This section of the forum is dedicated to discussions addressing linear scars, depressed scars, keloid scars, hypertrophic scars, and other facial reconstructive topics. (Of note, Dr. Lam no longer accepts medical insurance so he rarely manages cancer reconstruction or trauma anymore.)
his keloid excision failed until i coordinated radiation therapy with it. the only way i am going to attempt this is for you to arrange radiation therapy when we schedule surgery so that you START RADIATION WITHIN 24 HOURS OF EXCISION. you cannot do that without advanced planning. if you live in dallas, that will be easy. if you don't, the plan would be to plan a surgical date, coordinate that with your local radiation oncologist, then have the sutures removed 9 days afterward by a local doctor or you come back and let me do it. obviously, the other option is you stay the 5 days for radiation in dallas and then take sutures out a few days later. that may be unreasonable. hope that helps as a start.
if you excise it alone, your failure rate is probably 90%. if you just radiate it, your failure rate is 100%. if you excise it and radiate it but radiate it several days to several weeks later, your failure rate is 30 to 40%. if you excise and radiate it within 24 hours, your success rate can be over 90%. best, sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery