Columbia Ear Surgery doctors

	Richard J. Wassermann, MD, MPH Columbia Plastic Surgeon 1220 Blanding St, Columbia		1 answer
	Chad B. Gunnlaugsson, MD Columbia Facial Plastic Surgeon 114 Gateway Corporate Blvd Suite 120, Columbia
	J. Smythe Rich, MD Columbia Plastic Surgeon 1711 Richland St. Suite 100, Columbia

Recent Answers

Keloids After Otoplasty Hi, I have been plagued with Keloids behind my ears following otoplasty 3 years ago. They were symmetrical keloids i.e appeared in the same place on both eears. I have had Steroid Injections, silicone gel and even 3 surgeries(with steroids injections) just to get them removed! My last surgery was 3 weeks ago and the keloids hav returned. I honestly dont know what to do as it seems like I will be stuck with these for life! Please can someone advise me how to proceed further.Thanks.

A: keloids

The problem you describe is a known complication of otoplasty. It appears you have underone excision with almost immediate recurrence. The question is prompted whether you have other areas of scar on your body that demonstrate keloid healing. Initiallly, an injection of a combination of a calcium channel blocker and steroid may be considered. In addition, in some cases of hypertrophic healing and keloid formation, the topical application of a 10-15% gel of calcium channel blocker may be helpful. Since you have recently had surgery, as a less appealing option you may ultimately require reexcision with immediate post operative radiation. In order to coordinate this, you would likely have to consult with your surgeon and a radiation oncologist. The post operative dose is usually fractionated over three days. I hope this is helpful.

Richard J. Wassermann, MD, MPH

Columbia Plastic Surgeon