24 Sep Treating Keloids
Keloids are the result of uncontrolled scarring and are notoriously difficult to treat. They occur most commonly earlobes, shoulders, chest, and back, but can occur nearly anywhere. The most current literature suggests that keloids are best treated aggressively and with multiple modalities: surgical removal, injection with steroids or other medications, and radiation therapy. In my practice this typically means removing the keloid with a C02 laser, injecting the wound with steroids, and treating with radiation therapy immediately following surgical removal. This combination of treatment seems to have the lowest rate of recurrence, though recurrence is still (amazingly) possible.
Unfortunately, keloid surgery and radiation treatments are considered “cosmetic” and rarely, if ever, covered by insurance companies. If you have a keloid you are considering having treated, it is best to get evaluated as soon as possible as larger lesions are more difficult to treat. Best of luck with your healing!