Challenging Umbilical Keloid
Umbilical keloids often develop subsequent to piercing or surgery, in individuals who are prone to develop keloid. The case discussed here is a young woman who had undergone surgery with an incision in the umbilical area which over time developed into a circular keloid.
Over the next two months, despite aggressive treatment, the keloid continued to grow inwards, to the point of near closure of the hole in its center.
At this point, we had to prevent the keloid to seal over the umbilicus and cover the whole area. She was treated again with cryotherapy and yet we decided to use a device to prevent the keloid to seal itself. At first we used tip of a syringe, to insert inside the hole of the keloid. With the creativity of the patient and her husband who created multiple small size devices that would fit inside the hole and allow the tissue underneath to breathe, we were able to not only keep the hole open, but also to widen it.
Images below show the progress made over time and two of the devices used to achieve this goal.
With continued treatment, we were finally able to bring the keloid under control. The treatment continues to further improve the outcome.
By January 2015, the keloid process has died off and the skin is nearly free of keloid. We are continuing to treat the area to improve the overall appearance of the umbilicus.