Keloid and Removal

Farbod Esmailian, MD answers: Keloids growing back after removal

I have keloids that were surgically removed. Within a year, they grew back even larger. If I get them removed again, will they keep growing back? What causes this?


Farbod Esmailian, MD
4 months ago

Removal of keloids is very difficult task.  Some patients are more prone to developing keloids and some areas are more at risk, like the earlobe, shoulder, upper back, midline of the chest.  Keloids typically run in the family and it is a problem with wound healing.  So just by excising it, yes likely it will come back.  There are some special things that can be done like steroid injections at the time of removal with follow ups every 6 weeks.  Also radiation to the area as well as compression garments.  Doing all this this can lead to a high rate of recurrence which is upwards to about 50% chance it will come back.

 

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A: Excision, kenolog injection, compression, and radiation for severe keloids

Hisham Seify, MD, PhD
4 months ago

Keloids have a tendency for reccurence. The reccurence rate decreases with using kenolog intralesional injection intra operative as well as post operative. In severe cases radiation could be used. External compression and silicone sheets are very useful as well.

Best of luck!

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