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What is keloid? 

Keloid is due to an over-aggressive scar response by the body, usually due to some type of trauma such as a cut or piercing.


What are the treatment options for keloid? 

Sometimes we can treat keloid conservatively with steroid injections if it is caught early in the process.  For mature keloid, the treatment usually involves excision of the keloid and closing the defect loosely.   Post-excision, the scar is then covered with silicone sheeting and/or is injected with steroid periodically.


Can this be done in the office? 

This depends on the size of the keloid, but most keloid excisions can be done in the office under local anesthesia.   Your surgeon will guide you on the best way to proceed on whether or not to do the procedure under local anesthesia.


What happens if another keloid forms? 

The risk of any keloid surgery is that the keloid can form again since it is due to an exaggerated scar response.  During the initial keloid surgery, your surgeon will have you follow up closely to monitor your scar and if there is any signs of scar hypertrophy or keloid, your surgeon will usually inject steroid into the scar.  Sometimes, a low dose of radiation can be used to help prevent keloid from recurring.