Keloid disorder is the most prevalent chronic skin condition in children and adolescents, with approximately 63% of patients developing their first keloid before the age of 18. Dr. Tirgan has personally treated several very young children with ear keloids. His publication in the - Nine-month-old patient with bilateral earlobe keloids - established for the first time that keloids can also develop in infants, even before their first birthday.

It is crucial to avoid keloid removal surgery in children, as it can lead to detrimental outcomes that may be difficult, if not impossible, to rectify later on. Below are several examples of pediatric keloids among Dr. Tirgan's patients.