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Keloid Removal Surgery in Newport Beach, CA

Published by Dr. Brandon Richland, MD

Overview of Having Keloid Removal Surgery in Newport Beach

Keloid removal surgery can be a promising solution for those struggling with keloids. It plays a crucial role in improving both the physical appearance and the emotional well-being of individuals.

What Is a Keloid Removal?

Keloid removal involves the surgical excision of keloid scars, which are raised, thick, and often larger than the original wound. These scars can form due to injury, surgery, or even acne. The procedure typically includes excising the keloid tissue, then carefully suturing the healthy skin together to minimize scarring.

There are various methods, including laser therapy, steroid injections, and cryotherapy, to reduce the likelihood of the keloid returning.

Why Have Keloid Removal Surgery Done in Newport Beach?

Newport Beach, CA, is home to advanced medical facilities and experienced plastic surgeons who specialize in keloid treatment. Patients often seek treatment in this area because of the high standard of care and the availability of cutting-edge techniques.

The local clinics offer state-of-the-art amenities, ensuring a comfortable and professional experience. Additionally, the beautiful environment of Newport Beach provides a serene atmosphere for recovery, contributing to the overall treatment process.

Who Is a Good Candidate for Keloid Removal Surgery?

Candidates for keloid removal surgery include individuals with persistent keloid scars that cause discomfort, itching, or cosmetic concerns.

Candidates range from those who have keloids resulting from surgical incisions, injuries and acne. Individuals who have tried other treatments such as compression dressings or steroid injections without success might particularly benefit from surgical intervention.

The decision to proceed with keloid surgery should be made after a thorough consultation with a qualified plastic surgeon. This ensures that the chosen treatment plan aligns with the patient’s needs and goals.

Choosing a Keloid Removal Surgeon in Newport Beach

Selecting the right plastic surgeon in Newport Beach, California (CA) for keloid removal surgery is crucial for effective treatment and minimizing scarring. Focus on experience, skill, and patient feedback to ensure the best outcome for your keloid scar removal.

How Do I Choose a Plastic Surgeon for Keloid Removal Surgery in Newport Beach?

Look for a surgeon who specializes in skin treatments and keloid scar removal. An experienced plastic surgeon, especially one board-certified, is likely to produce better results. They understand the complexities of keloids and can tailor the treatment to individual needs. Check if they have a history of successful surgeries in this area.

Reviews and testimonials provide insight into the surgeon’s capability. Positive feedback from previous patients can be reassuring. Patients often share their experiences regarding the surgery process, recovery, and final outcomes.

A good surgeon should be approachable and clear in communication. During the consultation, they should explain this kind of scar revision procedure, potential risks, and expected outcomes without using overly technical language. Open communication builds trust and ensures that all your concerns are addressed properly.

Surgeons employing up-to-date and advanced techniques, such as lasers for keloid removal, can often achieve better results. Innovations like carbon dioxide or PDL lasers might offer less invasive and effective treatment options. Confirm if the surgeon is well-versed in these methods and whether they are suitable for your needs.

Choosing the right surgeon impacts the success of your keloid removal surgery significantly. It’s essential to do thorough research and make an informed decision for the best care and results.

Consultation Process

Before undergoing keloid removal surgery, it’s essential to understand the consultation process. Patients should prepare specific questions and learn what to expect during their meeting with a plastic surgeon.

What Questions Should I Ask My Plastic Surgeon About Keloid Removal Surgery?

When meeting with your plastic surgeon, ask about treatment options available for keloid removal. Inquire if steroid injections, cryotherapy, or laser therapy are suitable for your case. Discuss the surgeon’s experience in dealing with keloids, specifically in patients of different ethnic backgrounds, as keloid tendencies can vary.

Clarify the risks and side effects associated with each treatment. Ask about the expected recovery time and aftercare recommendations. It’s helpful to know whether your insurance covers the surgery and if there are any additional costs involved.

What Should I Expect During A Consultation for Keloid Removal Surgery?

During a consultation, the plastic surgeon conducts a thorough examination of the keloid. They evaluate its size, location, and previous treatment history. Expect questions about your medical history, including any allergies or prior surgeries. The surgeon may use virtual consultations, providing a more convenient option for initial discussions.

The surgeon will discuss potential treatment plans and explain the procedures in detail. They provide information on surgical techniques, such as scar excision and possible adjunct treatments like SRT (Superficial Radiation Therapy), especially to remove non-melanoma skin cancer and keloid cells. Understanding the likely outcomes and possible side effects helps in setting realistic expectations.

Understanding the Keloid Removal Procedure

Keloid removal surgery involves various medical terms, several surgical techniques, and specific procedural steps to ensure effective treatment. Understanding these elements can help patients make informed decisions.

What Medical Terms Should I Know About Keloid Removal Surgery?

Keloid: A type of raised scar that grows beyond the boundaries of the original wound.

Excision: The surgical removal of the keloid tissue.

Cryotherapy: Treatment that uses extreme cold to freeze and reduce keloids.

Steroid Injections: Corticosteroids injected into the keloid to shrink it.

Compression Dressings: Fabric wraps used to apply pressure on the wound to reduce scarring.

What Types of Keloid Removal Surgeries are There?

Surgical Excision: The dermatologist surgically removes the keloid by cutting it out. This method often requires additional treatments to prevent recurrence.

Cryotherapy: This method freezes the keloid tissue, causing it to fall off eventually. It’s often used for smaller keloids.

Laser Therapy: Lasers are used to reduce the redness and size of the keloid. This method can also flatten the scar.

Steroid Injections: Administered prior to or after the keloid removal surgery to shrink the keloid and reduce inflammation.

Compression Dressings: Used both pre- and post-surgery to minimize keloid formation by maintaining constant pressure on the wound.

What are the Surgical Steps of a Keloid Removal Procedure?

  1. Consultation and Planning: The surgeon evaluates the keloid and discusses possible treatments with the patient.
  2. Anesthesia: Local anesthesia is applied to numb the area around the keloid.
  3. Excision: The surgeon carefully cuts out the keloid tissue.
  4. Closure: The wound is closed using stitches, and in some cases, a skin graft might be necessary.
  5. Post-Operative Care: Patients might receive steroid injections and need to wear compression dressings. Follow-up visits are important to monitor healing and prevent recurrence.
  6. Healing: Proper nutrition and wound care are crucial during the healing process. Vitamins A and C can help support skin regeneration and collagen production.

Cost of Newport Beach Keloid Removal Surgery in California

Costs for keloid removal surgery can vary widely based on factors like the treatment method and physician’s fees. Insurance typically does not cover these procedures as they are often considered cosmetic.

How Much Does a Keloid Removal Cost?

The cost of keloid removal surgery in Newport Beach, CA can range from $75 to over $2,000. The final amount depends on several factors, including the complexity of the procedure and the type of treatment used.

Cryotherapy is usually the least expensive option. This technique involves freezing the keloid to reduce its size and can cost between $75 and $500 per session.

Surgical excision involves cutting out the keloid with a scalpel and is generally more expensive, often ranging from $500 to $1,500 depending on the size and location of the scar.

Patients should consult with their medical provider to get an accurate estimate tailored to their specific needs. Most keloid removal surgeries are considered cosmetic and thus are not covered by health insurance, making it important for patients to plan accordingly.

Insurance Coverage

Keloid removal insurance coverage refers to the extent to which health insurance plans cover the costs associated with the treatment and removal of keloids, which are raised, thickened areas of scar tissue that can develop after skin injuries or surgeries. Coverage for keloid removal can vary significantly depending on the insurance provider and the specifics of the individual’s plan.

It often hinges on whether the procedure is deemed medically necessary, such as in cases where keloids cause pain, restrict movement, or lead to other health complications, as opposed to being considered a cosmetic procedure. Understanding the nuances of insurance coverage for keloid removal is crucial for patients seeking treatment, as it impacts their out-of-pocket costs and access to appropriate care.

Is a Keloid Removal Covered by Insurance?

Keloid removal can be covered by insurance, but coverage largely depends on whether the procedure is deemed medically necessary. If keloids cause significant pain, restrict movement, or lead to recurring infections, insurance companies are more likely to cover the removal procedure as a medical necessity. In such cases, a doctor’s documentation detailing the health complications caused by the keloid can support the insurance claim.

However, if keloid removal is sought primarily for cosmetic reasons, insurance coverage is less certain and often not provided. Many insurance plans consider cosmetic procedures to be elective and, therefore, not eligible for coverage.

Non-Surgical Alternatives

Non-surgical alternatives for keloid removal focus on minimizing scars and preventing their recurrence. Methods like compression therapy, steroid injections, and laser treatments provide effective options for those looking to avoid surgery.

What Non-Surgical Alternatives are There to a Keloid Removal?

Compression Therapy
Compression dressings apply pressure to the keloid, helping to flatten it and reduce its size. These dressings are often worn for 12 to 24 hours a day over several months.

Steroid Injections
Steroid injections can help shrink keloids and reduce itching and discomfort. These injections are usually given every few weeks and can significantly improve the appearance of keloids.

Laser Treatment
Laser treatment uses focused light to reduce the redness and thickness of keloids. This method can also smooth out the scar tissue and improve skin texture.

Cryotherapy
Cryotherapy involves freezing the keloid with liquid nitrogen. This process can reduce the size of the keloid and is often combined with other treatments like steroid injections for better results.

Superficial Radiation Therapy
Radiation therapy, often used post-surgery, can also be a standalone treatment to prevent the recurrence of keloids. It involves the application of low-dose radiation to the keloid area.

Pros and Cons

Keloid removal surgery offers distinct benefits and potential drawbacks, important for anyone considering this treatment. It addresses both cosmetic concerns and discomfort but involves certain risks and considerations.

What are the Pros and Cons of Keloid Removal Surgery?

Pros:

Keloid removal surgery can significantly improve the appearance of affected skin areas. This is particularly beneficial for individuals who find keloids disfiguring or those experiencing discomfort due to their size and location. Additionally, removing keloids can alleviate pain and increase mobility if the keloid has formed near a joint.

Another advantage includes the potential for increased self-esteem. Many patients feel more confident after the surgery, especially if the keloids were in visible locations like the face or neck.

Cons:

Despite its benefits, this procedure has downsides. The most notable drawback is the high recurrence rate. Nearly 100% of keloids return after surgery, often larger than before.

Moreover, the surgery itself can lead to complications, such as infection or the formation of new scars. Patients often require additional treatments post-surgery, such as wearing a pressure garment after surgical removal, to reduce recurrence.

The cost of surgery varies significantly, ranging from $500 to $9,000, depending on various factors like the surgeon’s expertise and the complexity of the case. This can be a significant financial burden for some patients.

Side Effects, Risks, and Complications

Keloid removal surgery can be effective, but it comes with its own set of side effects, risks, and potential complications. Patients should be aware of these issues to make informed decisions about their surgical options.

Are There Side Effects, Risks, or Complications of Keloid Removal Surgery?

Common Side Effects

Patients may experience common side effects such as redness, swelling, and tenderness in the treated area. These symptoms typically subside within a few days to a week. Pain relievers can help manage discomfort during the initial recovery period.

Risks of Recurrence

One significant risk is the recurrence of keloids. Studies indicate that nearly 100% of keloids can return after surgical excision unless combined with other treatments like corticosteroids or radiation therapy.

Complications During Healing

Complications in wound healing can arise. The skin may not heal properly, leading to hypertrophic scars or skin infections. Patients are encouraged to follow up with their surgeon to monitor healing and address any concerns promptly.

Long-term Effects

There is a long-term risk associated with certain treatments. For instance, radiation therapy, used to prevent recurrence, might lead to skin complications or, in rare cases, cancer. Patients should discuss these risks in detail with their healthcare provider.

Preparation for Surgery

Successful keloid removal surgery requires careful planning, specific instructions from the doctor, and adherence to suggested guidelines to ensure optimal healing. Proper preparation can significantly impact the outcome of the procedure.

How Should I Prepare for a Keloid Removal?

Preparing for keloid removal surgery involves several essential steps. The patient should start by gathering all prior medical records and treatments related to their keloid. This includes any radiation therapy, as it impacts the surgical plan.

The surgeon may advise fasting for a certain period before the procedure. It is also crucial to avoid specific medications and supplements that can affect bleeding and healing. Patients should inform the doctor about all medicines they are taking.

In the days leading up to the surgery, maintaining good skin and wound care is paramount. Keeping the area clean and moisturized helps ensure healthier skin for surgery. Depending on the case, doctors might recommend special skin care products.

On the day of surgery, wearing loose, comfortable clothing can make it easier to access the surgical site. Bringing a list of questions and concerns to the surgical team can help reduce anxiety and ensure clarity.

Keloid Removal Recovery Process

Recovering from keloid removal surgery involves a period of healing and wound care. It’s crucial to understand the time frame for recovery and the steps necessary to ensure proper wound healing while minimizing the risk of new scar tissue forming.

How Long Does it Take to Recover From a Keloid Removal?

The recovery time after keloid removal surgery can vary. Typically, while initial wound healing may occur within a few weeks, full recovery and optimal results might take several months.

Post-operative aftercare is critical. Patients often need to wear compression dressings made of stretchy fabric up to 24 hours a day for 4 to 6 weeks. This helps reduce scar tissue formation by applying consistent pressure to the healing wound.

Attention to wound care is essential. Keeping the surgical site clean and protected promotes better healing. In some cases, corticosteroid injections or silicone gels might be recommended to further reduce the risk of new keloid formation.

Duration of Keloid Removal Results

Keloid removal surgery offers varying results depending on factors like treatment type, aftercare, and individual skin characteristics. It’s crucial to understand how long one can expect the results to last.

How Long Does a Keloid Removal Last?

The results of keloid removal surgery can be temporary due to the high recurrence rate. Keloids often return in many patients, sometimes within months of surgery.

To enhance longevity, doctors might recommend follow-up treatments, such as corticosteroid injections, cryotherapy, or pressure dressings. These supplementary treatments aim to reduce the likelihood of keloids reforming.

Skin care post-operation is crucial. Keeping the area moisturized, avoiding sun exposure, and following a dermatologist’s guidelines can contribute to longer-lasting results. Regular monitoring and early intervention are key to managing potential recurrences effectively. Frequent check-ups help detect and address any signs of keloid regrowth promptly.

Expected Results

Keloid removal surgery can lead to a variety of outcomes, contingent on factors such as the size of the keloid, the treatment methods utilized, and individual healing characteristics.

What Results Can I Expect After I Have Keloid Removal Surgery?

Patients often see a significant reduction in the size and visibility of keloids post-surgery. Techniques like excision, laser treatment, and steroid injections contribute to these results.

Treatment outcomes vary, and while some may experience a recurrence, proactive post-operative care can often minimize such events.

Before & After Photos

Exploring before and after patient photos of keloid removal surgery can help individuals understand the aesthetic improvements and potential results of the procedure.

Keloid Removal Before & After (B&A) Photos

Patients considering keloid removal surgery often find it helpful to view before and after photos. Comparing pre-surgery and post-surgery images can demonstrate the effectiveness of different treatments, including surgical removal, cryotherapy, and scar revision.

Before photos typically show the extent of the keloid, while after photos reveal the improved skin texture and minimized scar visibility.

Aesthetic results are a key focus. Viewing various patient outcomes can help individuals understand the potential for smoother and clearer skin following the procedure, emphasizing the impact on their overall appearance and self-confidence.

About the Author

Dr. Brandon Richland, MD is one of the best, most respected, top Board Certified Plastic Surgeons in Newport Beach, California specializing in cosmetic and reconstructive surgeries.

Driven by his passion for medicine, Dr. Richland obtained his Doctor of Medicine (M.D.) degree from the prestigious program at Saint Louis University (SLU) School of Medicine in 2013. His exceptional skills were recognized when he received the McGraw Hill / Lange Medical Student Academic Achievement Award, and graduated top of his class with Honors. For his undergraduate degree, he attended University of California, Los Angeles (UCLA) and graduated with Honors in 2009.

To further enhance his surgical expertise, Dr. Richland completed his Residency in Plastic Surgery at the University of California, Irvine (UCI) from 2013 to 2019 earning the Academic Achievement Award twice during this period. A total of 14 years in dedicated schooling and medical residency.

Dr. Richland is actively involved with healthcare and medical societies, as a Diplomate of the American Board of Plastic Surgery, a member of the American Society of Plastic Surgeons, American Society of Aesthetic Plastic Surgeons, and the California Society of Plastic Surgeons.

Contact Dr. Richland’s Newport Beach Plastic Surgery office today by calling 949-867-6005, or visit RichlandMD.com to schedule your personalized plastic surgery consultation in Newport Beach.