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

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

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

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.

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

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.

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