Treatment for Keloid on Head Area?

Keloid scars are common on the face and head. Kenalog injection is a mainstay of therapy for keloids and despite the assumption in your question, do not make keloids worse or harder. Your keloid scar is likely in a proliferative stage and will likely worsen unless aggressively treated. I would continue Kenalog injection, topical therapy, and consider surgery.

If your keloid did not respond to the normal Kennalog, perhaps injecting with Kennalog 10 mg./cc would help. If your skin is not too pigmented this can also be done with cryotherapy at the same time. If this fails, after say three attempts, the keloid can be excised. Your surgeon should be sure to go down into the fat. Afterwards compressing with Aldara might help. Dr. Brian Berman of the University of MIami, published an article that showed imiquimod (Aldara) can help prevent the... more