Facial Keloids – Case Study
The keloids depicted here had been present for several years. Attempt at removing some of the keloids on the right side led to worsening of these keloids. The images below show the interim results of treating these keloids. Within four weeks of initiating treatment, there is close to 80% reduction in the mass of all keloids. Treatment will continue until all keloids become flat and keloid free. Please keep in mind that keloid is a chronic skin condition and requires on going and frequent treatment. Treating keloids is much like treating high blood pressure. Despite the fact that the blood pressure is controlled with medications, the patient needs to remain on anti-hypertensive medications, otherwise the blood pressure will rise again. Treatment of keloids follows the same rule of treating other chronic diseases. Patient depicted below had an noticeable improvement with the first few treatments, but could not return for follow up due to distance, as such, despite the early results, there was a recurrence.
Over next several weeks, all the scabs will fall and the treatment will continue. Loss of pigment is a temporary effect. Color will gradually come back to the skin over time.
Treatment of facial keloids has to be customized for each patient. Course of treatment varies from weeks to months, depending on the extent of keloids. Surgery and Radiation therapy should be avoided all together for facial keloids.
This patient was unable to return for follow up treatment and experienced recurrence of his keloids. Most patients with face keloids do need on going treatment on a regular basis.