Dr. Michael Tirgan, MD - New York City Cutaneous Oncology/Keloid

Skin Growth Removal / Skin Tumor Treatment; One Patient at a Time.

keloid treatment

There are several methods to treat keloids. Treatment of Keloid depends on its location, size and thickness. Some Keloids may benefit from surgery, other keloids are best treated with cryotherapy, others need to be injected with steroids or at times with chemotherapy drugs. The good news is that everyone with Keloids can be helped in one form or the other. Treatment of Heavy Scars and Keloids take time. Each treatment results is some improvement in the appearance of the Keloid. The below videos demonstrate how Dr. Tirgan applies Cryotherapy to Keloids.

As seen in the above videos, Cryotherapy can be applied to most Keloids without any need for anesthesia. There is no need to numb the skin, the procedure is for most part very well tolerated. The above treatment was performed in our office. There was no need for anesthesia, operating room, cutting, etc. There was no bleeding, no injections. All this was done at a very reasonable cost.

Larger Keloids can also be treated with cryotherapy as out-patient. Below are images of very large Keloid which I froze recently. We will post the results of this treatment a few months.

Surgery has traditionally been counterproductive, as removing one scar, results in formation of another scar, and at time bigger scar at the same site. Keloids are benign and not cancerous, yet their growth, location and appearance can be very distressing.

Steroid Injections work in about 1/3 cases of flat and small keloids.  Steroids are injected inside the keloid tissue with the hope of shirking the keloids.  although they may work, the impact is usually temporary and keloids can grow back after a while.  most patients need several rounds of injections to keep their keloids under control.

Cancer Chemotherapy Injections are next line of treatment after steroids. There are few drugs that can be relatively safely used.  Bleomycin has been reported to be the most active chemotherapy drug for treatment of keloids.

Radiation therapy is used as an adjunct, to reduce the rate of recurrence of keloid after surgery.  In my opinion, the long term cancer causing risk of using radiation does not justify its use in treating keloids.

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