Psychological issues

Keloids can result in lifelong morbidity due to their unaesthetic appearance and occasionally, symptoms of pain and pruritus. At its extreme, this can hinder social interaction and trigger low self-esteem and moods. Formal referral to a psychologist with a specialist interest can be beneficial. Support groups may provide a useful resource to patients. In the United Kingdom, one national organisation that provides support and resources is Changing Faces which has a remit that focuses on disfigurement (www.changingfaces.org.uk).