This is a 24-year-old female who presented in November 2014 with extensive keloidal involvement of her skin.  The abdominal keloid depicted in the picture below was triggered by multiple surgeries that she has had over the years.

Patients with extensive and widespread keloids need a systemic form of treatment, an oral medication, or an intravenous drug. Unfortunately, at the current time, we do not have any such medication.

Therefore, treating a young woman like this patient requires a meticulous treatment that can address most urgent issues related to the keloids that the patient has.

At the time of presentation, although this patient had multiple other keloids, she stated that her abdominal keloid was causing her most problems. The keloid process had limited her ability to lean back and extend her torso. She felt as if the keloid had resulted in her body, and her chest, to be pulled forward.

The keloid had formed two very thick, and dense cord-like components on both sides of her abdomen. Two cord-like keloids ran almost parallel to each other, extending from pubic area to her chest. Treatment was then focused on addressing these cord-like structures, with the goal of loosening them.

Cryotherapy was used a few times, each time treating a small segment of the keloid. This was followed by intralesional chemotherapy.

The image below was taken in June 2019 - five years after the intial presentation - shows the progress that was made to achieve some level of control over this keloid process after many treatment sessions. The cord like structures were made thinner and the keloid is much less restrictive than before, allowing the patient to move and bend more comfortably.