Keloid disorder is the most common chronic skin condition in children and youth. Approximately 63% of patients develop their very first keloid before they turn 18. Dr. Tirgan has personally treated a handful of very young children with ear keloids. His publication in journal of pediatrics - Nine-month-old patient with bilateral earlobe keloids - established for the first time that keloids can also develop in babies, before their first birthday. 

Keloid removal surgery should be avoided in children at all costs, as it can result in detrimental outcomes that will be very difficult, if not impossible, to fix at a later date. Below are several examples of pediatric keloids among Dr. Tirgan's patients.