What Can I Do About a Large Keloid 1 Year Post C-section?

Question

I have had 2 c-sections, both formed painful keloid scars. During my second c-section the doctor tried several different techniques to prevent new formation, but it didn't work. What are my treatment options? I am a very active distance runner, and the scar is large enough that it chaifs during long runs and is very painful. I have also had several moles removed from my back with similar, yet less painful results. Is there anything a doctor could do in furture surgeries to prevent this?

Raffy Karamanoukian, MD, FACS · Answer

Both of these scars are inflamed and would benefit from IIT and pulsed dye laser. Surgery is another option available.

	
		Selective IIT
	
		Pulsed Dye Scar Laser
	
		Pressure Treatment

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Keloids are relentless.  There are some things that can be done such as steroid injections and silicone bandages/sheets.  I believe these two treatments are helpful but patience must be the theme of the day.  It may take 6-9 month to get stable improvement.  irradiation is an option but should be considered carefully because potential side effects.

	Dr. ES

Michele S. Green, MD · Answer

Treating a scar from a C-section or other surgical procedure is a very satisfying process. With a combination of the V-Beam laser and intralesional cortisone injections you can treat both the raised scar and the redness. It generally takes three or four procedures depending on the scar being treated. For the best results please consult a board certified dermatologist with experience in lasers and scar removal.

C. Bob Basu, MD, MPH, FACS · Answer

I generally recommend treatment with steroids (kenalog) 3-4x times done every 4-6 weeks. This should help soften the scar. Then a surgical scar revision is scheduled. If you have a strong history of keloiding, then immediate postop treatment with focal radiation has been show to help reduce the risk of keloid recurrence. Please visit with a board certified plastic surgeon to learn more about your options

Benjamin Barankin, MD, FRCPC · Answer

The best option for your keloid scar would be injection of cortisone every 4-6 weeks, likely requiring 3-6 treatments. Addition of silicone gel sheeting will add modest improvement. If any redness remains once the thickness is gotten rid of, then laser can be helpful.

Darryl J. Blinski, MD · Answer

Thanks for the photo. Have you tried intralesional steroid injections, in a series of 6 every 3 weeks? Otherwise if surgery has not helped you might consider low level radiation, if you are not planning additional pregnancies. This has to be done by a radiation doctor. Hope this helps from MIAMI Dr. Darryl J. Blinski

What Can I Do About a Large Keloid 1 Year Post C-section?

Answers (6)