Keloid on the Chest (photo)

This is a red and depressed scar that can be improved by either scar revision surgery, pulsed dye laser, fractional co2, and percutaneous scar release.  I perform all of these in combination to improve scars of the forehead.

I fully agree that photos are no substitute for an up close and personal examination and palpation of the scar to determine its stretchability, liftability, etc. In general terms, however, such a problem might be best approached by performing a punch-excision (following numbing with local...

In my practice, I would focus on the prominence of the bulky lip tissue and the white scar on the mucosa.  Both can be corrected or improved with surgical excision and layered closure. 

Scar excision and layered closure will help even out this lip scar and make it less noticeable.  I would combine this treatment with laser scar treatment.

I have successfully treated chest keloids such as yours without surgery.  A combination of pressure, IIT, and laser will reduce this scar effectively. 

The cost of keloid removal can vary depending on the complexity of the keloid, involvement of cartilage and scar tissue, the density of the keloid compared to surrounding tissue, and involvement of critical anatomic structures.  I would schedule a consult and discuss all of these relevant...