LAM FACIAL PLASTICS

Hi Dr. Lam,

since these are relatively "small", you might want to try steroid injections first to see if they would shrink in size. that may also help surgery if they are smaller so that the total excision area is smaller. if steroid injections fail, then i would consider surgery plus radiation. in general, i confine my help to the head and neck area for keloids since i specialize in the face. if you truly cannot find anyone to help you and you have failed some steroid injections, then i would be happy to consider helping you with combined surgery (which has to be done carefully and precisely) and timed radiation to minimize the risk of recurrence down to less than 5%. i believe low dose radiation is very safe but you have to speak with a radiation therapist to get the right answer. i can get you in touch with one here in dallas area that i would work with if you are interested. you need to start your radiation within 24 hours of excision and continue for 5 days straight. hope that helps.
best,
sml