Is Freezing an Effective Way to Remove a Keloid?

Posted by The Keloid Plastic Surgery Center

Keloids are challenging scars that can grow well beyond the borders of the original wound, often becoming raised, firm, and sometimes uncomfortable. Patients searching for options often ask, Can you freeze off a keloid? The short answer is yes—freezing a keloid, called cryotherapy or cryosurgery, can sometimes be an effective treatment. But like all medical procedures, its success depends on the scar’s size, location, and the patient’s individual skin type.

Woman smiling with hand on face, symbolizing consideration of cryotherapy for keloid scar treatment.
Freezing keloids with cryotherapy can reduce scar size and discomfort.

At The Keloid Plastic Surgery Center, with offices in Miami Beach, FL, and Aventura, FL, board-certified plastic surgeons Dr. Roberto J. Mendez and Dr. Gabriel Salloum provide advanced, patient-centered care for treating keloids. One of the options available is cryotherapy, a minimally invasive method that uses liquid nitrogen to freeze keloid tissue, helping to shrink and soften raised scars. Understanding how freezing works, when it’s most effective, and the importance of consulting a keloid specialist can help patients make the best decision for their treatment.

How Cryotherapy Treats Keloids

Cryotherapy works by applying extremely cold liquid nitrogen directly to the keloid tissue. The sudden drop in temperature destroys abnormal scar cells, causing the lesion to shrink over time. A bandage is typically placed after the procedure to protect the treated site as it heals.

Because cryotherapy specifically targets the scar, it can reduce bulk, flatten raised areas, and minimize redness. This medical procedure is often performed in-office, and patients usually tolerate it with only mild discomfort. Depending on the size and depth of the keloid, multiple sessions may be needed for optimal results.

Is Cryotherapy Effective for Keloids?

The efficacy of cryotherapy varies depending on the type of scar. Studies show it tends to be more effective for small keloids rather than large, bulky lesions. For many patients, cryotherapy can reduce the thickness of the scar and improve appearance.

However, keloids are known for their high recurrence rate, meaning even after successful treatment, new scar tissue can form. For this reason, cryotherapy is often combined with other treatments—such as steroid injections, pressure therapy, or surgical removal followed by radiation (SRT-100).

In the hands of experienced surgeons like Dr. Mendez and Dr. Salloum, cryotherapy can be a powerful tool. The key lies in selecting the right patients and combining therapies for longer-lasting results.

Who Is a Good Candidate?

Not every patient with a keloid is an ideal candidate for cryotherapy. The procedure is typically recommended for:

Close-up of a raised keloid scar on the upper arm, showing a common candidate for cryotherapy treatment.
Cryotherapy is most effective for small to medium-sized keloids.
  • Patients with small to medium-sized keloids.
  • Those experiencing pain, itching, or discomfort from the scar.
  • Patients who have tried other treatments without success.
  • Individuals seeking a minimally invasive option before surgery.

Patients with darker skin may be at higher risk for pigmentation changes after cryotherapy. During your consultation, your surgeon will review your medical history, the size and site of the keloid, and your treatment goals to determine the best approach.

Potential Risks and Side Effects After Cryotherapy

Like any medical procedure, cryotherapy carries risks. Potential side effects include:

  • Pain or discomfort during and after the procedure.
  • Blistering or crusting at the site.
  • Changes in skin color, especially in patients with darker skin tones.
  • Incomplete reduction of keloid tissue or recurrence.
  • Rarely, infection if the wound is not cared for properly.

Discussing these risks with your doctor ensures you understand both the benefits and limitations of the procedure before moving forward.

Why See a Keloid Expert First?

Keloids are not like ordinary scars, and their treatment requires specialized expertise. General dermatology or standard cosmetic treatments often fail to produce lasting results. At The Keloid Plastic Surgery Center, our surgeons focus exclusively on the treatment of keloids, combining techniques like cryotherapy, surgery, and SRT-100 radiation therapy to maximize success and minimize recurrence.

Seeing an expert first helps patients avoid ineffective treatments and move forward with options that offer better cosmetic and medical outcomes.

Why Choose Dr. Mendez and Dr. Salloum?

Dr. Roberto J. Mendez and Dr. Gabriel Salloum are board-certified plastic surgeons who specialize in treating keloid scars. Both bring extensive training, experience, and patient-focused care to every consultation.

  • Dr. Mendez: Known for his work in reconstructive and aesthetic surgery, he is committed to advancing effective treatment options for keloid scars.
  • Dr. Salloum: With a background in both plastic surgery and head and neck surgery, he offers specialized expertise in delicate scar areas, including the ears and face.

Patients across Miami Beach, FL, and Aventura, FL trust their care to these experts because of their dedication to achieving natural-looking, lasting results.

Alternatives If Cryotherapy Isn’t Right for You

For patients who may not be candidates for cryotherapy, The Keloid Plastic Surgery Center offers other options, including:

  • Surgical excision – removing the scar tissue surgically, often followed by radiation therapy to reduce recurrence.
  • SRT-100 (Superficial Radiation Therapy) – a targeted, non-invasive treatment to destroy keloid tissue at its source.
  • Non-invasive therapies – such as steroid injections, silicone sheeting, or pressure dressings to control growth.

Your treatment plan will be tailored to your unique needs, ensuring the highest chance of success.

Hand with a raised keloid scar covered by silicone sheeting, demonstrating a non-invasive treatment option.
Silicone sheeting is a non-invasive option for controlling keloid growth.

Treat Your Keloid Scars in Miami Beach and Aventura

Whether you are dealing with small keloids, large lesions, or recurring scars, The Keloid Plastic Surgery Center provides a full range of advanced therapies. Our Miami Beach and Aventura offices welcome patients from across the country seeking specialized care for this challenging condition.

A personal consultation is the best way to learn which treatment—cryotherapy, surgery, or a combination approach—will work best for you.

Final Thoughts on Freezing Keloids

So, can you freeze off a keloid? Yes—cryotherapy is an established treatment that can shrink keloids, relieve discomfort, and improve skin appearance. Still, the results are not always permanent and treatment often works best when paired with other therapies.

By consulting with keloid experts like Dr. Mendez and Dr. Salloum, patients in Miami Beach and Aventura can explore safe, effective treatment options tailored to their individual scars. Don’t let keloids control your comfort or confidence—take the first step toward smoother skin today.

FAQs About Cryotherapy Treatment for Keloid Scarring

Does freezing remove a keloid permanently?

Freezing can significantly reduce the size of a keloid, but it does not guarantee permanent removal. Keloids are prone to recurrence, which is why many specialists recommend combining cryotherapy with other treatments such as steroid injections or radiation.

How many sessions will I need?

Most patients require more than one session. The exact number depends on the size, thickness, and location of the keloid, as well as how the tissue responds to the first treatment.

Will my skin color change after cryotherapy?

Some patients may notice lighter or darker skin at the treated site. This effect is more common in patients with darker skin tones. Your surgeon will discuss ways to minimize this risk during your consultation.

Can cryotherapy be done on ear keloids?

Yes. Cryotherapy is frequently used for ear keloids, which are common after piercings. The treatment can shrink the scar and make it easier to manage, especially when paired with additional therapies.