How to Flatten a Keloid Scar Caused by a Biopsy?

I use a regimented protocol for keloid and scar revision after biopsy, trauma, or surgery. The basic tenets of my scar management are recorded in an episode of The Doctors in which I describe keloid management. The basics involve digital manipulation, silicone sheeting, topical creams, TAC injection, and surgery.

There are several different topicals you can use for a keloid or hypertrophic scar (thick scar). Kelo-cote is a clear silicone gel that takes several months to be effective, as does Mederma which is also a topical derived from onion extract. Both can be purchased over the counter without a prescription. There are also various types of silicone tapes which can be applied directly to the scar to help lighten and flatten the scar. Your physician may also need to do several steroid injections... more

Several options are available for keloid management: 1. Injection with dilute steroids (kenalog). 2. Use external silicone sheets. 3. Surgical revision with intra operative kenolog injection. 4. Radiation therapy is reserved for extreme cases and is not recommended except for very large reccurent keloids that are disfiguring or interfering with vision, hearing etc.