Do people with keloid scars age better?

Question

IIs there a connection between overproducing collagen for scar healing and also during the aging process? I know keloids often form on people with more melanated skin, who tend to age better than less melanated people. Basically looking for a silver lining! I'm wondering if increased collagen production has an upside. Incidentally, I've noticed I have no wrinkles compared to my peers who are whiter. I am prone to keloids however.

Anna Chacon, MD, FAAD · Answer

The connection between keloid formation and the aging process is an interesting one, but it's important to note that the mechanisms behind each are quite different.

Keloid Formation:

Keloids occur when the body overproduces collagen during the healing process, leading to raised and often larger-than-necessary scars. This tendency is more common in individuals with more melanated skin, though it can affect anyone.
Collagen and Aging:

As we age, collagen production naturally decreases, leading to the development of wrinkles and less skin elasticity. However, the overproduction of collagen in keloid formation does not necessarily translate to increased collagen levels throughout life or in areas not affected by trauma.
Aging and Skin Type:

People with more melanated skin do tend to show signs of aging differently, often retaining more skin elasticity and fewer wrinkles compared to those with less melanated skin. This is largely due to the protective effects of melanin and differences in skin structure rather than the presence of keloids.
Silver Lining:

While the propensity to form keloids does not directly correlate with slower aging, the characteristics of your skin type that contribute to keloid formation might also contribute to a more youthful appearance overall.
Individual Factors:

Aging is influenced by a variety of factors, including genetics, lifestyle, and environmental exposure. While your skin type may confer certain advantages in aging, it’s also important to continue with good skincare practices to maintain skin health.
In summary, while there isn't a direct link between keloid formation and aging better due to increased collagen, your skin's natural properties that lead to keloid formation might also contribute to a more resilient and youthful appearance.

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Do people with keloid scars age better?

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