Poor outcomes of surgery
In treating ear/earlobe keloids, surgery is often the first treatment modality that comes to mind. Surgeons often remove the whole keloid, including parts of the ear or earlobe that is involved with the keloid process. This approach always results in loss of normal ear tissue and deformation of the ear/earlobe as shown in the images below. Unfortunately, this major esthetic outcome is not discussed with the patients before surgery, neither is it reported in any surgical literature in treatment of ear keloids.
Cryosurgery, on the other hand, when performed by experienced physicians, produces far superior aesthetic results than surgery.