When a scar won't settle
Most scars fade and flatten over time. But keloid and hypertrophic scars behave differently — they stay raised, firm and often red, growing beyond or rising above the original wound. They can itch, feel tender or tight, and restrict movement where they sit over a joint. For many people, the appearance and discomfort of these scars is a daily frustration.
Keloid scars extend beyond the original wound boundary, while hypertrophic scars stay within it but remain raised. Both result from an overproduction of collagen during healing. They are more common in certain skin types and areas of the body, and they can be stubbornly resistant to creams and surface treatments alone.
How Kenalog injections work
Kenalog (triamcinolone acetonide) is a corticosteroid injected directly into the scar tissue — just under the skin, within the scar itself. The steroid reduces the inflammation and collagen overproduction that keep the scar raised and firm. Over a series of treatments, the scar softens, flattens and becomes less red.
Because the injection is placed precisely into the scar rather than into surrounding healthy skin, an understanding of skin anatomy and careful placement matter. Treatment is typically repeated at intervals over several weeks or months, with the scar reviewed at each appointment to track progress.
What to expect
Treatment takes place in a single appointment. A fine needle is used to inject the steroid directly into the scar tissue. You may feel a brief stinging or pressure sensation as the solution enters the firm scar tissue, but most clients find it very manageable. Several scars can often be treated in one session.
There is no significant downtime. You may notice some temporary redness or slight pallor at the treatment site. The scar is reviewed at follow-up appointments, and treatment is repeated at intervals — typically every four to six weeks — until the desired softening and flattening is achieved.
Is it right for you?
Kenalog injections are suitable for most people troubled by raised keloid or hypertrophic scars. A consultation allows the scar to be assessed — its type, age, location and how it has behaved — so that an honest plan and realistic expectations can be discussed. Some scars respond quickly; older or very dense keloids may need a longer course.
If the scar is very recent, actively growing, or sits in an area where skin is particularly thin, the approach may be adjusted accordingly. Everything is discussed openly at consultation before any treatment begins.