy

Treatment Modalities:

1- Intra-Lesional Triamcinolone
2- Intra-Lesional Chemotherapy
3- Cryotherapy
4- Magnetic Disks


Keloid Treatment Guidelines by Site:

1- Ear Keloids
2- Facial Keloids
3- Scalp Keloids
4- Neck Keloids
5- Chest Keloids
6- Pubic Keloids



The KRF Guidelines® are statements of evidence and consensus of the author and other keloid experts listed herein regarding their views of currently accepted approaches to treatment. Any clinician seeking to apply or consult with the KRF® Guidelines is expected to use independent medical judgment in the context of individual clinical circumstances to determine any patient's proper care or proper treatment.Keloid Research Foundation® (KRF®) makes no representations or warranties of any kind regarding the content of these guidelines, their use or app