Resistant Keloid Treatment in London
Resistant keloids are scars that continue to grow or return despite previous treatments such as steroid injections or surgery. These stubborn scars can cause ongoing discomfort, itching, and cosmetic concern.
At London Keloid Scar Clinic, we specialise in advanced treatment for resistant and recurrent keloids, using evidence-based combination therapies designed to improve outcomes where standard treatments have failed.
The London Keloid Scar Clinic 4 Harley Street, London W1G 9PB, United Kingdom
- World renowned Harley street medical district London
- Free Bespoke Consultation with Keloid specialist Doctor
- Same day Consultation and Treatment / removal available
- No NHS referral required
- We treat patients from ages 11+
- Treatments start from £350 per session
- Surgical Removal from £500
- 0% Interest Free Finance
You guys are fantastic 👏.
Folake.
The Clinic manager Raheena a truly wonderful person and her staff Victoria.
Kind regards,
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At our London clinic, we offer two primary treatment pathways depending on your scar type and history:
What Is a Resistant (Stubborn) Keloid?
A resistant keloid is a scar that does not respond to conventional treatments or continues to recur after removal.
You may have a treatment-resistant keloid if you have experienced:
- Multiple steroid injections with little or no improvement
- Keloid regrowth after surgery
- Persistent itching, pain, or hardening
- Continued scar growth over time
These cases require a more advanced, multi-modal treatment approach.
Advanced Treatment Options for Resistant Keloids
At our London clinic, we offer two primary treatment pathways depending on your scar type and history:
A specialist-led approach combining multiple medications to target different aspects of keloid formation.
This includes:
- Corticosteroids (Triamcinolone) – reduce inflammation and flatten the scar
- 5-Fluorouracil (5-FU) – inhibits scar regrowth
- Hyaluronidase – softens dense tissue and improves drug penetration
We also use our signature tunnelling injection technique to ensure even distribution in thick or fibrotic scars.
For red or inflamed keloids, we may combine this with
👉 Pulse dye laser treatment for keloids to reduce redness and vascularity.
For certain keloids, surgical removal may be recommended.
This is always combined with preventative therapies to reduce recurrence risk.
👉 Learn more about preventing keloid recurrence after surgery
What Is Triple Combination Injection Therapy?
Triple combination therapy involves injecting a carefully balanced mix of medications directly into the scar tissue.
This approach targets keloids through multiple mechanisms:
- Reduces inflammation
- Decreases itching and pain
- Suppresses collagen production
- Inhibits fibroblast activity (scar-forming cells)
- Reduces collagen synthesis
- Helps flatten and soften the scar
- Breaks down dense scar tissue
- Improves medication spread
- Enhances treatment effectiveness
By combining these agents, we achieve a synergistic effect, improving both speed and quality of results.
Why Triple Therapy Is More Effective for Resistant Keloids
Traditional treatments (such as steroid injections alone) often provide only temporary or partial improvement.
Triple therapy offers:
- Improved drug delivery into dense scar tissue
- Multiple mechanisms of action targeting the root causes of keloids
- Faster clinical response
- Better outcomes in recurrent or stubborn scars
This makes it one of the most effective non-surgical treatments for resistant keloids currently available.
The Treatment Process
Your treatment begins with a detailed assessment of:
- Scar type (keloid vs hypertrophic)
- Size, thickness, and location
- Previous treatments
- Skin type and recurrence risk
- Laser (if required) is performed first
- The area is numbed using topical and local anaesthetic
- Medication is injected directly into the scar
- A tunnelling technique may be used for thicker scars
⏱ Treatment time: 15–30 minutes
- Sessions every 3–4 weeks
- Most patients require 3–6 sessions
Results and Expected Outcomes
Patients typically see gradual improvement over time:
Early Changes (1–2 Sessions)
- Reduced firmness
- Less itching or discomfort
- Initial flattening
Progressive Improvement
- Reduced scar height and volume
- Softer texture
- Less redness and pigmentation
Final Outcome
- Flatter, less noticeable scar
- Improved skin quality
- Relief from symptoms
While complete removal is not always possible, significant cosmetic and functional improvement is achievable.
Who Is This Treatment Suitable For?
This treatment is ideal for:
- Resistant or recurrent keloids
- Raised, firm, or symptomatic scars
- Patients wishing to avoid surgery
- Scars that have failed previous treatments
It may not be suitable if:
- There is active infection
- You are pregnant (depending on medication use)
- The scar is very small or mild
Combination Approach to Keloid Treatment
Keloids often require a tailored, multi-modal approach.
Your treatment plan may include:
- Laser therapy (to reduce redness)
- Cryotherapy (to reduce scar bulk)
- Silicone-based treatments
- Surgical removal (selected cases)
- Radiotherapy (high-risk recurrence cases)
GET IN TOUCH
If you have any concerns about keloids or would like to discuss treatment options, please get in touch with us. Our friendly team is here to answer your questions and guide you through the next steps.
Why Choose The London Keloid Scar Clinic?
- Specialist expertise in keloid and complex scar treatment
- Advanced injection protocols not widely available
- Personalised, evidence-based care
- Experience treating all skin types
- Focus on both cosmetic and symptomatic improvement
- Comfortable procedures using local anaesthetic
Have Questions About Resistant Keloid Treatment?
Frequently Asked Questions
Most patients require between 3 and 6 sessions.
Discomfort is minimal, and numbing is used to ensure comfort.
Keloids can recur, but combination therapy significantly reduces this risk.
Yes — this treatment is particularly effective for long-standing or resistant scars.
Keloid Removal Head Doctor
Medical Doctor
Dr. Salinda Johnson, MD., FSCD.
Medical Director & Aesthetic Dermatologist
Dr. Salinda Johnson is a renowned specialist in aesthetic dermatology and one of the UK’s leading experts in keloid scar treatment. With over 20 years of experience, she has performed over 5,000 keloid procedures, including more than 2,000 ear keloid removals. A published author and trainer in aesthetic medicine, Dr. Johnson is dedicated to achieving optimal results using advanced, evidence-based techniques.
- About Dr Salinda Johnson
- 020 3581 3391
- [email protected]
