What is the role of surgery in the treatment of keloids?

Updated: Jan 30, 2020
  • Author: Ginard I Henry, MD; Chief Editor: Gregory Gary Caputy, MD, PhD, FICS  more...
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Surgical excision is also an option but, by itself, is associated with a 50-100% recurrence rate and therefore should never be used alone as therapy. Additional modalities of intraoperative or postoperative steroid injections improve the recurrence rate. Preoperative or postoperative low-intensity radiation (900 cGy) has also proved to decrease the keloid formation rate. Other modalities, such as interferon, laser surgery, and intralesional bleomycin, have also been tried with variable results.

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