A viewer in Nigeria has undergone five surgeries yet still feels uncomfortable with their keloids. In a Bumpinator debrief connected to Festus’ completed story, Dr. Sanusi Umar responds to the question with empathy and discusses the challenge of finding accessible keloid treatment when the specialist a patient hopes to see is far away.
A Question After Five Surgeries
The viewer, posting as baddest_papichulo, writes: “Dr I wish you were in Nigeria, I am not comfortable with my keloids after 5 surgeries.” The message does not describe the procedures, the location of the keloids, or what happened after each operation. It does, however, make clear that the viewer is still seeking help.
Dr. U begins by acknowledging the concern: “First of all, sorry to hear that.” He says that difficulties involving keloids can be frustrating for patients and their doctors alike. Rather than offering a diagnosis or predicting the outcome of another procedure, he addresses the experience the viewer has described.
When Care Is Far From Home
The viewer’s wish that Dr. U were in Nigeria brings geography into the conversation. Dr. U explains that he practices in California and receives patients from around the world, including Nigeria. He welcomes patients who can travel there for treatment while recognizing that international travel is not possible for everyone.
That distinction matters. An invitation to seek an assessment in California is not the same as a promise that any particular approach will be appropriate or successful. The viewer’s comment also does not establish whether their condition involves acne keloidalis nuchae or whether treatment for acne keloidalis would be relevant to their individual case.
Dr. U’s Goal for Wider Access
Dr. U calls Nigeria his home country and says it holds “a special place in my heart.” He then outlines two ideas his team is working toward: partnering with doctors there to provide training, and arranging seasonal visits to treat patients directly.
He presents both as efforts under consideration or development, not as an established program currently available in Nigeria. His response closes by thanking the viewer for raising the issue. The exchange shifts the focus from one person’s difficult experience to a larger question: how can patients reach specialized care without having to travel across the world?
Watch the Chapter
Watch the Bumpinator Episode 7, Chapter 23 debrief to hear Dr. U’s full response to the viewer’s question.
Take the Next Step
If you are concerned about keloids or a prior treatment result, seek an individualized evaluation with a qualified clinician. The Bumpinator series continues to explore patients’ experiences and Dr. U’s clinical perspectives.
Free ConsultationCondition or treatment information: [[ADD CONDITION PAGE URL]]
Medical Disclaimer
This article is for educational purposes and does not provide a diagnosis or individualized medical advice. Treatment decisions require assessment by a qualified medical professional. Outcomes vary by patient.
Further Reading
- https://dru.com/festus-multiple-keloids-gratitude-dr-umar/
- 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/
