Excision of Painful Keloids and Radiation After Breast Reduction?

Most cases of breast reduction do not require radiation. Thick scars can be treated early with a combination of laser, pulsed dye laser, and surgical scar revision.

Irradiation of the keloids works best when performed in conjunction with surgery; typically, the patient undergoes surgery followed by five sessions of radiotherapy within one week. However, the therapeutic radiologists in my area now will not perform the procedure for keloids for fear of liability so the patients are deprived access to a treatment modality that actually can be of benefit. The alternative is surgery followed by regular injection therapy---and I cannot emphasize... more