Facial Keloid - Treatment of Face Keloid - Keloid Specialist

Facial Keloid Treatment by Keloid Specialist

Facial keloids treated with cryotherapy.

Facial Keloid Treatment Results by Keloid Specialist

Tumoral facial keloids were made worse after surgery.
Signifcant improvement was achieved with medical treatment.

Face Keloid - Long Term Cryo Treatment Results

Face keloid treated with cryotherapy.

Face keloid - previously made worse with surgery. Duralbe response was achieved with cryotherapy.

Face keloid - previously made worse with surgery. Duralbe response was achieved with cryotherapy.

Pubic Keloids - Cryotherapy Treatment Results

Facial Keloids - significant durable improvement with multimodality treatment.

Facial keloids - significant improvement with multimodal treatment.

Neck Keloids - Long Term Treatment Results

Face Keloids - Long Term Treatment Results

Facial keloid - durable results with cryotherapy.

Neck and Face Keloids - Treatment Results

Massive neck keloid - significant improvement with combined modality treatment.

Keloid involvement of the face obviously has a major impact on the person's psyche and is a known cause for psychosocial anxiety. This impact is real, even for those with the smallest of facial keloids. The impact is much greater in patients who have more noticeable and larger facial keloids. The impact is not only felt by person who has facial keloid, but also by others who come to see the keloid.

The patient who has a facial keloid may feel inadequate or have low self-esteem. The person who comes to see someone with facial keloids, on the other hand, may feel uncomfortable or may feel bad for the victim of this disorder.

The impact of facial keloids goes beyond interpersonal relationships. The impact can be felt during a job interview, whereby a hiring manager, he/she may think twice before hiring someone with noticeable facial keloids.

Facial keloids are equally seen among both genders and all races, but are more common among Africans, African Americans and Asians as opposed to Caucasians. Although facial keloids are seen in the individual from all races and ethnic backgrounds, tumoral and massive facial keloids are almost exclusively seen among Africans/ African Americans, and often in those who have had prior keloid removal surgery. Facial keloids among whites and Asians usually do not evolve to become tumoral. This is perhaps due to genetic differences that lead to the development of keloid disorder.

Great majority of patients who present with facial keloids also have keloids elsewhere in their body. In men who have facial keloids, the lesions grow over time and involve wider areas of the skin. Also, facial keloids may become infected and become a source of chronic purulent discharge. Ingrown hair, either within the mass of keloids or on the edges of facial keloids are common source of keloid infections.

Contrary to the belief, and practice of some plastic surgeons, facial keloids should never be removed surgically as it often results in worsening of these keloids and should be avoided at all costs. Medical treatment of facial keloids that reoccur after surgery can become quite complicated and rather be challenging.

Papular/Linear Keloids of White Skin:

These keloids often develop at a younger age, often in teenagers and among Asians or Caucasians. These keloids are often triggered by acne. Most these patients have other keloid lesions elsewhere on their skin. Some of these patients suffer from mild form of the disorder, and over time develop only few keloid papules, or nodules, on their face as well as their chest, shoulders or upper arms. Some others have the more severe form of the disorder and develop numerous skin lesions over time. Although the genetics of keloid disorder remains unknown, it is quite plausible to hypothesize that the genetics of the disorder is quite variable among different ethnic groups, and always more severe among Africans/African Americans and those with black skin.

Treatments of facial keloids:

In treating facial keloids, Dr. Tirgan follows

the Guidelines of Keloid Research Foundation.

Treatments of facial keloids have to be planned very carefully. General principles of keloid treatment apply to facial keloids as well. With the very high rate of recurrence and risk of worsening of keloids after surgery, all facial keloids have to be treated medically. Surgery and radiation therapy should be avoided in all patients.

Treating facial keloids, much like other keloids, can be challenging and time-consuming. Patience and perseverance are the two most important factors in achieving successful treatment results. Treatment of facial keloids has two phases: