When is Excision Surgery Needed for Keloid Scars?

Keloid scars are a challenging and often stubborn form of scar tissue that can grow larger than the original wound and become unsightly or uncomfortable. At the International Keloid & Scar Treatment Center in Orlando, FL, we offer specialized treatments for keloid scars, including excision surgery for patients whose keloids have not responded to non-invasive treatments or have grown too large. Led by Dr. Kenrick Spence, an expert in keloid and scar removal, our center provides personalized treatment plans to help patients achieve the best possible outcomes.

When Non-Invasive Treatments Aren’t Enough

In many cases, non-invasive treatments are the first line of defense against keloid scars. These options can include:

• Steroid injections: To reduce inflammation and shrink the keloid.
• Laser therapy: To flatten and lighten the keloid tissue.
• Pressure therapy: To limit keloid growth.
• 5-FU injections: A chemotherapy agent used to reduce keloid size and thickness.

However, when these approaches are ineffective—either because the keloid is too large or resistant to treatment—surgical excision may be the best option. According to studies, keloid excision combined with adjunct therapies, such as superficial radiation, can significantly reduce the risk of recurrence, which is a common challenge in keloid treatment.

What is Keloid Excision Surgery?

Keloid excision surgery involves the precise removal of the keloid scar tissue. This procedure is often necessary for keloids that are:

• Large and obstructive: Keloids that interfere with movement or comfort, particularly on joints or areas of high friction, may require removal.
• Non-respondent to treatment: When other treatment modalities like steroids or laser therapy have failed to shrink the keloid.
• Cosmetically concerning: Some keloids grow to a size or shape that is cosmetically unappealing, leading patients to seek surgical solutions.

Dr. Spence performs keloid excision with an emphasis on precision and artistry. The goal is to not only remove the excess scar tissue but also minimize the risk of recurrence and improve the appearance of the surgical site. After excision, superficial radiation therapy is often used to reduce the chance of the keloid coming back, which can happen in up to 50% of cases without adjunctive treatment.

Reconstruction After Keloid Excision

Once the keloid is surgically removed, reconstruction of the affected area may be necessary, particularly if the keloid was large or located in a highly visible or complex part of the body, such as the ear, chest, or face. Depending on the location and severity, this can involve skin, cartilage or other tissue grafting.

Dr. Spence’s extensive experience in plastic and reconstructive surgery allows him to skillfully restore both function and aesthetics after keloid removal, ensuring a smoother, more natural-looking result.

Why Choose Dr. Spence for Keloid Excision?

Dr. Kenrick Spence has over 20 years of experience in plastic surgery and specializes in treating keloids. His patients come from all over the world to benefit from his expertise in this challenging field. Dr. Spence uses advanced surgical techniques and personalized treatment plans to minimize the risk of keloid recurrence while achieving excellent aesthetic results.

Keloid excision requires meticulous skill, especially when it comes to minimizing visible scarring and ensuring the new incision lines heal as seamlessly as possible. Dr. Spence combines this technical expertise with a focus on patient care, helping individuals achieve the best possible outcomes.

Is Keloid Excision Right for You?

If you have a keloid that has not responded to non-invasive treatments or has grown to a size that interferes with your daily life, keloid excision surgery may be the best option for you. At the International Keloid & Scar Treatment Center, we offer comprehensive solutions for keloid treatment, including excision, radiation therapy, and reconstruction.

To learn more about your treatment options and find out if keloid excision is right for you, contact us today to schedule a consultation with one of our keloid treatment specialists.