Keloid Scars: the most visible type of scar

Most patients are suitable candidates for hair transplantation, and complications are uncommon. However, certain skin conditions require special consideration before surgery. One of these is the tendency to develop keloid scars.

A keloid is an abnormal scar that grows beyond the boundaries of the original skin injury. It appears as a raised, thickened area of scar tissue and can develop anywhere the skin has been damaged. Keloids most commonly occur on the earlobes, shoulders, chest, cheeks, and upper back, although they may develop in other locations.

While keloids are not harmful to physical health, they can be cosmetically noticeable and may affect a person’s confidence or emotional wellbeing. Early assessment and appropriate management are therefore important.

Can patients with keloids have a hair transplant?

Yes—in selected cases.

Patients who have previously developed keloid scars should always inform their surgeon before considering a hair transplant. This allows Dr. Espinosa Custodio to evaluate the patient’s medical history, examine the scalp, and determine whether surgery is appropriate.

Because patients prone to keloid formation may heal differently, Dr. Espinosa Custodio often recommends performing a small test procedure before undertaking a full hair transplant. A limited number of follicular units are transplanted so that the healing response can be carefully monitored.

If the scalp heals normally without excessive scar formation, a complete hair transplant may then be considered. However, patients with a known tendency to develop keloids should understand that their treatment plan and surgical guarantee may differ from those offered to patients without this condition.

Frequently Asked Questions

Are keloids dangerous?

No. Keloids are benign scars and do not pose a threat to physical health. Their main impact is cosmetic, although they may also affect self-confidence or emotional wellbeing because of their appearance.

Can hair be transplanted into an area affected by keloids?

Potentially, yes—but careful assessment is essential. Dr. Espinosa Custodio generally prefers to perform a small test transplant first to evaluate how the skin heals. If the grafts survive well and the area heals without excessive scar formation, a larger hair transplant may be considered under carefully planned conditions.

Dr. Espinosa Custodio works at Instituto Médico del Prado, his hair clinic in Madrid, and performs hair transplants in Mexico, twice a year. If you would like to make an appointment, you can contact us on +34 912 468 664, on WhatsApp +34 627 396 322 or on the contact page of our website. From Mexico you can contact us at +52 55 4590 9909.