4 doctors weighed in:

Scar revision or laser treatment? What's best? For keloid scar, also have a mole on the scar tissue

4 doctors weighed in
Dr. John Walker
Surgery - Plastics

In brief: Keloid Rx

The safest approach is silicone tape/gel (myscaraway, from walgreens/online), steroid/bleomycin injections immunosuppressant/chemotherapyagent) only in pro hands, electron-beam radiotherapy, almost never excision unless radiotherapy can be guaranteed within 24hr after excision.
Be very careful or it will be made worse by cutting it! close follow up for 2yrs+ to monitor for recurrence essential!

In brief: Keloid Rx

The safest approach is silicone tape/gel (myscaraway, from walgreens/online), steroid/bleomycin injections immunosuppressant/chemotherapyagent) only in pro hands, electron-beam radiotherapy, almost never excision unless radiotherapy can be guaranteed within 24hr after excision.
Be very careful or it will be made worse by cutting it! close follow up for 2yrs+ to monitor for recurrence essential!
Dr. John Walker
Dr. John Walker
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Dr. Payman Danielpour
Surgery - Plastics

In brief: Surgery

The best treatment for your keloid would be surgical excision plus steroid injections.
The surgical excision would rid the keloid and rid the mole and the steroid injection would help to prevent the keloid from forming again.

In brief: Surgery

The best treatment for your keloid would be surgical excision plus steroid injections.
The surgical excision would rid the keloid and rid the mole and the steroid injection would help to prevent the keloid from forming again.
Dr. Payman Danielpour
Dr. Payman Danielpour
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Dr. Christopher Kovanda
Surgery - Plastics

In brief: Tumor of scar

True keloids are an overgrowth of scar tissue beyond the border of the original scar. They are genetically predetermined and are difficult to treat.
I do not know of any lasers that are effective in treating keloids. 85% respond to steroid treatment alone or immediately after surgery. If this fails, then surgery and radiation is only 90% effective.

In brief: Tumor of scar

True keloids are an overgrowth of scar tissue beyond the border of the original scar. They are genetically predetermined and are difficult to treat.
I do not know of any lasers that are effective in treating keloids. 85% respond to steroid treatment alone or immediately after surgery. If this fails, then surgery and radiation is only 90% effective.
Dr. Christopher Kovanda
Dr. Christopher Kovanda
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Dr. Otto Placik
Surgery - Plastics

In brief: Scar revision + mole

I have not seen impressive results with laser treatment of keloids but perhaps other colleagues have.
Furthermore the mole concerns me even more. If this is new, it should be excised for diagnostic purposes. Otherwise keloid treatment is usually initiated with steroid injections, .

In brief: Scar revision + mole

I have not seen impressive results with laser treatment of keloids but perhaps other colleagues have.
Furthermore the mole concerns me even more. If this is new, it should be excised for diagnostic purposes. Otherwise keloid treatment is usually initiated with steroid injections, .
Dr. Otto Placik
Dr. Otto Placik
Thank
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