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)
Karmen, Terry & Sam
Meet Keloid Specialist, Dr. Michael Tirgan
New York has hundreds of dermatologists and plastic surgeons who among everything else, also treat keloids. But, Dr. Tirgan is the only physician in North America whose medical practice is solely focused on the treatment of keloid patients. For the past several years, Dr. Tirgan has provided medical care and keloid treatment to over 1,500 keloid patients, many of whom have traveled to New York from far away places.
There are so many unanswered questions in Keloid Disorder. There are numerous patients whose keloids have gotten worse with surgery and other ineffective treatments. As a leader in clinical keloid research and cryotherapy for keloids, Dr. Tirgan is challenging standard approaches to many types of keloids. He has introduced treatments that not only achieve excellent results, but most importantly, do not cause harm, and do not put patients at risk of worsening of their keloids.
If you suffer from keloid - if your keloids have gotten worse despite treatments or after surgery - or if your doctor cannot think of an effective treatment for you-you need to know that there is hope, and there is someone here who has helped many other keloid sufferers like you.
Why non-surgical methods?
When a healthy person receives some sort of injury to the skin, such as an incision from surgery, or piercing, their skin goes through a rather predictable healing cycle. The skin fuses back together, some scar tissue forms and, through a very complex negative feedback system, the body arrests the healing process once it’s complete.
In a keloid sufferer, the negative feedback loop that informs the body that it’s time to stop the healing process doesn’t function as it should and results in an uninhibited, excessive and prolonged wound healing response; as if the brakes on the wound healing process were malfunctioning. The result is an excessive and perpetual healing response and keloid formation. Now, if we operate on a keloid and cut it out surgically, the same abnormal wound healing mechanisms are triggered, leading to the formation of a new, yet much larger keloid. Cryotherapy, on the other hand, does not induce a cut in the skin. The underlying tissue remains intact and the wound healing response does not lead to keloid formation.
Understanding Keloid Disorder:
Keloid is a chronic skin disorder, which negatively affects many aspects of patients’ lives. Keloid Disorder can present itself either as a single small spot on the skin or appear as multiple lesions spread across several areas of the body. In some patients, keloid lesions can grow to form a large skin tumor. Keloid has a genetic component, often runs in families, and is most often seen in Africans/African Americans and Asian populations, although it has been reported in individuals from almost all ethnic backgrounds. If someone is predisposed to the condition, a keloid appears only after an injury to the skin, which can happen in myriad ways such as ear piercing, acne, surgery, chicken-pox, etc.
Why to see Dr. Tirgan?
Dr. Tirgan is the only physician in North America whose medical practice is solely dedicated to the treatment of keloid patients. He has provided medical care to over 1,500 keloid patients, many of whom continue to travel from far distances to be treated by him.
Dr. Tirgan is an international leader in clinical keloid research and cryotherapy for keloids. He has extensively published his clinical work and is a frequent speaker at national and international dermatology and plastic surgery meetings.
Dr. Tirgan is the founder of Keloid Research Foundation as well as the Journal of Keloid Research . He is also the main organizer of for the annual International Keloid Symposium and the author of Clinical Practice Guidelines for Treatment of Keloids that are available on the website of the Keloid Research Foundation for other doctors to use to properly treat their own patients.
Keloid Treatment Secrets
4th International Keloid Symposium
Atlas of Ear Keloids - Forward
Keloids are an important medical problem which 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.
James G. Krueger, M.D., Ph.D.
Laboratory of Investigative Dermatology
The Rockefeller University
Atlas of Ear Keloids is available on Amazon.com.
Clinical Practice Guidelines for Treatment of Keloids
THIS GUIDELINE publication is a compilation of recommendations for treatment of patients with common clinical presentations of keloid disorder. As you will notice throughout this volume, not all keloid patients present in a similar manner. Every patient presents with a unique problem. Therefore, the treatment for each keloid lesion should be customized for each patient. Obviously, the first instinct in a young person who develops a keloid lesion is to have that lesion surgically removed. As documented in each Guideline, rushing into surgery will often result in worsening of the keloids - simply because keloid disorder is a progressive and multifocal disorder of the skin. Our better understanding of basic facts about this chronic genetic ailment will guide us to more effective treatment choices.
All the Guidelines documents are available on the website of Keloid Research Foundation .