Earlobe Keloid Treatment

Earlobe keloid is one of the most common complications following ear piercing. The keloid usually develops after an episode of wound or skin infection. The keloid tends to grow in size and becomes hard. Sometimes they may symptomatic with itchiness and tenderness on palpation. The approach to the management of earlobe keloid is usually a combination of surgery and scar treatment thereafter to prevent a recurrence.

Surgical excision is recommended as a first step to removing the hard nodular keloid scar. The surgery can be done under local anaesthesia. As much of the keloid scar is removed as possible and the wound closed primarily without much distortion to the earlobe. A clean surgical excision without any bleeding will ensure optimal healing condition for the wound and minimize the risk of recurrence. The union of the wound is achieved after 1 week when the stitches are removed.

One month after the excision when the wound is fully healed and stable, we begin the second step of the scar management with intralesional injection using triamcinolone. We advise gentle massage of the scar with silicone gel at home in between injections. Serial triamcinolone injection is done every 4-6 weeks until the scar remains soft and pliable. Usually, most of them can be controlled after 3-5 treatments. There is a 10-20% risk of recurrence of the earlobe keloid.

The information written and published on this website is not intended to substitute the recommendations of a trained professional and does not replace a professional consultation.
It is advisable to undergo a formal consultation to help establish a relationship between the doctor and yourself, accurately determine your concerns/problems, and get the appropriate treatments for them.
It is also imperative to note that the contents of the website with respect to treatments, results and pricing can vary from individual to individual, and can only be accurately determined by the doctor upon diagnosis.
Do note that all medical treatments will only be administered upon proper consultation, with the requirement that patients be above 21 years of age to provide legal consent.

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Earlobe Keloid Treatment

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