Case Studies

Treatment of Ear Keloid – Durable Results of Cryotherapy

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 image below, a follow up image taken on June 24, 2014, depicts the durability of result that was achieved with cryotherapy in treating this keloid.
ear 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.
Case Studies
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.
Case Studies
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 Studies

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.
Case Studies
Below is the image of this keloid exactly one week later. The treatment was successful and the whole keloid appears dark and necrotic.
Case Studies
The whole mass of this keloid fell off five weeks after the treatment.
Case Studies
The site of keloid gradually healed over next few months.
Case Studies
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.
Case Studies
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.

Case Study # 3 – Treatment of Keloid in the Neck-Durable Results

This patient presented at in May of 2011 with a relatively small size keloid in his lower neck.
Case Studies
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.
Case Studies
One week later, the keloid is totally dark and necrotic, indicating that the treatment was successful.
Case Studies
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.
Case Studies
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.
Case Studies
Follow up examination on June 24, 2014, over three years later confirms durability of the effect of cryotherapy and treatment plans for this case.
Case Studies
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.
Case Studies
Case Studies
Below are the images of this keloid immediately after application of cryotherapy. The keloids are frozen and appear white,
Case Studies
Case Studies
The treatment was successful and the keloids appear dark and necrotic just one week later.
Case Studies
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.
Case Studies
The sites of keloids will gradually heal over next few months. We will monitor the site carefully for evidence of recurrence.

This case is a good representation of how effective cryotherapy can be. This keloid needed few treatments. Cryotherapy can eliminate the keloid, yet it does not alter the person’s genetic make. In this case, now that the keloids are no longer present, we will monitor the site carefully for evidence of recurrence.

Case Study # 5 – Treatment of Keloid in Pubic Area

This patient presented at the end of January 2012 with a relatively large keloid in her pubic area. This keloid had relapsed after surgery and radiation therapy.
Case Studies
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.
Case Studies
This case proves the efficacy of cryotherapy in treating keloids.

Case Study # 6 – Earlobe Keloid Treatment with Cryotherapy – No Surgery

The keloid depicted here was never treated before. This patient presented in December 2011.
Case Studies
Treatment was provided on the same date.
Case Studies
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.
Case Studies
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.
earlobe keloid
Patient returned five months later and was happy with the outcome and the results that were achieved after only on application of cryotherapy.
earlobe keloid
We choose to use magnets to treat the minimal residual keloid.
earlobe keloid
This case is a good representation of how cryotherapy works. Proper treatment of keloid requires patience, compliance with treatment, and time.

Case Study # 7 – Treatment of Massive and Complex Earlobe Keloid with Cryotherapy

This keloid was previously removed with surgery, yet it grew back to become bigger than what it was before surgery. This patient presented early February 2011 and was treated with cryotherapy.
Massive Earlobe Keloid
This keloid required three treatments. The mass of this keloid virtually disappeared with cryotherapy within 3-4 months.
Massive Earlobe Keloid
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.
Face Keloid
Face Keloid
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.

Ear Helix Keloid

Ear is a common place for keloid formation, often subsequent to piecing. Most these keloids can be easily treated with Cryotherapy. Images below depict treatment results with only one course of cryotherapy. Most ear keloids require about three rounds of treatments.

This keloid was triggered by piercing of the ear and was treated with steroid injections without success.
Ear Helix Keloid
Image below depicts the same keloid immediately after application of cryotherapy.
Ear Helix Keloid
One month later, bulk of keloid is removed.
Ear Helix Keloid
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.
Re-Shaping 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.
Re-Shaping Earlobe
Re-Shaping Earlobe
Re-Shaping Earlobe
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.

Case Study # 15 – Pubic Keloid Treated with Cryotherapy

This case represents a young female with multiple pubic keloids. The largest keloid, as shown below, would often become infected, painful and uncomfortable.
Pubic Keloid
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.
Pubic Keloid
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.
Keloid Behind Ear
Keloid Behind Ear
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.
Poor surgical Outcome
Poor surgical Outcome