Keloid removal from breast? (photos)

Question

I have developed a large painful keloid on my breast after the removal of a cyst.. The position of the keloid makes it difficult for me to wear a bra. I have been looking on line for safe ways to have it removed. I know that radiation is not a option. Has anyone had success with cryotherapy for breast keloids, and is it safe? Please advise, Thank you Linda

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Robert M. Tornambe, MD · Answer

I am so sorry that you have this problem.  Unfortunately, your best option is excision of the keloid with skin closure, and serial injections of steroids.  I'm afraid that even that regimen can't guarantee that it won't return. Check out the link below to an article I wrote about scarring.  Good luck!

Steven Wallach, MD · Answer

Often keloid treatment can be treated with excision and steroid injection.  Good luck ti your decision to move forward.

Robert L. Kraft, MD, FACS · Answer

Keloids are problematic.  The first line of treatment is injection or topicals but this keloid is beyond that.  Excision with adjuvant therapeutic radiotherapy could be an option; I am uncertain why you believe that radiation is not an option.  I would think that cryotherapy would cause the same inflammatory scar response as with a surgical technique. Best wishes.

Keloid removal from breast? (photos)

Answers (4)

Answer: Keloid scarring

Answer: Keloid scarring

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Keloid removal from breast? (photos)

Answers (4)

Answer: Keloid scarring

Answer: Keloid scarring

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