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.

Mito Red Light MitoADAPT MIN 4.0
Eight-wavelength output (590, 630, 660, 670, 810, 830, 850, 940 nm) covers every band studied for photobiomodulation of scar tissue, with patent-pending TruDual circuit architecture delivering 11 selectable combinations at full irradiance. The 630-850 nm core aligns with published keloid and hypertrophic scar research; the 590 nm amber band adds a surface-level inflammation option.
- Coverage
- Targeted / medium panel — multiple keloid sites in one session
- Wavelengths
- 590 · 630 · 660 · 670 · 810 · 830 · 850 · 940 nm
- Warranty
- 3 years
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PlatinumLED BIOMAX 600
Seven-wavelength R+|NIR+ spectrum (480, 630, 660, 810, 830, 850, 1060 nm) covers the 630-850 nm research-backed core plus boundary wavelengths. Half-body form factor sits between the targeted MitoADAPT MIN and the full-body MitoADAPT MAX. Best case for inclusion: brand diversity and independently-controllable red/NIR arrays.
- Coverage
- Half-body — tall narrow panel for torso-length exposure
- Wavelengths
- 480 · 630 · 660 · 810 · 830 · 850 · 1060 nm
- Warranty
- 3 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.