Upper Back Keloids
The upper back combines acne-prone skin with significant movement from the scapulae.

Why this site is prone to keloids
The upper back — particularly between and below the shoulder blades — is a common keloid site due to acne and skin tension. This region has thick dermis and high sebaceous gland density, making post-acne keloids common. The constant movement of the scapulae disrupts normal wound remodeling.
- High sebaceous density and cystic acne risk.
- Thick dermis prone to exaggerated healing.
- Scapular movement stresses healing tissue.
Dermatologists often combine multiple modalities for site-specific keloids. Review each approach on its own page before discussing with a clinician.
- Steroid InjectionsDirect injection of corticosteroid (usually triamcinolone acetonide) into keloid tissue to flatten and soften the scar. Considered first-line for many keloid presentations.Read more →
- Silicone SheetsSelf-applied silicone sheets or gels worn over developing or existing scars. One of the most widely recommended first-line topical options for scar prevention and management.Read more →
- Pressure TherapySustained mechanical pressure delivered to the scar through custom garments, silicone discs, or spring-loaded ear clips. One of the oldest evidence-based interventions in scar medicine — pressure therapy is a backbone treatment for burn-related hypertrophic scars and a standard adjunct for ear keloids after excision, where it consistently lowers recurrence compared with surgery alone.Read more →
- Red Light TherapyLow-level red (around 630-660 nm) and near-infrared (around 810-850 nm) light delivered at home with LED panels. Painless, non-invasive, and layer-safe — it complements virtually any keloid protocol and carries a second, well-documented benefit set for general skin health.Read more →
Red-light and near-infrared devices matched to the anatomy and coverage needs of this region. Read each review before purchase.

BestQool BQ150 Half-Body Red Light Panel
Four-wavelength output (630, 660, 850, 940 nm) covers the research-backed red and near-infrared core for scar photobiomodulation. 150 dual-chip LEDs deliver 96.2 mW/cm² at 3 inches across a 21.3 x 14.3 inch panel — 27.8 x 18.7 inches of effective coverage at 6 inches. Best suited for people with multiple keloid sites who want one panel to cover chest, shoulder, or upper back in a single session.
- Coverage
- Half-body — multiple scar sites in one session across torso or back
- Wavelengths
- 630 · 660 · 850 · 940 nm
- Warranty
- 2 years
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BestQool Pro300 Full-Body Red Light Panel
Four-wavelength output (630, 660, 850, 940 nm) covers the research-backed red and near-infrared core for scar photobiomodulation, scaled to full-body coverage at 106 mW/cm² at 3 inches. 300 dual-chip LEDs across a 36-inch panel deliver single-session exposure for multiple scar sites without repositioning. Best suited for people with widespread keloid sites or anyone consolidating multiple targeted sessions into one routine.
- Coverage
- Full-body — single-session coverage for multiple or widespread scar sites
- Wavelengths
- 630 · 660 · 850 · 940 nm
- Warranty
- 2 years
Disclosure: Some links on this page are affiliate links. If you purchase through these links, ScarInsight may earn a commission at no additional cost to you. This does not influence our editorial ratings or recommendations.
Medical disclaimer
ScarInsight provides educational information about scar and keloid treatments based on published research. This content is not intended to diagnose, treat, or prevent any medical condition. Individual results vary. Treatment decisions should be made in consultation with a qualified dermatologist or healthcare provider who can evaluate your specific situation. ScarInsight is not a healthcare provider and does not offer medical advice.