LAM FACIAL PLASTICS

Dr. Lam,
I have a keloid on my shoulder that formed about 5 yrs ago after having a mole surgically removed. I had it treated with steroid shots, silicone sheets, and numerous other products. It flattened out and was better while I received the shots, but when I stopped, it came back and now it's worse than ever. It has been growing and is painful. I saw a plastic surgeon in my area and he wants to re-cut it and then have it treated with radiation the day of surgery and the next 2 days. I have this procedure scheduled for Jan. 10, but I'm a little uneasy. I don't know if I should go through with it, or if it could make the keloid worse. I do know I'm prone to keloids. I have hypertrophic scars on my stomach from surgery, but they're not painful. What is your recommendation? Do you think this surgery and radiation might be beneficial for me, or would I be better off leaving it alone? Thanks so much!!

I attached a picture of it from last year, but it is bigger and worse now.download/file.php?id=795

although i cannot give direct medical advice on here, the plan sounds good in general. i would have recommended injectables first but with that being a failure before your physician's plan sounds good to me.
best,
sml