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Radical Action for Keloids

I'm a medium-complected African-American male with a very resistant facial keloid for about 7 years. A year ago, I began developing a new one on the opposite side as the result of a healed MRSA infection. I also suffer from psuedo folliculitis which is the source of a smaller new keloid that is now showing up due to ingrown hairs. I went to several different doctors and explained that I have tried the injection route with no success before. What keloid removal treatment can you suggest, and how can I explain to the next provider that I'm looking for radical action?

Asked 29 months ago by d8vidt in Atlanta, GA
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Aggressive Therapy for Resistant Keloid

Keloid is exuberant proliferation of scar tissue beyond the original border of incision or trauma. One should seek a board-certified dermatologist to consider intralesional steroid injection, prescription for imiquimod (Aldara), and possibly silicone gel occlusion. For resistant keloid, one should consider intralesional 5-FU. Radiation therapy followed by excisional removal should be performed as a last resort; however, this would not be advisable for face and neck due to risk of thyroid... more
William Ting, MD
Bay Area Dermatologic Surgeon
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