Robert had already undergone four surgeries, including radiation therapy. His experience shows why complex keloid care may call for an individualized plan and collaboration among physicians.
By Sanusi Umar, MD
The contrast in Robert’s before-and-after images is immediate. Behind that visible change is a history of difficult treatment: he had already undergone four previous surgeries, including radiation therapy, yet the keloid scarring remained.
When a keloid persists after prior care
Robert’s case called for thoughtful, physician-led care rather than a one-size-fits-all response. The short video focuses on the visible before and after, while the accompanying clinical context explains that the scarring involved the back of his head and his left ear.
BEFORE

Collaborative, individualized treatment
Through collaborative care, I treated the keloid on the back of Robert’s head using my surgical techniques, including the patented Athena Suture Kit. Dr. Sandra Lee treated the keloid on Robert’s left ear. Each physician’s role addressed a different area while contributing to the care shown in the final result.
The case also underscores a broader principle: every keloid case is different, and every treatment plan should be individualized. Robert’s history and prior procedures were part of the context for the approach taken in his care.

What Robert’s before and after can show
Robert’s result represents one patient’s experience. It does not predict how another person’s scar will respond, but it illustrates the value of careful assessment and a treatment plan shaped around the individual case.
For people living with persistent keloid scars, the next step is a medical evaluation that considers the scar’s location, treatment history, and the options appropriate to that patient.
Watch the Short Video
Watch Robert’s keloid before-and-after short on YouTube | Instagram | TikTok
Take the Next Step
Learn more about keloid removal
Medical disclaimer: This article describes one patient’s experience and is not medical advice. Results vary. A qualified physician should evaluate your individual condition and treatment options.
Sanusi Umar, MD | Publication-ready draft
Take the Next Step
Learn more about keloid removal
Medical disclaimer: This article describes one patient’s experience and is not medical advice. Results vary. A qualified physician should evaluate your individual condition and treatment options.
Further Reading
- https://dru.com/skin-clinic-keloid-treatment/
- Umar S, Khanna R. Papular acne keloidalis nuchae treatment success using follicular unit excision. JAAD Case Rep. 2023 Jul 25;39:96-100. doi: 10.1016/j.jdcr.2023.07.013. PMID: 37621307; PMCID: PMC10445098.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10904000/



