Scar Removal Q&A
69%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers
that stated the procedure was "Worth It" or not.
See more RealSelf Worth It Ratings
or Add Your Review

View Before and Afters
Average Scar Removal Cost: $1,860
Learn about Scar Removal
1,382 people and 359 doctors are talking about Scar Removal
Get Free Email Updates
Do I Need Cortisone Shots Before Keloid Removal?
asked 1 year ago by sp217 in Houston, TX
Latest answer by Houtan Chaboki, MD
Question viewed 1,087 times
Tags: ears, cortisone, keloid scar, surgery
I have a Keliod on m upper ear, which is caused from a piercing. I just started with the cortisone shot and have to return monthly. After the keliod softens the doctor told me i could get it removed by a plastic surgeon. Do i need to take this step first of can i go straight to a surgeon?
5 answers to Do I Need Cortisone Shots Before Keloid Removal?
+1
Keloid Scar Treatment with Steroid Injection Prior to Plastic Surgery
Hi sp217 in Houston, TX,
Keloid scars a challenging to remove, as they may recur despite treatment at some point in the future. These types of scars are more common around the ears or chest, especially in darker skinned individuals. The mainstay of keloid scar therapy is both steroid injections and plastic surgery. Commonly, plastic surgeons will inject a keloid scar before, during, and after the plastic surgery. Other treatments for aggressive or extensive scarring include...
more
+1
Treating keloids on ears
Many patients find that every 4-6 weeks cortisone injections by an experienced Dermatologist or plastic surgeon is sufficient to improve the keloid significantly, and that you may not even need the surgery in the end. In other cases, the keloid is shrunken by the cortisone shot to the point that the surgery is less invasive and/or a smaller scar is made.
+1
Cortisone Shots before Keloid Removal
Smaller keloids can respond and be significantly improved with cortisone injections, so that excision is not needed.
A larger or very noticeable keloid may need to be excised or removed first , followed by cortisone injections into the site to reduce the risk of having the keloid come back.
Anifat Balogun, MD
Seattle Facial Plastic Surgeon
Seattle Facial Plastic Surgeon
+1
Cortisone Shots Before Keloid Removal
Do this regime for 6 months or 6 injections than see a boarded plastic surgeon to discuss removal and the risks of return of the Keloid scar. Be careful Best of Luck.
+1
Cortisone and keloids
If it is a small keloid, than cortisone may reduce it. If it is a large keoid, then surgical removal and a course of cortisone treatment may help minimize the risk of return of the keloid.