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A Second Chance for a Complex Keloid

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

Rear-side view of a man's head with a large raised area behind the left ear.
Robert’s source image documents the keloid scarring at the back of his head and behind the left ear before the care described in the video.

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.

Rear-side view of a man's head with a flatter healed area behind the left ear.
The follow-up image shows Robert’s appearance after the individualized, collaborative care described in the short video.

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

  1. https://dru.com/skin-clinic-keloid-treatment/
  2. 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/

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