How Much Does Keloid Removal Cost?

Question

My boyfriend has a keloid. How much do you think it would cost me to get it removed?

Otto Joseph Placik, MD · Answer

This depends on the techniques utilized.
Injections, typcially steroids, may be adequate but require 2-4 sessions at a cost of $75-250 per treatment. Additional medications ( 5-FU, Aldara, etc)  have been recommended but steroids are the standard of care.
Other procedures such as surgery or radiation therapy may vary tremendously based on the size and the number of treatments required. This can vary from $500 up to thousands.
Topical pressure treatments of silicone gel therapy may be required to maintain the result with materials ranging from $50-200.

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Kris M. Reddy, MD, FACS · Answer

If steroid injection which shrinks the keloid does not meet your objectives, the most common method is surgical excision. The cost for keloid removal like other cosmetic surgery varies considerably across the
country and even in the same area. South Florida tends to have lower fees then
more expensive areas such as New York or Los Angeles. We charge starting at $750 + MD
Anesthesia related costs (if needed). Since you can get quality work
at lower costs, patients will travel from throughout the state, the country,
and internationally to have surgery in South Florida.

To ensure that you are receiving quality work at the most cost effective
prices, consult with board certified plastic surgeons that own their own
nationally accredited facilities. The quality must be maintained at the highest
level to maintain accreditation. The surgeons also have incentive to hire and
train quality staff (to ensure that surgery is efficient and enjoyable), to
ensure comfortable and private facilities (to encourage referral), and to
eliminate waste (to ensure that these facilities can compete effectively).

Khaled El-Hoshy, MD · Answer

Hi Sabrina, the cost will depend on treatment method used. This will in turn depend on location of keloid, its size, and the experience of the treating physician. Common approaches are: injections in the substance of the keloid, freezing (CRYO therapy) with liquid nitrogen, surgical excision, lasers (Dye or CO2). Often, combination procedures are done.

Steven Wallach, MD · Answer

If the keloid is small, sometimes injections of steroids can help. If it is large, then usually excision and a series of steroid injections are recommended as first line treatment.  The fees vary from region to region and size of the lesion.  The best thing to do is go for a consultation.

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