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Best Surgical Procedure for Keloids
asked 2 years ago by Anonymous123456
Latest answer by Stephen Prendiville, MD
Question viewed 445 times
Tags: male, keloid scar
4 answers to Best Surgical Procedure for Keloids
+2
Keloids have a 50% recurrence rate
Statistically speaking, keloids will recur 50% of the time when excised; this is certainly true in my experience. A true keloid is histologically different from normal scar tissue and indeed from what many people refer to as keloids (hypertrophic scars: aka ugly scars). It would be very unusual for acne scars on the face to be true keloids, because true keloids tend to form on the sternum, deltoid, and earlobe regions and rarely elsewhere.
There are numerous different options which...
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+1
Kelloids
Unfortunately the best surgical therapy for keloids is really no surgery. True keloids will recur the vast majority of times following incision or excision. This remains a true dilemma and no one hs figured ourt the cure for this condition.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+1
Best surgical procedure for keloids
Dear BKL,
Let's discuss the K WORD
Although the public (and a lot of misinformed MD's) frequently refer to every raised, ugly scar as KELOID. In fact, such scars can be more accurately regarded as HYPERTROPHIC SCARS, of which keloids are a small minority.
Hypertrophic scars are raised scars that look like speed bumps. The healing process was too vigorous and the scar is raised and a little wide BUT it does NOT spill out of its boundaries. Most of such scars, can be cut out and depending on...
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+1
Surgery for keloids
Unfortunately, nobody knows what is the "best" surgical procedure for keloids. Total removal, intra-lesional removal, steroid injections at the time of removal, compression therapy after removal have all been tried. I believe the best treatment is removal with immediate radiation therapy. However, I have even seen a recurrence in this setting.