Keloids are thick scars created when the body produces too much wound-healing collagen. This excessive healing response results in a raised scar that can often be quite large. The reason the body responds this way to an injury is not fully understood and keloid scars can result from even minor skin trauma, such as an insect bite. Although keloids are not harmful to your health, they can occur in areas that create problems with the function of your body. They are also aesthetically unappealing to some people and can cause anxiety or self-esteem problems. Board-certified Dallas plastic surgeon Dr. Solomon Azouz creates a treatment plan for keloids, including removal and preventing recurrence.

Keloids Vs. Hypertrophic Scars

In the early stages of wound healing, keloid and hypertrophic scars can look very similar. Hypertrophic scars are typically red and thick, appearing in places where there is a lot of tension on a wound. Over time, a hypertrophic scar will flatten and turn a lighter color. Most importantly, hypertrophic scars are confined to the injured area.

Keloid scars range from pink to purple and are a smooth, hard covering over a previously injured area resembling a tumor. They can appear anywhere but are frequently found on the earlobes, shoulders, and chest. They form regardless of the amount of tension on the injury and can occur even when a trauma is minor. Due to the hyperactive healing response, keloids often extend well past the area of the original damage, making evidence of the injury appear more severe.

What are the benefits of keloid removal surgery?

Keloid scar surgery offers a powerful solution for significantly reducing thickness and size. This surgical approach can also alleviate the itching, soreness, and tenderness often associated with these stubborn scars. By flattening the keloid, the procedure improves the overall aesthetic appearance of the affected area. In some cases, combining surgical excision with preventive measures can even lower the risk of keloid recurrence.

How are keloids removed?

Keloid scar surgery is performed in an outpatient setting with local anesthesia. Board-certified plastic surgeon Dr. Azouz carefully excises the keloid scar, along with a small margin of healthy tissue. This helps to reduce the chance of recurrence. Dr. Azouz may also use Triamcinolone acetonide suspension (Kenalog) injections to prevent keloids from reforming at the incision site. The incision is then closed with either dissolvable or non-dissolvable stitches with meticulous techniques to decrease tension on the wound.

What are the risks associated with keloid removal surgery?

While keloid scar surgery is usually safe, there are risks including recurrence, scarring, infection, or bleeding. Board-certified plastic surgeon Dr. Azouz has specialized techniques to minimize these risks and monitors patients closely for optimal recovery.

What is the recovery from keloid removal surgery?

After surgery, patients are advised on specific wound care instructions as the skin heals. During your follow-up appointments, Dr. Azouz will monitor your progress and give personalized recommendations as you recover. Dr. Azouz will recommend specific compression garments, depending on the location of the keloids. Most patients are able to return to work same day and light activities within a few days from surgery depending on the location of the keloid and size of the keloid.

Can I combine other procedures with keloid removal surgery?

Keloid scar removal surgery may be combined with other procedures including laser resurfacing, facelifts, and scar revision surgery. After reviewing your medical history and discussing your goals, Dr. Azouz will make recommendations on safely combining procedures in one surgery.

How much does keloid removal cost?

The extent of the procedure, anesthetic costs, and facility fees are some of the variables that can affect the cost of keloid scar surgery. Patients in Dallas can obtain a customized cost estimate from Dr. Azouz during a consultation that takes into account their desired goals.

Frequently Asked Questions

Are there any chances of recurrence of keloids after surgery?

Despite surgical removal, keloids can recur in up to 50% of cases, highlighting the challenging nature of managing these scars. However, Dr. Azouz has successfully performed many keloid removal surgeries and uses specialized techniques to prevent recurrence.

Will insurance cover keloid removal surgery?

There are some insurance plans that can cover keloid scar revision. Dr. Azouz recommends contacting your insurance provider to check your policy. Dr. Azouz also offers financing plans, as it is sometimes more cost-effective not to use insurance. Many keloids are deemed cosmetic.

How painful is keloid removal surgery?

Dr. Azouz uses local anesthesia to numb the treatment area before surgery. Depending on the extent of the procedure, sedation may also be used to help keep patients comfortable. The local numbing medication can reduce pain for up to 24 hours after the procedure. Many patients report that they do not need pain medications after keloid removal surgery.