Itching and Painful Keloids - Treatment?

I have treated thousands of keloids and have found that my protocol, which incorporates multi modality treatment, works best. Raffy Karamanoukian Los Angeles

Symptomatic keloids that are refractory to treatment are a very difficult problem. Frequently, multi-modality treatments are required. This usually includes surgical excision, intra-operative steroid injection, immediate post-operative low dose radiation therapy and possible even follow-up steroid injections. Particularly if you have failed therapy in the past, aggressive re-treatment is usually required.

Typically, following removal of a keloid, effectiveness of treatment may be increased with immediate injection of kenalog followed by potential monthly injections as indicated. These need to be followed very closely due to their moderately high risk of recurrence which may be for at least 18 months.

If radiation treatments are elected, they should start within 24 hrs of the surgical removal.