I'm a medium-complected African-American male with a very resistant facial keloid for about 7 years. A year ago, I began developing a new one on the opposite side as the result of a healed MRSA infection. I also suffer from psuedo folliculitis which is the source of a smaller new keloid that is now showing up due to ingrown hairs. I went to several different doctors and explained that I have tried the injection route with no success before. What keloid removal treatment can you suggest, and how can I explain to the next provider that I'm looking for radical action?
Radical Action for Keloids
Doctor Answers 2
Long term management of keloids
Most keloids are treated with pressure, IIT, and laser. In some cases, I would perform surgical excision of the keloid followed by the above mentioned therapies. This yields excellent long term results.
Aggressive Therapy for Resistant Keloid
Keloid is exuberant proliferation of scar tissue beyond the original border of incision or trauma. One should seek a board-certified dermatologist to consider intralesional steroid injection, prescription for imiquimod (Aldara), and possibly silicone gel occlusion. For resistant keloid, one should consider intralesional 5-FU. Radiation therapy followed by excisional removal should be performed as a last resort; however, this would not be advisable for face and neck due to risk of thyroid cancer.