Keloid therapy in Los Angeles
Keloid scars can be treated effectively. Our office specializes in scar therapy including keloid treatment. We would begin with topical therapy including Plato's Scar Serum, followed by initiation of laser, IIT, and fractional co2.
Raffy Karamanoukian MD FACS
Keloid scar, forearm
I can certainly understand your desire to improve your scar. While I cannot advise you on the exact treatment plan without a
consultation, in general, when considering
scarring revision procedures you need to gain an appreciation and realistic
expectations of the fact that scars are permanent and cannot be erased or fully
removed, but they may be improved in appearance. The goal of scar revision is
to create a skin surface that is flat and blends better into the surroundings. A
flat surface reflects light more evenly without shadowing, is less noticeable
and may be further covered-up by application of camouflage makeup.
Tenderness, itching and contour
of a hypertrophic or keloid scar may be improved with serial injections of dilute
steroids along with fluorouracil to control inflammation. I usually use at
least three injection sessions. Topical, occlusive silicon gel or sheeting may
be tried for improvement of scar color and to flatten scars. I sometimes use a
compounded ointment that improves scar color and texture over time. Combinations of techniques may be used for
ultimate improvement achieved in serial, incremental steps. Long term sunscreen protection against UVA and
UVB using a barrier sunscreen containing substances such as zinc oxide is
strongly advised following scar revision treatment. You need to find a doctor experienced with scar
revision, whether a cosmetic plastic surgeon or a cosmetic dermatologist, and you
should visit with them.
What would be best to remove a keloid and other scars?
Always best to seek IN PERSON evaluations. I might initially use steroid injections to see if the scar softens. Than consider excision or derma rollers..