1. Understanding Keloids and Hypertrophic Scars
When skin is injured — from acne, surgery, trauma, burns, or piercing — the body produces collagen to repair the wound. In most cases this produces a flat scar that fades over time. But in some people, the body produces too much collagen — resulting in raised, thickened scar tissue.
Hypertrophic Scars
Hypertrophic scars are raised, firm, and often red or pink — but they remain within the boundaries of the original wound. They respond well to treatment at DIVA Skin Clinic Poipet.
Keloid Scars
Keloid scars grow beyond the boundaries of the original wound and can continue to expand over time. They are raised, often shiny, and may be itchy or uncomfortable. Keloids are more common in people with medium to darker skin tones — including many Vietnamese, Indonesian, Filipino, and Cambodian clients at DIVA Skin Clinic Poipet. Common locations: chest, back, shoulders, jawline, and earlobes.
(ID) Keloid adalah bekas luka yang tumbuh melampaui batas luka asli dan terus membesar. Lebih umum pada tipe kulit medium hingga gelap. Lokasi umum: dada, punggung, bahu, rahang, daun telinga.
(VI) Sẹo lồi (keloid) là sẹo phát triển vượt ra ngoài ranh giới vết thương và có thể tiếp tục phát triển. Phổ biến hơn ở da ngăm đến tối. Vị trí thường gặp: ngực, lưng, vai, hàm, dái tai.
2. Why Keloids Are Difficult to Treat
- Keloids have an active growth phase — they continue to expand if untreated and can recur after treatment
- Surgical removal alone almost always causes the keloid to return — often larger
- The immune response driving keloid formation may continue even after treatment
- Aggressive treatment on keloid-prone skin can trigger new keloid formation at the treatment site
- Keloid risk is partly genetic — some clients form keloids from any skin trauma
At DIVA Skin Clinic Poipet, we are honest about keloid treatment. We will not promise complete elimination. We plan a realistic approach aimed at flattening, softening, reducing discomfort, and controlling growth.
3. Keloid Scar Injection — Triamcinolone at DIVA Skin Clinic Poipet
Corticosteroid injection (triamcinolone acetonide) is one of the most effective treatments for keloids. At DIVA Skin Clinic Poipet, triamcinolone injection is a primary treatment option for raised scars.
How It Works
Triamcinolone is injected directly into the keloid tissue. The corticosteroid reduces inflammation, decreases collagen production within the scar, and causes scar tissue to soften and flatten over time. Results can be significant — as seen in before-and-after cases at DIVA Skin Clinic Poipet where keloids flatten visibly after just 1 injection.
What to Expect
- Mild discomfort during injection — firm scar tissue creates pressure
- Softening and flattening begins within 2–4 weeks
- Multiple injections usually needed — spaced 4–6 weeks apart
- Color improvement (redness reduction) occurs alongside volume reduction
- Maintenance injections may be needed for prone clients
Price at DIVA Skin Clinic Poipet: assessed based on keloid size. Contact WhatsApp for estimate.
4. Laser Treatment for Keloids and Scars
Pulsed Dye / Vascular Laser
For red, vascular keloids, laser targeting blood vessels within the scar can reduce redness, improve pliability, and complement triamcinolone injection. Often used in combination at DIVA Skin Clinic Poipet.
CO2 Fractional Laser for Atrophic Scars
Not used on keloids directly, but effective for atrophic (depressed) body scars — post-surgery scars, accident scars, and deep acne scars on the body. Starting from $120 at DIVA Skin Clinic Poipet.
Pico Laser for Scar Pigmentation
Dark pigmentation within or around healed scars can be improved with Pico laser — targeting melanin without damaging surrounding tissue. From $120.
5. Body Scar Treatment at DIVA Skin Clinic Poipet
| Concern | Treatment |
|---|---|
| Keloid Scar | Triamcinolone injection. Price by size. |
| Hypertrophic Scar | Injection and/or laser. From $120. |
| Post-Surgery Scar | CO2 laser, RF microneedling, or PRP. From $120. |
| Dark Scar Pigmentation | Pico laser. From $120/session. |
| Body Acne Scar | RF microneedling. From $120. |
6. Stretch Mark Treatment
Stretch marks cannot be completely eliminated, but treatment at DIVA Skin Clinic Poipet can significantly improve their appearance.
- RF Microneedling — stimulates collagen to improve stretch mark texture and depth. From $150/session
- CO2 Fractional Laser — for more significant resurfacing. From $150/session
- PRP — combined with microneedling or laser to enhance healing
Multiple sessions needed. DIVA Skin Clinic Poipet recommends a minimum of 3–5 sessions for visible improvement.
7. Tattoo Removal
Laser tattoo removal at DIVA Skin Clinic Poipet uses Pico laser to break down tattoo ink particles into smaller fragments the body's immune system naturally removes over time.
- Small Tattoo (<5cm): from $80/session
- Medium Tattoo (5–10cm): $150–250/session
- Large Tattoo (>10cm): Custom quote
- Eyebrow Tattoo / PMU Removal: $80–150/session
Multiple sessions needed. Sessions spaced 6–8 weeks apart to allow the body to clear broken-down ink particles.
8. Aftercare for Scar Treatment
- Keep the treated area clean and moisturized
- Apply sunscreen SPF 50+ over healed scars
- Do not pick, scratch, or traumatize the treated area
- Avoid swimming pools, saunas, or excessive sweating for 1 week after injection
- Report any unusual reaction to DIVA Skin Clinic Poipet immediately
- For keloid-prone clients: inform DIVA before any new procedure including piercings
