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Keloidectomy

What is a keloidectomy?

A keloidectomy is the surgical excision of keloid scars, which are abnormal and unsightly tissue growths. While most surgeons can cut out the keloid, there’s still a possibility of recurrence. It's important to note that surgery is often combined with various other treatments when keloids have not responded to other therapies, providing a comprehensive and thorough approach to keloid management that aims to address all aspects of the condition.

There are various types of keloidectomy, such as:

  • Traditional keloidectomy is the surgical resection of keloids along with a healthy surrounding margin of tissue.
  • Core excision of the keloid involves surgical resection of the inside of the keloid, using a skin flap to conceal the defect. The centre of the keloid is removed, leaving a rim of tissue intact. This procedure reduces the risk of keloid recurrence.
  • Intralesional excision of the keloid is surgery to eradicate the entire keloid while leaving the residual rim of tissue intact. The procedure aims to diminish the size of the keloid without interfering with the healthy, adjacent skin. The incisions are made within the borders of the scar.
  • Keloid fillet flap surgery uses skin directly from the keloid scar to rebuild the area once the surgeon removes the scar. Therefore, the surgeon prepares to remove the inside of the keloid scar and a superficial layer of skin from the scar. The remaining flap is then used to seal the area. The advantages of the fillet flap are vast since it optimises the cosmetic results.
  • Ligature involves the use of a surgical thread that may be wrapped around the keloid. The thread cuts into the keloid, which may cause it to suddenly drop off.

We will decide on keloid surgery best suited to your needs and preferences, executed with remarkable precision and care. This meticulous approach ensures the best possible outcome for your surgery. A postoperative check-up is crucial because the surgeon is given the chance to remove the stitches and evaluate the operative site thoroughly.


FAQ

1Are there any risks of keloid surgery?
Keloid surgery, like any surgery, may involve some risks, such as:
  • Infection
  • Bleeding
  • Recurrence
2How long does keloid excision typically take?
The procedure may last 30 minutes. However, it's important to note that the duration may vary in each case, and your healthcare provider will provide you with specific details.
3 How do you prevent a keloid from developing further?
There are various treatments to prevent its growth, such as:
  • Corticosteroids
  • Laser therapy
  • Cryotherapy
  • Radiation therapy
  • Silicone sheets
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Dr Phalafala’s Commitment

Dr Phalafala's success lies in her collaborative, detail-oriented approach to complex surgery. She develops personalised treatment plans focused on each patient’s unique needs, supported by a foundation of empathy, communication, and clinical excellence. Her goal is to provide transformative outcomes through reconstructive and cosmetic surgery that not only enhance form and function but also restore confidence and quality of life.

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