Recommended first-line treatments for managing keloid scars in primary care are not explicitly detailed in the provided UK guideline excerpts. However, general scar management principles after traumatic injury include helping the person desensitize themselves to their injury by encouraging them to look at, gently touch, and move the affected area. Reassurance about normal sensations such as pain and itchiness is also advised. Compression bandaging may be considered under specialist supervision. Referral to specialist services such as tissue viability or plastic surgery is recommended if needed for complex scar management or if complications arise.
Therefore, in primary care, initial management of keloid scars may focus on supportive care, monitoring, and reassurance, with consideration of referral to specialist dermatology or plastic surgery services for further treatment options.