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.)
I have keloids from a breast reduction performed 1 year ago. I tried the cortisone tape, the silicone sheets and cream and have been receiving the steroid injections every month for the past 10 months. The injections have helped but the healing is very uneven. The scars under my breast as well as around the areola area so the injections are very painful. I have talked to the dermatologist about the radiation treatments however he states that it is very dangerous. I woudl like to know if you would suggest your method of treatment for my situation and provide information regarding the possible side effects of the radiation treatments.
hi, so sorry to hear of your situation. first and foremost, i only perform work on the face and neck area and not on the body. therefore, it is always advisable to speak with your surgeon or dermatologist regarding their expertise. second, i am not a radiation specialist so you should ask a radiation physician what the risks, benefits, and limitations are with the treatment. i personally think radiation is a very effective way to manage keloids if they are in fact keloids and not just hypertrophic scars. in cases of hypertrophic scars i also add 5FU injections and laser therapies like IPL/KTP/Pulsed Dye laser to help modulate the scar tissue. in either case, some recent evidence has suggested using topical and/or oral ACE inhibitors like captopril or enalopril to manage the scars. however, these anti-blood pressure medications may drop blood pressure and you should check with your physician regarding these treatments. to me, they are new and i have just started putting patients on them. here is a couple of links to videos that might help too if you have not seen them yet:
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