- Treatment of Ear Keloid - Durable Results of Cryotherapy
- Case Study # 1 - Earlobe Keloid Removal with Cryotherapy
- Case Study # 2 - Removal of Umbilical Keloid with Cryotherapy
- Case Study # 3 - Treatment of Keloid in the Neck-Durable Results
- Case Study # 4 - Treatment of Complex Earlobe Keloid with Cryotherapy
- Case Study # 5 - Treatment of Keloid in Pubic Area
- Case Study # 6 - Earlobe Keloid Treatment with Cryotherapy - No Surgery
- Case Study # 7 - Treatment of Massive and Complex Earlobe Keloid with Cryotherapy
- Case Study of Facial Keloids
- Ear Helix Keloid
- Reshaping of Earlobe with Cryotherapy
- Case Study # 15 - Pubic Keloid Treated with Cryotherapy
- Case Study # 16 - Keloid behind the Ear
- Poor Surgical Outcome of Earlobe Keloids
This patient presented at in June 2013 for treatment of her ear keloid. Prior steroid injections were not effective. We chose to use cryotherapy as the primary mode of treatment for this keloid. Video below depicts how cryotherapy was applied to this keloid.
The follow up image taken on June 24, 2014, depicts the durability of result that was achieved with cryotherapy in treating this keloid.
This case represents the efficacy of cryotherapy in treating keloids, as well as the durability of this method of keloid treatment. Please keep in mind that treatment of keloids, including the ear keloid depicted here is complex, requiring other modes of therapy, including injections.
Case Study # 1 - Earlobe Keloid Removal with Cryotherapy
The keloid depicted here was previously treated with surgery following standard keloid surgery procedures. Unfortunately, the keloid grew back, even bigger, soon after surgery. This patient presented to us in middle of June 2011 and was treated with cryotherapy on the same date.
Application of cryotherapy can at times be uncomfortable or painful. I assess this during the procedure and use local anesthetic if needed. Pain and discomfort usually subsides in one day. Within the first 24-48 hours, the treated keloid swells up and forms large blister. Below is the image of this keloid exactly one week later.
Over time, the swelling subsides and the tissue dries up and forms a very thick scab. The scab usually falls off on its own. At times, and in this case, the scab remained adherent to the base of the keloid. Below is the image of this keloid 2.5 months later.
Since the scab had not fallen on its own, I had to break the scab and remove it. This was done under local anesthesia. Mass of keloid has shrunk by more than 2/3 after the first treatment. The remnant of the keloid was treated once again, it went through a similar again and this time the scab fell off on its own. Below is the image of the earlobe, taken 6 months after the initial treatment; showing the base of the keloid, after recovery from two applications of cryotherapy.
Keloid was treated one more time. It went through the same process of swelling, scabbing and healing. Below is the image of the earlobe 9 months after the first treatment (March 2012).
Case Study # 2 - Removal of Umbilical Keloid with Cryotherapy
The keloid depicted here was previously removed with surgery, yet it grew back to become bigger than what it was before surgery. This patient presented at the end of November 2010 and was treated with cryotherapy on the same date.
Below is the image of this keloid exactly one week later. The treatment was successful and the whole keloid appears dark and necrotic.
The whole mass of this keloid fell off five weeks after the treatment.
The site of keloid gradually healed over next few months.
Several months later, there was a minor reoccurrence which was treated with intralesional steroid injections. Now, 22 months later, there is no evidence of recurrence of keloid and the skin is fully healed.
This case is a good representation of how effective cryotherapy can be. This keloid needed only one treatment. Cryotherapy can eliminate the keloid, yet it does not alter the person's genetic make. In this case, the keloid started re growing and with several steroid injections, it regresses and 22 month later, there is no evidence of recurrence. There is always a risk for recurrence of keloid, but this risk is minimized by cryotherapy.
The keloid was treated with cryotherapy on the same date. The image below depicts the keloid immediately after application of cryotherapy. The whole keloid is frozen.
One week later, the keloid is totally dark and necrotic, indicating that the treatment was successful.
Over next few weeks, the necrotic keloid shrinks, forms a hard black scab. The scab falls off in about 6-8 weeks. The image below was taken in late August 2011, approximately three months after the treatment. The scab has fallen off and the mass of keloid is considerably smaller.
The remnant of this this keloid was injected with steroids a few times. The site of keloid has gradually healed and the skin pigmentation has partially returned. As of march 2012, there has not been any evidence of recurrence of this keloid.
Follow up examination on June 24, 2014, over three years later confirms durability of the effect of cryotherapy and treatment plans for this case.
This case is an example of effectiveness and durability of treatment results achieved with cryotherapy in treating keloids. This keloid needed only one cryotherapy treatment and few steroid injections.
Case Study # 4 - Treatment of Complex Earlobe Keloid with Cryotherapy
The keloid depicted here was previously removed with surgery, yet it grew back to become bigger than what it was before surgery. This patient presented early December 2011 and was treated with cryotherapy on the same date.
Below are the images of this keloid immediately after application of cryotherapy. The keloids are frozen and appear white,
The treatment was successful and the keloids appear dark and necrotic just one week later.
These keloids required three treatments. The mass of these keloids disappeared with cryotherapy within 6 months. The earlobe appears near normal, yet it is still inflamed from the last cryo treatment. Magnetic earrings were prescribed in this visit. We will post follow up images in future.
The sites of keloids will gradually heal over next few months. We will monitor the site carefully for evidence of recurrence.
The keloid was treated with cryotherapy. The image below depicts the interim results of this keloid 4 months after initiation of cryotherapy. The whole keloid is significantly smaller. There still remain residual keloid line that will need to be treated.
Treatment was provided on the same date.
Within the first 24-48 hours, the treated keloid swells up and forms a large blister. Below is the image of this keloid two weeks later.
Over time, the swelling subsides and the tissue dries up and forms a very thick scab. Below is the image of this keloid one month later.
Patient returned five months later and was happy with the outcome and the results that were achieved after only on application of cryotherapy.
We choose to use magnets to treat the minimal residual keloid.
This keloid required three treatments. The mass of this keloid virtually disappeared with cryotherapy within 3-4 months.
This case is a good representation of how effective cryotherapy is in shrinking the keloids. This particular patient had few recurrences afterwards, which were treated with cryotherapy again.
Case Study of Facial Keloids
The keloids depicted here had been present for several years. Attempt at removing some of the keloids on the right side led to worsening of these keloids. The images below show the interim results of treating these keloids. Within four weeks of initiating treatment, there is close to 80% reduction in the mass of all keloids. Treatment will continue until all keloids become flat and keloid free.
Over next several weeks, all the scabs will fall and the treatment will continue. Loss of pigment is a temporary effect. Color will gradually come back to the skin over time.
Treatment of facial keloids has to be customized for each patient. Course of treatment varies from weeks to months, depending on the extent of keloids. Surgery and Radiation therapy should be avoided all together for facial keloids.
This keloid was triggered by piercing of the ear and was treated with steroid injections without success.
Image below depicts the same keloid immediately after application of cryotherapy.
One month later, bulk of keloid is removed.
Treatment continues to eradicate the remnant of the keloid.
Reshaping of Earlobe with Cryotherapy
Earlobe keloids are common among African Americans and Asians. Mostly due to earlobe piercing, these keloids can cause a host of problems, among which distortion of the earlobe is the most noticeable. Below is an image of an earlobe keloid that had been previously treated with variety of modalities, including pressure ear rings, yet the treatment left the patient with a totally distorted earlobe.
We chose to treat this earlobe with cryo-surgery, with the intention of reshaping it back to normal. Below are series of images that show the normal appearing right earlobe, the appearance of the left earlobe and the course of treatment and what the earlobe went through.
This case is a good representation of how effective cryotherapy is in reshaping the earlobes. The final image was taken six weeks after the last treatment. The whole process took about three months. The skin overlying the earlobe will need several more months to fully heal.
This patient presented in September 2012 for consultation and treatment of her pubic keloids. The nodular keloid was treated with cryotherapy only once.
Six month later, in March 2013, the keloid remains nearly flat. All symptoms related to this particular keloid have also resolved.
This case is an example of how effective cryotherapy can be in treating keloids. With only one course of treatment, this particular keloid became nearly flat and totally symptom free.
Case Study # 16 - Keloid behind the Ear
This case represents a challenging case of recurrent retro-auricular keloid that had formed at the site of corrective ear surgery. Unfortunately, the keloids had re-occurred and enlarged and became larger after surgery.
The images below depict this keloid at presentation to our practice in early 2012 and one year later.
This case is another testament to the efficacy of cryotherapy for bulky keloids.
Poor Surgical Outcome of Earlobe Keloids
In treating ear/earlobe keloids, surgery is often the first treatment modality that comes to mind. Surgeons remove the whole area that is involved with keloid. This approach always results in deformation of the ear/earlobe.
Cryosurgery, on the other hand, when performed by experienced physicians, produces far superior aesthetic results than surgery. Below are images of deformities caused by surgery for keloids in the ear/earlobe area.