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Keloid Removal Surgery on a 3-year-old?

asked 2 years ago by courycox in New York City, NY
Latest answer by Raffy Karamanoukian, MD
Question viewed 1,405 times
Tags: face, keloid scar

My 3 year old daughter has a one inch keloid scar on her face. I am wondering, how much of this can be reduced with surgery?

5 answers to Keloid Removal Surgery on a 3-year-old?

+1

Keloid scars in children

Childhood scars fair better than adult scars, but keloids continue to present major problems in adults and children. I would begin conservative treatment first with TAC injection, topical treatments, and silicone sheeting. Surgery should be a last resort, as is the case with radiation.
Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon
+1

Keloid in a child

While it is not impossible to have a keloid at 3, it is not common. It possibly could be a hypertrophic scar. Sometimes conservative management with silicone sheeting and compressive garments may be better. When the child is older, a scar revision may be helpful if it is a hypertrophic scar. If it is a true keloid, it could require other things combined with surgery such as steroid injections or even local radiation.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Avoid invasive procedures on children, if possible

I would be hesitant to perform invasive procedure on a 3-year-old for keloid treatment. From my previous managment of pediatric burn patients, I can tell you that most kids heal very well. What worked very well with kids, was silicone sheet treatment plus or minus compression.Injection could be the next level of action in big facial keloids. The effect of steroids on premature closure of bone ends should be well considerd but unlikely due to the small concentration and local delivery. Best... more
Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon
+1

Keloid in a 3 year old.

Keloids are a problem which continue to stump the medical community. This is very unusual in a 3 year old. What was the cause? Will it continue to be a problem? These are questions that are best answered by a qualified physician after a history and physical examination. It is quite possible that this will recur.
Otto Joseph Placik, MD

Chicago Plastic Surgeon

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