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Surgical Treatment of Acne Keloidalis Nuchae

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Before Surgery: Patient has had acne keloidalis nuchae – AKN for over a decade. It had persisted despite several steroid injections.

Surgery: I used tricophytic closure technique to cure the AKN by surgical excision with minimal appearance of scar. Tricophytic closure is sometimes used in hair transplant surgeries, facelifts and other facial plastic procedures to minimize the appearance of scar. The result is shown at several months after surgery.

Lesson: Acne Keloidalis Nuchae (AKN) is a keloid like condition that affects the back of the head and neck. Many mistakenly attribute it to razor bumps or shaving bumps. It actually not cause by shaving. It is also not caused by ingrown hair. It is chronic and permanent and resistant to treatment.. It afflicts people of color disproportionately, especially African-Americans and Hispanics. Its surgical removal usually results in a wide stretched scar. I use tricophytic closure technique to cure the AKN by surgical excision with minimal appearance of scar.

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