Keloid Injections Treatment Guide

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What is a Keloid Injections?

A keloid injection delivers a corticosteroid, most commonly triamcinolone (Kenalog), directly into raised scar tissue to soften and flatten it. The steroid slows the overproduction of collagen that made the scar grow beyond the original wound, and it usually calms the itching and tenderness before the scar visibly changes. It takes a few minutes in the office, and almost always works as a series of injections spaced four to six weeks apart rather than a single visit.

This is the standard first-line treatment for keloids, and that matters: cutting a keloid out on its own carries a high chance of it growing back, often larger, which is why surgery for keloids is nearly always combined with injections rather than used instead of them. Injections soften and flatten; they do not erase the scar, and keloids can recur, so maintenance is common.

It is not a treatment for indented acne scars, which are the opposite problem and belong with subcision, microneedling and resurfacing. And one honest note for the patients most affected: the steroid can lighten the skin around the injection site, and that shows more on deeper skin tones, the same skin most prone to keloids. Raise it with your provider so they can adjust the dose.

How much does a Keloid Injections cost?

Keloid injections nationally typically cost between $200 and $300 per session, and most people need a series.

Single session

One area, typical visit

$200‑$300

Typical course

3-5 sessions, 4-6 weeks apart

$600‑$1,500

Multiple or large keloids

Often priced by lesion or by dose

Varies by provider

Last updated August 2026. Estimates reflect national averages and Get Clear Beauty provider data — read how we estimate prices.

What to ask your provider

Is this a keloid or a hypertrophic scar, and how does that change what I should expect?
How many sessions do you think my scar will need, and how will we judge progress?
I have a deeper skin tone, how will you guard against lightening around the injection site?
Is my keloid painful or growing enough that my insurance might cover treatment?
Who performs the injection, and who supervises?
If injections alone are not enough, what is the next step, and does it still include injections?

Frequently asked questions

How many keloid injections will I need?

Most people need a series rather than a single visit. Injections are usually spaced four to six weeks apart, and three to five sessions is a common course, though large or long-standing keloids can take longer. The itching and tenderness often ease before the scar visibly flattens, which is usually the first sign it is working.

Will the keloid come back after injections?

Keloids can recur, which is why treatment is usually ongoing rather than one-and-done. Flattening achieved with injections can hold for a long time, but some people need occasional maintenance injections or supportive measures like silicone sheeting or pressure. This is also why cutting a keloid out on its own is rarely the first choice: removing one surgically without additional treatment carries a high chance of it growing back, often larger.

Does insurance cover keloid treatment?

Often, when the keloid is painful, itchy, growing or restricting movement, treatment is handled as medical dermatology and may be covered by your plan. Coverage depends on your plan and the documentation, so check directly. The price shown here is a typical self-pay estimate for patients paying cash.