Mr. Onur Gilleard

Qualifications & Experience

Mr Onur Gilleard is a distinguished consultant plastic surgeon on the GMC specialist register. He previously held an NHS consultant post at St Bartholomew’s Hospital in London, specialising in skin cancer and microsurgical reconstruction. In 2021, Mr Gilleard transitioned from the NHS to dedicate himself fully to private practice, allowing him to focus exclusively on providing personalised, high-quality care to his patients. He is recognised as an expert in laser treatments, having conducted research and developed advanced treatment protocols using cutting-edge laser technology to optimise both clinical outcomes and cosmetic results.

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Can a keloid be removed permanently? The honest answer is nuanced: a keloid can be removed and kept
flat and settled for the long term, but because the tendency to form keloids is genetic, no one can
promise it will never return — and you can still form new keloids elsewhere. What’s realistic is a
lasting result through combination treatment, plus sensible steps to prevent new keloids. Here’s
the truthful picture.

What “Permanent” Really Means

Be wary of any clinic promising a guaranteed permanent keloid cure. A keloid is the result of a
genetic tendency to over-heal, and that tendency doesn’t disappear after treatment. What’s
achievable — and what a good outcome looks like — is a keloid removed and kept flat for the long term,
with the lowest realistic chance of recurrence. That’s a meaningfully different (and more honest) promise than
“permanent.” We explain the mechanism in why keloids keep coming back.

How a Lasting Result Is Achieved

Durability comes from combination treatment, not surgery alone:
intralesional excision,
a planned course of steroid injections to suppress the over-healing as the wound settles, and silicone aftercare
(with pressure therapy for ear keloids). This sequence is what gives a flat, stable scar — and it’s why the
follow-up appointments are as important as the day of removal.

Preventing New Keloids

Treating one keloid doesn’t stop you forming others if you’re prone, so prevention matters going forward:

  • Avoid unnecessary skin trauma — think carefully about piercings and elective procedures in keloid-prone areas;
  • Care for any new wound — keep it clean, protected and out of strong sun, and consider silicone early;
  • Flag your history to any surgeon so incisions can be planned and preventive measures used;
  • Act early on any new raised scar — small keloids are far easier to treat.

Frequently Asked Questions

Can a keloid be removed permanently?
It can be removed and kept flat for the long term, but no honest clinician guarantees it will never return — the underlying tendency is genetic. Combination treatment (excision plus a steroid course plus silicone) gives the best chance of a lasting result.
Will I get new keloids after treatment?
You can, if you’re prone, because the tendency remains. That’s why prevention — avoiding unnecessary skin trauma, caring for wounds, using silicone early and flagging your history — matters after treatment.
Why won’t a clinic guarantee my keloid won’t come back?
Because it wouldn’t be honest. Keloids arise from a genetic over-healing tendency that can’t be switched off, so recurrence can never be ruled out entirely — though combination treatment makes a lasting flat result much more likely.

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