Should excise my keloid?

the doctor told me that i have a small keloid, and he could use cortisteroid injections. however, it turned out that the bulk of it was under the surface, so he wanted an excision instead. if i excise it, will it grow much bigger, and appear on the surface? technically, it is not worthwhile to excise it since the bulk of it is not obvious, but he pushed me into excising it.... also, can i excise the surrounding flesh, instead of just the keloid to ensure smaller recurrence rate?

Doctor Answers 3

Scar therapy

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The gold standard for hypertrophic (thickened, raised, and red) scar therapy is pressure and time - occasionally a year or more. If this fails then scar revision surgery may be considered. Although the results of scar therapy vary from person to person and scar to scar, the results are considered permanent.
Not infrequently potential patients avoid surgery because fear of an unsightly scar. To remedy this, I now utilize and formulate compounded topical creams to treat, relieve and minimize scars for each of my patients:
• new scars
• old scars
• surgical scars
• keloid scars
• stretch marks
• hypertrophic scars
• hyperpigmented (dark) scars
• various acne scars, and more...
These scar removal creams contain prescription strength medications each individually known to reduce and/or reverse the scarring process but never before compounded together into one high potency formulation. These medications are added to a base of anhydrous silicone (the most common ingredient in everyday topical scar therapy) and Pracaxi oil, found in the Amazon rainforest and known for its anti-inflammatory, antioxidant, antibacterial, and antifungal properties. Many health insurance plans actually cover the cost of the creams and they can be delivered directly to the patients door step. In other words, no need for multiple trips to the doctor for expensive and painful laser treatments, or wasted money on minimally effective over-the-counter topical scar therapy gels or silicone sheets that are unsightly and/or fail to stay on. Instead, with just two applications a day my patients now perform scar therapy in the comfort of their own home. Glad to help.

Beverly Hills Plastic Surgeon
4.8 out of 5 stars 128 reviews

Plato's Scar Serum and Keloid Treatment

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Our office specializes in keloid surgery and treatment. Enucleation is the method of choice for many keloids.  Surgical excision may increase the risk of recurrence. We advise patients to apply Plato's Scar Serum.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
If you excise a keloid, there is always the chance that it will reoccur, and the keloid that reoccurs might be worse than what you have now.  I would probably treat this conservatively with steroid injections first.

John Newkirk, MD
Columbia Plastic Surgeon

You might also like...

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.