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Keloid Scar Treatment

Every skin wound heals by forming a scar. Scars can be delicate and imperceptible or large and unsightly. Wound healing and scar formation depends on several factors, including: size and location of the injury, mechanism of the injury, age of the patient and genetic predisposition to keloid or hypertrophic scar formation. African Americans and Asians have a greater predisposition to developing hypertrophic or keloid scars. In fact, deeply pigmented people of all races are more prone to keloids than those with fair skin and may require facial reconstructive surgery. The skin of the ears, the jaw line, the shoulders and the central chest is especially predisposed to keloid formation.

Keloids and hypertrophic scars can be troublesome not only due to their aesthetic effects, but also due to functional disturbance they may cause. Hypertrophic scars are wide, thick scars that grow within the borders of the original incision. Keloid scars, on the other hand, grow beyond the confines of the original skin incision or scar. Keloids can grow to become massive, causing emotional harm and functional damage in affected patients.

Keloid Scar Removal

Hypertrophic scars are treated with steroid injections, coverage with silastic sheets, surgical removal, or a combination of these remedies. In general hypertrophic scars are easier to manage, and have a lower risk or recurrence. Keloids have a greater chance of recurrence. Keloids are managed by steroid injections when they are very small. Larger keloids require surgical removal followed by steroid injections. Recurrent or large keloids may require surgical excision followed by radiation therapy.

Dr. Khosh is an expert in management of hypertrophic and keloid scars. He works closely with dermatologists and radiation therapists to offer a comprehensive and appropriate treatment for each individual patient. Dr. Khosh has been able to achieve outstanding success rates in eliminating hypertrophic and keloid scars using meticulous surgical technique and appropriate secondary treatments. Please contact us for a private consultation to address your concerns regarding hypertrophic scars or keloid scars.

Keloid Scar Treatment New York, NY

Case Study

This 19 year old man sought treatment for large ear keloids. He had undergone multiple failed treatments of keloids on both ears. The massive keloids were successfully treated with surgical excision, followed by radiation therapy, and steroid injections.

  • Patient: 19 year old man with recurrent bilateral ear keloids
  • Problem: Massive bilateral ear keloids
  • Procedure: Excision of keloids and repair followed by radiation therapy

Disclaimer: These are actual results for patients of Dr. Maurice Khosh. Plastic and cosmetic surgery results can vary between patients.

Frequently Asked Questions

The exact cause of keloids is not yet clearly described. The suspected problem is abnormalities in cell proliferation whereby the process of healing is not halted normally. Scar tissue continues to build, leading to large and unsightly scars. There are genetic factors that predispose patients to keloid scar formation. Hormonal factors also affect the risk of keloid formation. Because keloids tend to demonstrate accelerated growth during puberty or pregnancy and tend to resolve with menopause. Other hormones linked to keloid formation include thyroid hormone alterations and melanocyte-stimulating hormones.

This is a clinical decision that depends on the patient and the extent of the keloid. In general, three injections are recommended at one month intervals.

The pulsed dye laser has shown some benefit in treatment of keloids, through suppression of fibroblast proliferation.

There are widely reported success rates for treatment of keloids. Success rates vary from 50% to 90%. Keloid scars that have failed to resolve with standard therapies, such as excision and steroid injections, can respond to combination of surgical excision followed by radiation therapy.

Surgical excision is usually followed by one radiation session on the same day or the next day.

Hypertrophic scars are caused by excess tension across wounds. Other factors implicated in the etiology of abnormal scar formation include wound infection, a prolonged inflammatory response, and wound orientation different from the relaxed skin tension lines.

In patients who have keloids or history of keloids in their immediate family, it is advisable body piercing be avoided. In fact, all non-essential surgical treatments that violate the skin should be avoided.

Related Procedures

Keloids and hypertrophic scars are generally treated as stand alone procedures. Keloid treatment may require post surgical radiation therapy. In most cases, keloid and hypertrophic scars are treated with post surgical steroid injections on monthly basis.

African American handsome man. Face close-up.

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What Dr. Khosh's Patients Say


Based on 174 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.
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