Removing Keloid from Left from Sebaceous Cyst

I'm an African American female. I had a sebaceous cyst removed from chest area 3 years ago. It was 1 and 1/2 in. An itchy keloid developed and now, I'm embarassed to wear swimsuit/v-necks/halters etc. What removal procedure/treatment would you recommend? Please help!

Doctor Answers 2

Treatment options for keloid scars

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Keloids can cause inflammation, pain, and discomfort.  The first line of treatment includes:

  • Selective IIT
  • Pressure Treatment
  • Pulsed Dye Scar Laser
  • Silicone

Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Injections first

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Keloids are a fairly common complication on the chest. First, steroids injections should be tried. You may need a series of them. This should be tried first since there is no worsening. However, the best you can expect will be flattening and not total eradication. If this does not work injections along with cryotherapy (freezing) might be added. The downside of this is that cryotherapy may cause hyppigmentation.
If these efforts fail you laser might be attempted or surgery. If the latter is performed the surgeon should utilize imiquimod (Aldara cream) along with steroid injections. This is VERY important. I have removed many keloids only to have the patient come back two years or so later with an even larger keloid. Patients who return for injections do substantially better. Pressure after the surgery also helps. There are devices that will keep pressure on the healing wound.

Good luck.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

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.