Keloids of Abdominal Wall
As opposed to the chest and shoulder areas, the abdominal skin is not a common area for keloid formation. About 2% of all keloid patients have some form of keloidal involvement in their abdominal skin. These keloids often develop after surgery or piecing. Umbilical keloids appear to be gender-specific and seen almost exclusively in women.
The umbilical area is a common site for both piercings as well as laparoscopic surgical interventions, both of which can lead to the formation of keloids in patients with keloid disorder. The clinical presentation of the umbilical keloids is distinctly different among Asian/Caucasians as opposed to black skin individuals, with bulky and tumoral types of umbilical keloids only seen among African Americans.
Keloid Formation Treatment
Umbilical Keloid in a middle age African American female. Note properly healed incisional wound above the keloid.
Treatment of abdominal keloids
Treatment of abdominal keloids, much like other keloids, requires patience and perseverance. Treating keloids is a process and requires several rounds of treatment. Surgery, radiation therapy as well as lasers must be avoided at all cost in treating early stage keloids.
Surgery may be utilized to remove extremely large keloids, but that is done as part of a planned treatment strategy, and not for every patient. The safest method to treat majority of bulky abdominal keloids is cryotherapy. The video below shows application of cryotherapy to a bulky umbilical keloid.