WHAT ARE KELOIDS? WHY DO THEY FORM?
A keloid scar forms as healing injured skin produces excess connective tissue extending beyond the originally damaged area. Keloid Scars do not flatten or regress like hypertrophic scars, and may grow too unsightly, disfiguring proportions. Time of onset is variable and may be weeks to months after infection or trauma. Keloids occur spontaneously. Although their primary cause is unknown, keloids tend to form mainly in parts of the body where melanocyte concentration is highest, thus sparing the palms and soles.
WHAT IS THE BEST METHOD OF TREATMENT FOR A KELOID SCAR? CAN I EXPECT THE KELOID TO RECUR?
Excision followed by radiation therapy has been the most effective keloid treatment. Surgical excision alone has resulted in documented recurrence rates of 50 to 80%. Post-excisional radiation therapy for keloids has been shown to reduce the recurrence rate to 20%. Dr. Slupchynskyj suggests that radiation be initiated within 24 hours of the excision to inhibit the initial onset and growth of a recurring keloid scar.
KELOID SCAR REMOVAL PROCEDURE
Removal of keloid scars is performed under local anesthesia. The procedure is performed on an outpatient basis and requires minimal after care. Stitches are removed on the 3rd day. You will be referred to a specialist in Manhattan for radiation therapy following your excision.
WHAT IS THE COST FOR KELOID REMOVAL?
Cost for keloid scar removal varies from patient to patient and is dependent upon the size(s) and location(s) on the body. Some patients may have one small ear keloid while other patients have numerous keloids. Some have scars, which are quite large, disfiguring and painful on either their face or body, or both. When consulting with Dr. Slupchynskyj, he will examine all keloids carefully; review your medical history as well as any previous treatment with another doctor. All scar treatment options will be discussed. Pre- and post-operative plans will be reviewed in depth. Following your consultation, a specific fee based upon your unique needs will be discussed.
Bilateral Facial Keloids Scars
25 year old African American male with bilateral facial keloids scars. This patient had facial plastic surgery excision of the facial keloids followed by 3 treatments of post-operative radiation. He is presently 6 months post-op.
African-American male with a keloid scar on left ear. This patient had previous treatments of Kenalog injections and excisions from another physician, without relief. Dr. Slupchynskyj excised the ear keloid and patient was then treated with 3 doses of Radiation Therapy. Patient is 6 months post-operative with no sign of recurrence.
Keloid Scar on Ear
21 year old African-American male with a left ear keloid. This patient had previous treatments of Kenalog injections as well as cryotherapy treatment by a Dermatologist, and the keloid scar subsequently recurred. Dr. Slupchynskyj surgically removed the keloid and patient was treated with Radiation Therapy following excision. Patient is 8 months post-operative with no reoccurrence.
26 year old African-American female with a right ear keloid scar. This patient had previous excisions with steroid injections from another doctor. The keloid returned as a result of incomplete primary excisions. Dr. Slupchynskyj completely excised the keloid and patient underwent three consecutive Radiation Treatments. Patient is 9 months post-operative with no return of the keloid.
30 African-American male with a keloid on his right earlobe. This patient had previous treatments of Kenalog injections with no discernable reduction in size. Dr. Slupchynskyj excised the keloid and the patient was treated with post-operative steroid injections. Patient is 6 months post-operative with no reappearance following scar treatment with Dr. Slupchynskyj.
Large Ear Keloid
30 year old African-American male with a left ear keloid scar. This patient had previous incomplete excisions of the left keloid scar with recurrence. Dr. Slupchynskyj completely excised the keloid and performed a complex reconstruction resulting in a normal looking ear. This patient also had Radiation Therapy post-operatively. Patient is 8 months post-operative with no keloid reoccurrence.
Ear Keloid Scar Removal
23 year old African-American male with a keloid scar on his right ear. This patient had previous incomplete excisions of the right earlobe keloid scar with another physician. The keloid subsequently returned. Dr. Slupchynskyj excised the keloid scar completely and performed ear reconstruction for a natural and normal looking ear. This patient also had steroid injections post-operatively. Patient is 4 months post-operative with no return of the keloid.
30 year old African-American female with numerous Keloids on her left ear. This patient had previous incomplete excisions of the left ear keloid scars with recurrence. Dr. Slupchynskyj completely excised all keloids and performed a complex ear reconstruction. This patient also had Radiation Therapy post-operatively. Patient is 8 months post-operative with no reappearance of the keloids following scar treatment.
Face Keloid Scar
30 year old African-American male with facial keloid scars: one on the left temple and two on the right temple. The patient visited other Plastic Surgeons and Dermatologists and was told to leave the keloid scars alone and that they could not be effectively treated. Dr. Slupchynskyj's surgically excised these keloidal lesions and successfully reconstructed the defects. This patient did not get Rradiation Therapy and is 2 years post-op with no reoccurrence on either temple location.
Keloid Scar Removal New York
27 year old male with a supra-helical ear keloid scar. Dr. Slupchynskyj performed a complete excision of the ear keloid scar and complex reconstruction. The patient also had Radiation Therapy following keloid scar removal. This patient is 3 years post-op with no sign of recurrence.
18 year old female with complex left earlobe keloids previously treated with multiple Kenalog injections by other physicians without success. Multiple excisions of the ear keloids and Steroid Therapy kept the keloids from recurring for one year but they eventually re-grew.
Post-Auricular Ear Keloid
26 year old male with an aggressive left post-auricular ear keloid scar. This massive keloid required Dr. Slupchynskyj to excise the keloid and reconstruct with a complex flap and skin graft. This patient did not undergo Radiation Therapy. He is 5 years post-op.
Auricular Ear Keloid
23 year old female with a pedunculated left auricular ear keloid. This keloid scar was excised and surgically reconstructed with a rotation flap by Dr. Slupchynskyj. The patient is 5 months post-op with no re-growth.
Earlobe Keloid Removal
31 year old African-American female with a right earlobe keloid. This patient had previous incomplete excisions of the keloid scar by another Physician with reoccurrence. Dr. Slupchynskyj completely excised the keloid and performed complex ear reconstruction. This patient also had Radiation Therapy following the excision. Patient is 8 months post-operative with no recurrence.
Keloid Scar Treatment NYC
32 year old African American male with a post-occiptal keloid scar from Folliculitis (i.e. ingrown hair follicles caused a keloid scar formation). Dr. Slupchynskyj performed keloid scar removal excision with complex repair. The patient also had low dose Radiation Therapy immediately after the excision. The patient is one year post-op with so sign of keloid re-growth.
Ear Piercing and Keloids
This is a 28 year old African-American female with left ear lobe keloids as a result of ear piercing. The ear lobe keloid is pedunculated and the supra-helical is nodular. Both scars were excised by Dr. Slupchynskyj and reconstructed. This patient did not have Radiation Therapy and is 6 months post-op with no keloid reappearance.
24 year old African male with a left facial keloid resulting from a knife wound. Dr. Slupchynskyj performed an excision and repair. This patient had 3 doses of low-dose Radiation Therapy following the scar removal. He is one year post-op without recurrence.
Keloid Scar Removal New York
28 year old African-American female with a left shoulder keloid. Unsuccessfully treated with Steroid injections by a Dermatologist. Dr. Slupchynskyj performed a direct excision with complex repair. This patient did not have Radiation Therapy. This patient did use Silicone Gel Sheeting and is 6 months post-op with no re-growth.
Keloid Scar Removal
32 year African American female with keloids on both breasts. She was turned away by many plastic surgeons while Steroid injection therapy failed. Dr. Slupchynskyj performed direct excisions of the keloids and complex repairs. The after photo is a few days following surgery once stitches were removed. This patient did not have Radiation Therapy but did use Silicone Gel Sheeting. She is 6 months post-op with no keloid re-growth.