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Letter from a patient's family to Dr. Tirgan
Dear Dr. Tirgan,
We first came to see you in July of 2014 to have our son Sam’s ear treated for a keloid. After all, he had been through with that ear I have to say I didn’t share your confidence that it would finally stop growing and even be reduced to almost gone….. really all there is is a bit of scarring – almost like a burn. Amazing compared to what it was prior to treatment. January 2015 was his third and final treatment which means it has been stable for 2+ years! We are so grateful and see the whole process as an answer to many prayers. We thank you for the service that you have provided to our son! He graduates from High School in just a few more months! I will send pictures soon for your records. (of his ear, not graduation)
Sincerely,
Karmen, Terry & Sam
(April 2017)
Specialized Treatment for Keloids Only
New York is home to hundreds of dermatologists and plastic surgeons who treat keloids among other conditions. However, Dr. Tirgan is the only physician in North America whose medical practice and research are exclusively dedicated to the treatment of keloid patients. Over the past several years, Dr. Tirgan has treated more than 3,000 keloid patients, many of whom have traveled from distant locations to seek his specialized care in New York.
Our Reviews
Michael JamaleddineAugust 10, 2021. Amazing doctor with a big heart that truly cares about his patients. I've seen him several times over the last couple of years and have experienced great results from his treatment and I learned a lot about keloids as well. Stephanie PayneJuly 15, 2021. Dr Tirgan is honestly my Angel. I had really bad plastic surgery that left me with keloids across my whole upper body . He told me right from the beginning it was going to be a long process and to be Patient but he will fix me.. 1 year later I finally feel normal again. I cant thank him enough. I have never trusted a Dr the way I trust him. Robert SilvermanApril 30, 2021. Excellent doctor who specializes in keloids. Reviewed my condition, made a plan and executed exactly how he described in our initial consultation. Therapies resulted in the elimination of the keloids and smooth skin that looks natural. I have complete trust in Dr. Tirgan. Kristen JonesFebruary 11, 2021. Dr. Tirgan is an outstanding doctor. He is not only an innovator in his field but he is also kind and very patient in answering questions. If you are looking for Keloid treatment options, you know there are almost no other non invasive methods. We were delighted with the results and can't say enough about how life changing Dr. Tirgan was for my family. We are grateful and so lucky to have found Dr. Tirgan. After our first visit we knew we had found the right treatment options. Do your research on this topic. Wish we could rate 10 stars! Sandeep Akella (Deepsand)August 20, 2020. Very professional and very knowledgeable. Prioritizes patient care above all else. Jonathan BeyerJune 19, 2020. Dr. Tirgan helped my son tremendously. We came to him with a large Keloid on his ear. He took the time to explain the cryotherapy and how he could help us. Dr Tirgan was very kind and patient at each visit. After the treatments, the keloid was gone. I am so grateful for Dr. Tirgan. Isha KamaraJune 13, 2018. I have had Keloid’s for almost 8 years now on both of my ears. They were so huge and very painful. I did surgery and it came back bigger. I found him on the internet and it was the best decision I have ever made in my life. He’s the best and the very best. He’s so patience and speaks to you so well. I had my procedure the first time I saw him and lord I’m almost at the end of the road. I got my second procedure in two weeks and I just can’t wait. The Keloid’s is almost gone and I’m shaking and happy because I was so scared even though I saw a lot of videos but I was still scared. I’m glad I found him. He picks up my calls every time I call him to ask questions. He’s the best. I got one more to go and hopefully I will be Keloid’s free. It only took me two to three weeks and half of the Keloid’s fell off. Thank you so much. You are a blessing!!!! I can’t wait to see you again. Chiquita CombsJune 13, 2018. I have suffered with keloids for so long I can't remember how long It has been. I was diagnosed with Hidradenitis Suppurativa years ago and proceeded with the steroid injections. Multiple injections every 4 to 6 weeks was too painful to committment to. I just couldn't do it to myself on a regular basis. I allowed my condition to accelerate and progress for a few years without any treatment before I made the committment to seek the most painless medical treatment for my condition. After doing the research on my condition and watching too many YouTube videos, I recently scheduled a consultation with DR. MICHAEL TIRGAN in Manhattan, NY. My first appointment I was exactly one hour late due to the traffic from Long Island to NYC and I was greeted pleasantly by Roseann and not scolded for being late. There were plenty of patients that hot and sunny Saturday so I waited patiently until it was my turn. Dr. Tirgan was gentle speaking and not shocked by the multiple keloids under my arms and on the back of my shoulder and on my stomach and partially covering my breast and most of all he listened to me. He recommended the Cryotherapy which was my choice of treatment and prescribed a dual antibiotic to heal the infection that was occurring regularly. I followed up with my 2nd appointment with Dr. Tirgan and my 1st Cryotherapy treatment 10 days later. I was so nervous, I almost left before my scheduled appointment time. I waited outside the office for a few minutes trying to calm my nerves and at exactly 1:00pm here comes Dr. Tirgan. He asked how I was and I told him I was nervous and up all night and he said it so daringly "don't be nervous". I was his first patient and didn't feel rushed. He examined me, recognized the improvement from the antibiotic he had previously prescribed and again recommended Cryotherapy treatment. I agreed and without any numbing cream or injection he proceeded to freeze the keloid directly in my armpit that was itchy, painful and had recently developed a boil that had come to a head and was draining the day of my initial consultation appointment. The procedure was not painless but it was tolerable. My threshold for pain is very low so on a scale of 1-10 the pain during the procedure was about 6. I was so surprised I had to laugh at myself but I took two Advils or two Aleeves and hit the road back to Long Island. 30 mins later the pain was at 7 and it reached an 8 by the time I reached home almost 2 hours after the treatment. I ate, took my antibiotic and rested for a few hours. 5 hours after the procedure there was no pain and the keloid was already in a state of blistering. I changed the gauze no stick bandage and slept all night comfortably. It's now, almost 12 hours later and still no pain and I noticed that there is no itching. I almost feel some normalcy in my life. Thank you Dr. Tirgan. See you in 2 weeks.Google rating score: 4.5 of 5, based on 18 reviews
What is Keloid Disorder?
Keloid disorder is a chronic skin condition that can significantly impact patients' quality of life. It may manifest as a single small lesion or as multiple lesions across different parts of the body. In some cases, keloid lesions can grow extensively, forming large skin tumors.
Keloid disorder has a genetic component and often runs in families. It is most commonly seen in individuals of African, African American, and Asian descent, though cases have been reported across almost all ethnic backgrounds. For those predisposed to the condition, keloids develop only after skin injury, which can result from various causes such as ear piercing, acne, surgery, or chickenpox.
Why Specialized
Treatment Only?
When a healthy person experiences skin injury, such as a surgical incision or piercing, the skin undergoes a predictable healing process. The tissue fuses back together, forming scar tissue, and through a complex negative feedback system, the body knows when to stop the healing once it’s complete.
In keloid disorder, however, this feedback mechanism malfunctions. Instead of halting the healing process, the body continues an excessive and prolonged wound-healing response, as if the "brakes" on healing are not functioning properly. This leads to the uncontrolled growth of scar tissue, resulting in keloid formation.
If a keloid is surgically removed, the same abnormal healing mechanisms are triggered, often leading to the development of a new, larger keloid. In contrast, cryotherapy does not involve cutting the skin, so the underlying tissue remains intact. As a result, the healing response does not stimulate further keloid formation, making it a preferred treatment option.
Why Seek Treatment from Dr. Tirgan?
Dr. Tirgan is the only physician in North America whose practice is exclusively dedicated to the treatment of keloid patients. With over 3,000 keloid cases treated, many patients continue to travel long distances to seek his specialized care.
As an international leader in keloid research and cryotherapy, Dr. Tirgan has extensively published his clinical findings and is a frequent speaker at major dermatology and plastic surgery conferences worldwide. His expertise in keloid treatment is recognized globally.
Dr. Tirgan is redefining standard treatment approaches for keloids, introducing therapies that prioritize patient safety. His methods not only deliver excellent results but also avoid the risks of exacerbating the condition, a concern with many conventional treatments such as surgery and radiation therapy. If you have keloids that have worsened despite previous treatments or surgeries, or if your doctor has run out of effective options, there is still hope. Dr. Tirgan has successfully helped numerous keloid sufferers like you, and his patient-centered approach can provide the relief you’ve been searching for.
Keloid Treatment Secrets
Keloid Treatment Secrets is an easy-to-read book for anyone who is dealing with keloid disorder. In this book, Dr. Michael H. Tirgan discusses various aspects of this skin condition and provides the reader with an in-depth understanding of this condition. The reader will learn about simple treatment choices, how keloids should be treated, and most importantly about the treatments that are harmful and should be avoided.
If you are diagnosed with keloid or have been dealing with it for a long time, this book may help you to better understand your condition. It also arms you with the knowledge you need to make correct treatment choices.
Atlas of Ear Keloids
Keloids are an important medical problem that is often under-appreciated by the medical community. Dr. Michael Tirgan has spent many years evaluating and treating patients with keloids in different regions of the body. The Atlas of Ear Keloids presents new insights into the natural history of keloids and provides a perspective that many of the standard surgical approaches may actually lead to the progression of these tumors on the ear. He presents good examples of an alternative treatment with cryotherapy that has convincingly eliminated some of the most troublesome keloids on the ear. This book will provide valuable information to patients with keloids on the ear and to medical professionals that treat these lesions. Atlas of Ear Keloids is available on Amazon.com.
James G. Krueger, M.D., Ph.D.
Laboratory of Investigative Dermatology
The Rockefeller University
New York
Clinical Practice Guidelines for Treatment of Keloids
This guideline publication compiles recommendations for treating patients with common clinical presentations of keloid disorder. As you will observe throughout this volume, keloid patients do not present uniformly; each individual has unique challenges. Therefore, treatment for each keloid lesion should be tailored to the specific needs of the patient.
The instinctive response to a newly developed keloid in a young person may be to surgically remove the lesion. However, as documented in this guideline, rushing into surgery can often exacerbate the keloid condition. Keloid disorder is progressive and multifocal, meaning that a premature surgical intervention can lead to worsening symptoms. A deeper understanding of the fundamental aspects of this chronic genetic condition will enable us to make more effective treatment choices.
All the Guidelines documents are available on the website of Keloid Research Foundation .
