Keloid Removal for 15 Year Old?

Absolutely. Keloids require medical and surgical treatment to correct and prevent deformity.  A 15 year old is not too young to undergo a procedure.

I would try to treat this with injections first. If this fails, surgery may be the only option. However, some feel that the teenage years are not the ideal time for scar healing. Depending on the keloids characteristics and the patient's emotional state, a difficult decision may have to be made. No matter what course of action is taken, keloids are difficult to improve and can become worse. Don't be in any rush to move to surgery.

I would not recommend this ESPECIALLY for a teenager. Keloids anywhere can recur and I don't attempt to excise them until the patient has stopped growing. That said, the chest wall is usually going to come back so treat it with injections if it is symptomatic.

A keloid will usually come back if only excised. Sometimes it can be combined with serial cortisone injections, pressure dressing, silicone sheeting or even local radiation if it recurs.

I would consider a series of cortisone and/or 5-fluorouracil injections into the keloid. The risk of excising a keloid (especially in the mid chest) is a high rate of recurrence and in some cases, a larger keloid than you started with. Depending on the age and appearance of the scar, silicone gel sheeting may or may not be beneficial. Good luck.

Surgical removal of a keloid could be done at 15 years of age, if other measures did not help (e.g injection,compression etc.). If exision is planned it is better to combine it with intraoperative excision. Best of luck.