Pubic area is another particular part of the body that is prone to keloid formation, obviously in those who are genetically prone to keloid disorder. Ingrown hair and lower abdominal and pubic area surgery, commonly due to C-Section are the two most important triggering factors for pubic keloids. These keloids are more common among African American women and somewhat less common in men.

The clinical presentation of pubic keloids is somewhat variable. As depicted in the following images, pubic keloids start as a small papule that can grow over time. Among Asian/Caucasian women, pubic keloids remain small and very limited in number. Among African/African American women, however, the primary pubic keloids can become tumoral and expand in size. The worse cases of pubic keloids are seen with women who have recurrent keloids after a surgical attempt to remove primary pubic keloids.

Small pubic area linear keloid in a young Asian female. Treating such a lesion with our current treatments will be an ongoing process and will take many months, if not years.

Pubic keloidals tumor in a young Asian female. Cryotherapy is best treatment option for this type of bulky keloids.

Multiple pubic keloids in a young African American female.

Multiple keloid tumors in a young African American female. Bulky and tumoral keloids are best treated with cryotherapy.

Nodular pubic keloids in a young Caucasian female.

Typical post C-Section keloid in a young African American female.

Very advanced and massive pubic keloids in a young African American female, triggered by repeated surgeries to remove smaller pubic keloids.

Very advanced and massive pubic keloid in a young African American female, triggered by repeated surgeries to remove smaller pubic keloids. This kind of pubic keloid develops only after surgery and is never seen in patients who have never had surgery.