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Clear Skin Cancer Center™

Clear Skin Cancer Center™ is the premier facility that performs the most advanced treatment for non-melanoma skin cancers and keloids with excellent clinical and cosmetic results.

Caring for You

Living with keloids can be difficult and even embarrassing. Surgery alone is usually not the best option as the keloid may grow back and re-form in the scar area, at times recurring larger than the initial growth. Ask your dermatologist to be referred to Clear for your keloid care.

We understand your struggle with keloids. With Clear's technology we can help you alleviate the pain and help you look your best.

Keloids are a type of painful and/or itchy scar tissue that may form over a wound from an injury or surgical procedure. They can also form due to a piercing, acne, chickenpox and even a scratch.  Most often, they appear on the chest, back, shoulders and earlobes.

Living with keloids can be difficult and even embarrassing. Keloids and hypertrophic scars can be troublesome not only due to their aesthetic effects, but also due to functional disturbance they may cause.

Hypertrophic scars are wide, thick scars that grow within the borders of the original incision. Keloid scars, on the other hand, grow beyond the confines of the original skin incision or scar. Keloids can grow to become massive, causing emotional harm and functional damage in affected patients.

Comparison of traditional keloid scar treatment vs. the Clear Keloid Treatment.

Hypertrophic scars are treated with steroid injections, coverage with silastic sheets, surgical removal, or a combination of these remedies. In general hypertrophic scars are easier to manage, and have a lower risk or recurrence. Keloids have a greater chance of recurrence. Keloids are managed by steroid injections when they are very small. Larger keloids require surgical removal followed by steroid injections. Surgery alone is usually not the best option as the keloid may grow back and re-form in the scar area, at times recurring larger than the initial growth.

Surgery alone leads to recurrence rates ranging from 45 to 100%. When surgery is combined with intradermal corticosteroids the recurrence rate in the majority of studies falls below 50%. External radiation following excision, often combined with other therapies, has been associated with recurrence rates of less than 10%. Radiation therapy, using various protocols, has been a safe and efficacious modality in reducing recurrence.

Clear's Keloid Procedure

Clear, with our team of Plastic Surgeon and Radiation Oncologist, is offering surgical excision with or without plastic surgery, followed by an innovative superficial radiation therapy via electronic brachytherapy systems, for the treatment of keloids.

A non-invasive and virtually pain free treatment option, it achieves excellent outcomes in keloid removal when combined with surgery. The treatment is low-energy radiotherapy that concentrates the radiation dose only within the depth of the affected area.

The treatment leaves minimal to no scarring and lessens the chance for recurrence.

How can Clear's procedure help with keloids?

  • What causes keloids?

    The exact cause of keloids is not yet clearly described. The suspected problem is abnormalities in cell proliferation whereby the process of healing is not halted normally. Scar tissue continues to build, leading to large and unsightly scars. There are genetic factors that predispose patients to keloid scar formation. Hormonal factors also affect the risk of keloid formation. Because keloids tend to demonstrate accelerated growth during puberty or pregnancy and tend to resolve with menopause. Other hormones linked to keloid formation include thyroid hormone alterations and melanocyte-stimulating hormones.

  • How many steroid injections would I need after a keloid removal?

    This is a clinical decision that depends on the patient and the extent of the keloid. In general, three injections are recommended at one month intervals.

  • Do lasers offer an advantage in treatment of keloids?

    The pulsed dye laser has shown some benefit in treatment of keloids, through suppression of fibroblast proliferation. However, the long-term efficacy of this technology is lacking.

  • What is the likelihood of a keloid returning after it's removed?

    There are widely reported success rates for treatment of keloids. Success rates vary from 50% to 100%. Keloid scars that have failed to resolve with standard therapies, such as excision and steroid injections, can respond to combination of surgical excision followed by radiation therapy.

  • How many radiation sessions are required for treatment of keloids?

    Surgical excision is usually followed by 4 radiation sessions, with the first session given within 48 hours, and the other 3 sessions spread over the next 7-10 day period.

  • What causes hypertrophic scars?

    Hypertrophic scars are caused by excess tension across wounds. Other factors implicated in the etiology of abnormal scar formation include wound infection, a prolonged inflammatory response, and wound orientation different from the relaxed skin tension lines.

  • Can I get body piercing if I have had a keloid?

    In patients who have keloids or history of keloids in their immediate family, it is advisable body piercing be avoided. In fact, all non-essential surgical treatments that violate the skin should be avoided.

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