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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

In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.

We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.

For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.

In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to 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.

We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.

For more information, please read our blog – Coronavirus and You: Important Information

For further updates, please check our blog.

If you have any questions or concerns, please contact us by phone or email.

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