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Although keloid scars always represent a challenge because of their tendency to return or resist treatments, early intervention will always work in your favor. At Celibre, we choose a treatment plan based upon the size and color of the scar. Oftentimes, we combine the pulsed dye laser with steroid injections - alternating each with each visit. Visit the below link for more detailed information on treatment options.
Belly button keloids are common and difficult to manage. I have a protocol that I use that incorporates pressure, TAC injections, and possible surgery.
Quick Answer: Keloided scars can be treated but they may return. Thank you for your question. In our San Francisco area practice we are familiar with treating keloided scars. The most effective way to reduce a keloid is to have it surgically removed. Doing so will guarantee the scar is gone but does not guarantee another large scar or keloid will not form in the same place. Steroid injections directly into the keloid are another option and can also be done at the time of removal or as an individual treatment. I hope this helps.
Belly buttons often form thicker scars especially after piercing. A combination of lasers (pulsed dye like the VBeam, fractional like Fraxel or Active FX) plus injection of cortisone into the scar can greatly help. Topical anesthetic minimizes discomfort.