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Keloids are a special type of scar that are aesthetically displeasing, often difficult to treat and can be associated with symptoms such as pain, burning, itching and stiffness. They are elevated above the surrounding skin, extend beyond the original margins of a wound or surgery site, do not regress spontaneously with time, are very firm and have a high rate of recurrence. They should not be confused with run of the mill wide but flat scars or slightly elevated ones that are thick (hypertrophic scars).

There are several common risk factors that predispose individuals to develop keloids but their formation is not inevitable. Conversely though less frequently, some people can form them who seemingly don’t have any clear cut predisposition.

Who are those individuals at greater risk?

People who are dark complected (especially blacks and those of Hispanic descent), are less than 30 years old, have/had burns or ear piercings, and surgery or skin injuries to the sternum, upper arms and shoulders.

A variety of modalities and approaches have been employed for the treatment of keloids including surgical excision, steroid injections, pressure dressings, topical silicone gel sheeting, pulsed dye laser, radiation treatments and intralesional injections of chemotherapy agents. Combination therapy will often lead to better results along with a lower risk of long term recurrence.

Treatment by precise monthly steroid injections along with topical silicone gel sheeting.

 
Unless the growth is very small, my typical recommendation is for surgical excision along with repeated injections of a low dose steroid in the area and close monitoring over 1 – 2 years. Topical silicone gel strips and/or silicone gel are virtually always used in the postoperative period to help obtain the best possible outcome.

The size, location, complexity and configuration of the keloid as well as other factors will determine whether the plastic surgery treatment will be performed in the office under local anesthesia or in the outpatient center under local, sedation or even general anesthesia.

Keloids of the Earlobe and Ear

Keloids of the Face

Keloids of the Body


*Individual Results May Vary

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A Message Regarding Coronavirus/COVID-19

As always, our highest priority is to ensure YOUR safety and well-being.

With coronavirus/COVID-19 still a health issue, we want you to know that we are continuing to take extreme infection control measures in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. This also means that only patients will be permitted to come into our office and everyone will have their temperature checked.

In an abundance of caution, we are requesting that if you are experiencing a fever, cough, chills, fatigue or any type of respiratory illness, please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment. You may also want to contact your healthcare provider for further evaluation.

We do offer Virtual Consultations and Telemedicine through doxy.me. This is best used for specific situations including postoperative questions and as a substitute for some postoperative office visits relating to certain procedures. However, if you are planning to proceed with surgery, an in-office evaluation will be required.

We are all in this together and really appreciate your cooperation. If you have any questions, please feel free to contact us by phone or email.

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