Scar tissue that grows beyond the wound and tends to return — managed by combining modalities rather than relying on any single one.
A keloid is scar tissue that keeps growing beyond the margin of the original wound, unlike an ordinary or even a raised scar that stays within it. It can be itchy, tender and cosmetically prominent, and it characteristically returns after being cut out on its own — excision alone recurs in a large proportion of cases.
Because of that, management is rarely a single step. What is offered here combines modalities chosen against how a keloid actually presents — its size, site, and history of recurrence — rather than defaulting to one treatment for every case. [KELOID RISK FACTORS DISCUSSED AT CONSULTATION].
Keloid management was part of Dr. Cruz's year-long fellowship (2024–2025) under Dr. Rei Ogawa at Nippon Medical School, Tokyo, alongside reconstructive surgery, microsurgery and lymphedema. [REFERRAL PATHWAY].
Keloids are genuinely difficult to treat, and even a well-chosen combination of modalities carries a real chance of recurrence. Part of the consultation is being honest about that risk from the start, rather than promising a result no treatment can reliably guarantee.