Procedure and Cost for Removing Keloid on Ear?

Question

I have a keloid behind my ear and on top of my left ear. What treatment should I have get rid of them, and how much will it cost?

Raffy Karamanoukian, MD, FACS · Answer

Keloid scars are characterized by their growth potential and increased degree of inflammation within the skin. Unlike non-inflamed scars, keloids have the potential for growth beyond the original footprint of injury. Our office specializes in the management of keloids, whether single or multiple, using a combination platform that includes lasers, RF, scar modulation, Parke-Davis Scar Protocols, and injection therapy. Some keloids will require surgical intervention as an initial step for treatment. 
Best, 
Dr. Raffy Karamanoukian
Realself 100 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).

Jeffrey Ellis, MD · Answer

The most cost effective treatment for your keloid will be one that minimizes the risk of the keloid coming back.  Be sure to find a doctor with experience in treating these.

	The specific cost will depend upon your geographic location, and complexity of the keloid that needs treatment.

Bryan K. Chen, MD · Answer

Ear keloids can initially be managed with a series of injections with cortisone.  If after the series of injections, the appearance of the keloids still is not to your satisfaction, excision can be considered.  The recurrence rate of keloids after excision, however, can be quite high (50% or greater) although there are additional measures that can be taken to reduce that risk including application of special pressure earrings and continued injection of the surgical site after surgical removal of the keloid.  You would need to call around to various offices of dermatologists and plastic surgeons to obtain pricing.
Good luck.

Steven Wallach, MD · Answer

Keloids can be challenging becuase they can recur. Sometimes they are excised and injected with steroids repeatedly. Sometimes local radiation is needed after excision. The fee can vary from region to regio so it is difficult to give you a fee quote.

Theodore Katz, MD, FACS (retired) · Answer

Any keloid has the chance of recurrence with any form of treatment. However, the best chance of preventing recurrence is the use of several modalities at once - that is excision with kenalog injections, compression earrings (if tolerated and amenable), and close observation with injections at the first sign of recurrence (although some physicians would routinely use a course ofpost-repair steroid injections). The use of silicone gel or strips may also be beneficial. The chance of "cure" may be over 70% but that still means that there is an almost one in three chance of recurrence. There is research ongoing to newer treatments. Radiation therapy is used only in rare cases.

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