Comprehensive Multimodal Eradication of Resistant Keloids & Hypertrophic Scars
Keloids and hypertrophic scars represent pathological wound healing disorders characterized by excessive fibroblast proliferation and massive deposition of thick Type I and III collagen fibers. Unlike hypertrophic scars (which stay within the original wound boundaries and slowly regress), keloids invade aggressively beyond the initial margin of injury into surrounding normal skin, causing persistent throbbing pain, intense itching, and disfigurement.
Why Simple Surgical Excision Fails Alone
Cutting out a keloid with simple surgery alone has a notoriously high recurrence rate of 50% to 80%, often returning larger than before. Dr. Vishal Purohit utilizes a proven multimodal protocol that suppresses recurrence to below 10%:
- Intralesional Core Excision: Meticulously coring out the dense fibrous center while preserving the thin outer epithelial rim, preventing activation of dormant collagen-producing fibroblasts in adjacent normal skin.
- Intraoperative & Postoperative Triamcinolone Injections: Injecting targeted doses of triamcinolone acetonide directly into the wound edges to inhibit collagen synthesis and induce fibroblast apoptosis.
- Custom Pressure Therapy & Silicone Sheeting: Applying continuous pressure clips (for earlobe keloids) or medical silicone gel sheets for 6 to 12 months to induce localized hypoxia and break down rigid collagen bundles.
Long-Term Remission and Aesthetic Restoration
From complex lobular earlobe keloids to painful chest wall lesions, this staged, scientific approach eliminates discomfort and restores smooth skin texture.