What should you know about intralesional excision of keloid?

A keloid is an overgrown scar that extends beyond the original injury. Intralesional excision focuses on removing the raised portion while preserving as much surrounding skin as possible. Local anaesthetic is commonly used, and the wound may be closed with sutures or managed according to its location and size.

Excision alone may not control the scar-forming tendency. A dermatologist or surgeon may combine surgery with steroid injections, pressure therapy, silicone care, cryotherapy, or laser treatment. The choice depends on the keloid's site, thickness, symptoms, previous treatments, and your healing history.

Tell the clinician about previous keloids, acne or skin inflammation at the site, medicines, allergies, and any history of slow healing. Keep the dressing dry as instructed, avoid stretching the wound, and attend planned reviews. Do not massage, apply silicone, or resume exercise until the treating team gives specific timing for your wound.

Seek medical advice for increasing redness, warmth, swelling, drainage, fever, wound separation, or pain that is worsening. Arrange review if the scar becomes firm, itchy, tender, or visibly raised again after healing, since early treatment may be considered.

Ask why excision is suitable, what scar-prevention treatment will follow, how the wound will be closed, and how recurrence will be monitored. Ask whether steroid injection, laser, cryotherapy, or another approach fits your history.