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Keloid Treatment

Keloids are a type of scarring that results in an overgrowth of abnormal scar tissue outside the boundaries the original incision or injury. These are particularly common in certain areas of the body, such as the ears, earlobes, neck, check, and shoulders. Also, keloids are more common in patients with darker skin, particularly Asians and African Americans. These lesions can be quite disfiguring and cause patients both physical and emotional discomfort.

Many different treatments have been tried for keloids, including partial or complete surgical excision, dermabrasion, laser removal, and even radiation therapy or chemotherapy. Experts now agree that the best, and least risky, method is to perform a near-total (>95%) surgical resection of the keloid, followed by serial injection of a mild steroid (typically triamcinolone, also known as kenalog). This treatment, plus topical wound care in some cases, results in dramatic improvement in almost all cases. For some patients, and in some anatomic locations, a silicone-based gel or sheeting (wound dressing) can be used to promote faster healing and decrease likelihood of recurrence.

Keloid treatment can be performed with local anesthesia only in the great majority of cases. An exception is for pediatric cases, where sedation or general anesthesia may be required to make sure that the child is comfortable and not scared. For very large keloids, and in certain difficult areas, repeated excisions may be necessary and skin grafts may be required. For keloids or hypertrophic scars after an injury or surgical procedure, secondary restorative surgery as well as scar removal and revision is initiated several weeks to months after injury. Dr. Ransom would be happy to discuss in detail the treatment of your keloids or scars; please schedule a consultation today!

Who is a candidate?
Anyone with a keloid or hypertrophic scar can undergo treatment or revision of the affected area. A detailed medical and surgical history, plus physical examination of the lesions, are needed to determine the best plan for you. In some cases where multiple treatments or attempts at repair have failed, Dr. Ransom may recommend a multiple-modality approach or serial treatments. For a small group of patients, unfortunately, keloids will recur in some form regardless of the techniques or medications used. In these patients, the goal is to improve cosmetic appearance and resolve any functional issues.

Frequently Asked Questions

Q: How long will the treatment take?
A: Depending on the size and location of the keloid or hypertrophic scar, surgical treatment will vary. The overall course of treatment generally involves a single minor surgical procedure, followed by routine office visits. These visits are frequent immediately following the procedure, and then become less frequent over time. Dr. Ransom closely monitors the healing process over a period of months and uses topical and injection medications to reduce the likelihood of recurrence and give you the best appearance possible.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

5.0

Based on 19 reviews

Christina G.
I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!
Tk I.
I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!
Joey B.
I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.
Edward T.
Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.
Lisa C.
Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.
Cheryl H.
Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.
Jill P.
I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.
Arielle C.
Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.