I have old keloid scar for about 5 years on my jawline I don't know what to do. How do I remove it? (photos)

Question

Raffy Karamanoukian, MD, FACS · Answer

We are keloid experts. I would treat with surgical excision followed by Kenalog IIT, laser resurfacing, RF therapy, Plato's Scar Serum, and topical scar modulation. Best, DR. KaramanoukianLos Angeles

Young R. Cho, MD, PhD · Answer

Thank you for your question.  Keloids do recur with some frequency.  Surgery alone may only be successful half the time.  If you want to diminish the likelihood of recurrence, I would strongly suggest you add compression therapy, steroid therapy and radiation therapy to the regimen.  Even despite all this, it may still come back, but the likelihood diminishes considerably.
1) Compression earings:  For a good year - worn all the time (except for showering)
2)  Steroid injections:  Once every 4-6 weeks.  Would recommend 6 treatments if there is no recurrence.
3)  Radiation therapy:  Usually done the same or next day.  Three treatment cycles is usually sufficient, but I would talk to a radiation oncologist to verify.  The overall dose is considerably less than cancer treatment.  And just to reassure you:  Keloids are not cancerous.  But they are aggressive.

Jason Emer, MD · Answer

most keloids need surgical removal with radiation.  This looks like it will need that with reconstruction to the area for a normal cosmetic result.  I suggest only going to the best.  Best, Dr. Emer.

Cain R. Linville, MD, FACS · Answer

First, you should start with steroid injections to try and see if the scar responds to these and shrinks at all.  If it does, you may be able to just have that done, or an excisional surgery along with steroid injection.  If you are a severe keloid former, then you may need to have some focal radiation, but I usually reserve this after failing the other treatment

I have old keloid scar for about 5 years on my jawline I don't know what to do. How do I remove it? (photos)

Answers (4)

Answer: Keloid scar options

Answer: Keloid scar options

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Everything you need to know about Scar Removal

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I have old keloid scar for about 5 years on my jawline I don't know what to do. How do I remove it? (photos)

Answers (4)

Answer: Keloid scar options

Answer: Keloid scar options

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Recommended reading

Everything you need to know about Scar Removal

Our mission is to create a world where every investment in modern beauty is Worth It.