The same patient continued using the R6 cream and returned for a follow-up in August 2022, nearly five years after her initial visit. She had used the R5 cream initially, followed by intermittent use of the R6 Keloid Cream. The images below illustrate the remarkable improvement achieved through long-term use of Dr. Tirgan's R6 cream, showcasing nearly total resolution of her post-mammoplasty keloids.

This patient applied the R6 cream to her shoulder and chest keloids for approximately 11 months. The images below illustrate a noticeable improvement in the thickness of both keloids. The patient has been advised to continue using the cream for an additional year to enhance results further.

Anyone with a history of drug allergy (to any drug). We had one patient who had a known past allergy to NSAIDs (non-steroidal anti-inflammatory drugs) who used the R6 cream and had an allergic skin reaction.  She was advised to stop using the cream.

1-I started using the R5 cream on August 30th, 2018 and almost two months later I can honestly say that the keloid has improved. It has become flatter, less red and also the symptoms of pain and itchiness are still present but improved. I will continue to use the cream as long as Dr. Tirgan agrees and hopefully, it will become skin leveled (TC).

2-Keloids have decreased in size slightly each day but is noticeable (JJ).

3-The product has softened my keloids and has reduced some redness. The product has also made a few keloids smaller (EC).

4-Less itching and burning. Some scars appear lighter and flatter (DS).

5- I’ve had keloids are over 32 years. After applying the cream they are a bit softer and less “angry” although I must say that it is minimal yet I can notice it (CS).

6-Swelling and thickness is getting less and secretion has also decreased. Noticed slight improvement in itching and irritation (GP).

7-The itch has been reduced in all except the big one on my chest. The pain in my back has been less. The size of most of my keloids have been reduced. The smaller ones are most noticeably smaller. The big ones on my shoulders used to get very inflamed when it was time for another injection but they are not inflamed and appear to be getting smaller. I have not had or needed any injections since using the cream. I’ve been using the cream for about six weeks so far (PB).

8-Some of the areas that are already flat but slightly red now have a more natural appearance. The part of the keloid that remained after the cryotherapy and somewhat raised may be a bit flatter and no longer itches. The smaller of the two keloid areas appears to show more improvement. Applying the cream to the very small keloid has resulted in flattening of the raised area (AC).

9-So far so good! I'm glad I purchased the product (RA).

10-It helps with the pain I use to feel, it has worked better in some areas than other.

11-Day 1 after using R5 cream I noticed a difference right away. The keloids were a lot smaller, they also did not feel as bumpy. The color of my keloids matched my skin pigmentation with the exception of some of the bigger keloids still being light pink. After about 2 1/2 weeks of using the R5 I notice that after I put the cream on, the bigger keloids are very flattened for about 8 hours then rise back up. The bigger and more noticeable/ bumpier keloids are having a harder time diminishing. Overall, I am highly satisfied with the progress my keloids have made in the short amount of time that I have been using the R5 cream (MG).

12-The cream had been working pretty good in my opinion. It feels like the keloid has gotten a lot smaller (AA).

13-I have noticed that the texture of the keloid has softened and the color is changing and is less red and irritated looking and it seems like the borders are slowly starting to shrink (DB).

If you are not already a patient of Dr. Tirgan, it is advisable to have a consultation with him before trying the cream. Additionally, it is recommended to remain under his care while using the cream.

For any questions or concerns, please contact Dr. Tirgan at DrTirgan@gmail.com. 

Approximately 20% of patients using the cream have reported improvements in the appearance of their keloids. Encouragingly, the cream has demonstrated clear anti-itch activity in about 66% of patients experiencing itching and pain. For those currently using the cream, please continue applying it to your keloid twice daily, unless you notice any adverse reactions. It is important to use the cream consistently for several months to achieve optimal results. In the patients described above, noticeable regression of the tumoral keloids took over a year.

• When you receive the cream for the first time, it is important to perform a patch test by applying a small amount to the back of your hand. This will help ensure you do not have a sensitivity to any of the ingredients. If you experience any adverse reactions, such as itching, burning, or redness, wash your hands with soap and water immediately. Do not use the cream and contact Dr. Tirgan.

  If the patch test is successful, apply the cream to your keloid twice daily. Be sure to clean the area before application.

  • Application Guidelines:
    • Apply the cream solely to the keloid area, minimizing contact with normal skin.
    • If the keloid is surrounded by a red margin, include that area in your application.
    • For small facial keloids, use a Q-tip to apply the cream directly to the keloid tissue.

  If you experience any problems while using the cream, discontinue use immediately.

  For best results, apply the cream for a minimum of two months, unless issues arise. If you notice any degree of improvement, continue the treatment. However, if you see no improvement after two months, you may stop the treatment.

  To objectively assess your progress, take pictures of your keloids before starting treatment and regularly thereafter (once a week).