- read about face keloid surgery
- see before and after photos
- alternatives, risks, benefits & recovery for face keloid surgery
Keloids are large sometimes dumbell shaped scars that grow out of the confines of the original wound. Most facial keloids are caused by acne that creates inflamed scars. They are most common in Afro Americans but occasionally are found in Hispanics and Asians. Keloids do not respond to silicone sheeting. Virtually all keloids that are cut out will return within 2 to 3 months if steroids and pressure are not applied after surgery. In some cases radiation is used to prevent recurrence especially if the patient cannot return for weekly office visits or the body area involved is not amenable to the application of pressure by a garment, for example keloids on the neck. Although the exact skin condition prior to keloid formation cannot be reached vast improvement is possible.
If the keloid is causing a functional problem such as blocking a body opening or affecting range or motion or has a history of recurrent infections its removal is covered by health insurance. In California state laws mandate coverage of the removal of all visibly large keloids.
This patient had a face keloid scar that formed in an acne scar. It interfered with her ability to sleep on her left side. The treatment was excision, steroid injection and application of a pressure garment. This is the type of keloid clearly covered by health insurance in California.
This patient had a keloid on each cheek after trauma to the skin. The keloids were surgically removed by surgeons twice in the past and recurred within 2 months. After keloid removal by Dr. Stone recurrence was prevented by scar injections, cordran tape and application of a pressure mask. The photos here were taken 1 1/2 years after excision. The after photos are taken without and with camouflage makeup.
The patient has the option of a pressure mask or radiation. If the mask is chosen it has to be worn at all times for 6 to 12 months.
Read Dr. Stone’s blog about Scars, Keloids and Hypertrophic ScarsScars, Keloids and Hypertrophic Scars
Keloid surgery can enhance your appearance and your self confidence. Realistic expectations are important to be happy with any surgery. As each patient is an individual, different results can be expected in each patient.