Keloid scar of the face

✍ Scribed by David Miller Wise; J. Regan Thomas; Ted A. Cook

• Publisher: John Wiley and Sons
• Year: 1989
• Tongue: English
• Weight: 254 KB
• Volume: 11
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/hed.2880110515

✦ Synopsis

T h e management of keloids or hypertrophic scars of the face pose problems, not only because of their anatomic location but because the patient may be left with an equally disappointing problem after treatment. Multiple styles of treatment exist, suggesting that there is no "right" answer.

CASE

A 26-year-old man comes to your office with prominent scars over both cheeks. He denies any trauma to the areas other than shaving. He has tried to grow a beard but is not satisfied with how he looks. He pierced his left ear several years ago and stopped wearing an earring because of scar formation. He also has a large abdominal scar from an appendectomy.

Examination confirms a very firm, raised, and nontender scar (Figure ); the remainder of the head and neck examination is normal.

Readers are invited to submit particularly difficult cases for consideration to