Despite their visually alarming appearance, keloids are nothing more than overgrown scar tissue that develops where the skin has healed after an injury, cut, or scrape. No one knows exactly why some people seem to be more likely to get keloids than others. But there’s evidence that overproduction of collagen – the protein responsible for skin elasticity – during the healing process, may increase the chances of keloid scarring.

Since keloids are formed due to an abnormal response to wound healing, surgical removal alone is not always the best option for removing them. In fact, creating a new incision to extract the keloid can actually stimulate the formation of even more scar tissue, resulting in a new, sometimes larger keloid increasing keloid recurrence rates.

Fortunately, there are other effective treatment modalities for the management of keloids with satisfactory recurrence rates. At The Keloid Plastic Surgery Center, we offer a wide range of options, including surgical excision, silicon sheeting, superficial radiation therapy (SRT), a minimally-invasive procedure that has been proven to yield the highest cure rate (over 95%) of any available treatment for keloid modalities.

How does Work

SRT is one of the best options to combine with keloid surgery removal in order to lower the recurrence of the keloid
Superficial Radiation Therapy treats keloid scars with X-rays in an effective way

How Does Superficial Radiation Therapy Work For Keloids?

Superficial radiation therapy (S.R.T.) is a non-invasive treatment option for the removal of keloids and hypertrophic scars. S.R.T. uses X-rays to destroy abnormal tissue cells, thereby reducing the appearance of the initial wound and hypertrophic scars. S.R.T. works well for hypertrophic keloids because it delivers a concentrated dose of radiation to the affected area. The goal is to destroy the excess tissue and stop further growth with great treatment outcomes.

S.R.T. is often used as a non-surgical skin cancer treatment. When treating squamous cell carcinoma and basal cell carcinoma, doctors use high doses of radiation to kill the cancer cells while sparing surrounding healthy tissues. That’s why S.R.T. has a high rate of success when it comes to treating non-melanoma skin cancer signs.

Keloids, which are not cancerous, are raised, red, scaly skin growths that occur when scar tissue grows too quickly after injury. They’re often painful and unsightly.

TYPES OF KELOIDS

Types of Keloids treated with Superficial Radiation Therapy

There are two types of keloids that can be treated with S.R.T: primary and secondary.

Primary Keloids

Primary keloids occur when there is no previous history of keloids. They tend to grow faster than secondary keloids.

Secondary Keloids

Secondary keloids develop after a person has had keloids previously. These types of keloids often require multiple treatments.

Although keloids are not cancerous, they can cause discomfort and embarrassment and there is always a keloid scar recurrence. S.R.T. as a keloid treatment modality works well because it destroys only the top layer of skin cells. This means that the underlying layers of healthy skin remain intact, allowing them to heal naturally over time.

Candidates

Candidates For Superficial Radiation Therapy for Keloids

If you’ve never had keloids, you may not need SRT. However, if you’ve already tried topical treatments and laser therapy, SRT may be worth considering.

You may be an excellent candidate for superficial radiation therapy as a treatment of keloids if:

  • You are bothered by the appearance of keloids or scars 
  • You have an area of scar tissue that itches or is tender or painful when you touch it
  • The area has grown well beyond the size of the original injury or wound
  • You are in relatively good health 

SRT works well as an alternative for patients who have keloids. However, some patients may not respond to SRT because their keloids were too large or deep.

The best way of determining whether you’re a good candidate for SRT and the right combination of therapies for your keloid is to schedule a consultation at The Keloid Plastic Surgery Center. During your initial consultation, one of our board-certified plastic and reconstructive surgeons will thoroughly examine your skin and create a personalized treatment plan to help you achieve the results that you want. Click here to get started.

The best way of determining whether you’re a good candidate for SRT is to schedule a consultation at The Keloid Plastic Surgery Center.
The best way of determining whether you’re a good candidate for SRT is to schedule a consultation at The Keloid Plastic Surgery Center.

Contact

Schedule A Consultation Today

If you want to treat a visible scar or reduce a keloid scar volume, contact us at The Keloid Plastic Surgery Center today to schedule a consultation today and learn how SRT will help you get rid of those unsightly keloids in as little as three sessions. You can also discuss the keloid radiation therapy cost and other alternatives to surgery with us. Our board-certified plastic and reconstructive surgeons have successfully treated keloids of all sizes and complexities in patients across the United States and the world, and are eager to help you restore your self-confidence and improve your quality of life.

Benefits

Benefits of Superficial Radiation Therapy

Keloids are common among people who have had surgery, particularly plastic surgery. They’re most often found on the face, neck, chest, back, arms, legs, hands, feet, buttocks, breasts, and genitals.

People with keloids may feel self-conscious because of their appearance. Some people avoid social situations due to embarrassment. Others find it hard to sleep at night because of itching.

S.R.T. as a treatment of keloids provides excellent results. There are many benefits of SRT for keloid removal, including:

  • 95% and a higher cure rate
  • Short treatment (typically about three sessions are needed to achieve impressive results)
  • Appropriate for all skin types
  • No significant side effects
  • Appropriate for patients of all ages
  • Painless procedure
  • Low recurrence rate (less than 10%)
  • No downtime or aftercare

PROCEDURE

The SRT Procedure

During SRT, your doctor will deliver low-dose radiation directly into the affected area.
The SRT sessions for your keloid removal will be determined by your doctor

Keloid scars are raised, thickened areas of scar tissue that form after surgery or trauma. While they don’t cause permanent damage, they can be unsightly and uncomfortable. Fortunately, the prevention of keloids is possible thanks to S.R.T. without any health risk.

As part of the keloid radiotherapy protocol, it is important to protect fragile organs like the thyroid and mammary glands to avoid adverse effects. Therefore, during the first session, a protective lead shield is placed between the keloid and the body’s organs.

After the first session, the lead shield is removed and replaced with another one. It is then used again during subsequent visits. In addition to protecting organs from radiation exposure, the lead shields also block X-rays from reaching the skin. This allows the radiation to penetrate deeper.

Depending on the size, age, and location of your keloid, your doctor may need to excise or shave the excess tissue prior to S.R.T. The treatment is performed in the office with an effective dose of local anesthesia (numbing cream) to reduce discomfort.

During S.R.T., your doctor will deliver low-dose radiation directly into the affected area, which penetrates only a few millimeters beneath the skin’s surface. The procedure is quick and painless. Setting up for the first treatment usually takes 30-45 minutes because a custom lead shield will be made for your treatment. Then, each session will last only a few minutes and will be delivered over three consecutive days.

After the fourth session, most patients notice an improvement in their keloid condition. Some patients report complete resolution of their keloids after six months.

CONSULTATION

Preparing for your Superficial Radiation Therapy for Keloids Consultation

Treatments for keloids require radiation therapy. The goal of this effective treatment is to reduce the size of the keloid scar tissue. Keloids are raised scars that grow over skin that has been injured. As we already mention, they’re often painful and unsightly.

Radiation therapy works by damaging DNA within cells. This causes cell death and reduces the growth of the keloid.

To prepare for your consultation, you should bring along any photos of your keloid scar. Also, be prepared to answer questions about your medical history, including previous treatment of keloids and medications.

During your consultation, ask your doctor about the radiation therapy modalities he recommends as well as the radiation doses. Ask him about the side effects associated with each option. And remember to keep track of your progress after treatment.

If you’ve had radiotherapy for keloids before, ask your doctor about possible side effects. He may recommend taking certain vitamins or supplements to help prevent these problems.

Recovery

Superficial Radiation Therapy for Keloids Recovery and Aftercare

One of the greatest advantages of SRT is that you can resume your normal activities immediately after the procedure. However, it is important to keep the area away from direct sunlight and UV rays to avoid scar elevation and discoloration and protect the excision of keloids.

After keloid radiation therapy, patients must wear protective clothing and equipment to prevent burns and infections. Patients should avoid direct sunlight and tanning beds until healing is complete.

S.R.T. Patients should also wear loose clothing while recovering from radiation therapy. This helps prevent skin irritation caused by tight clothes. Patients should also keep their hands clean and wash frequently.

Patients with keloids who receive radiation therapy need to take care of themselves during recovery to prevent the return of scar tissue. Also, they should not use any lotions or creams containing alcohol, petroleum jelly, or petrolatum. These substances can cause irritation and dryness.

Keloids tend to recur after radiation treatments, but if you follow up with an effective dose of topical steroid creams, you can reduce the risk of recurrence. Steroid creams are often prescribed to patients who have undergone keloid treatment. These creams contain corticosteroids, which slow down cell growth and inflammation.

SIDE EFFECTS

Side Effects and Risks of Superficial Radiation Therapy for Keloids

Keloid scars are raised skin growths that occur when scar tissue grows too quickly after injury. They’re usually painful and unsightly.

Superficial radiation therapy (SRT) uses X-rays to destroy abnormal cells beneath the surface of the skin. SRT is used to treat keloids, which are often very large and bothersome.

While X-Ray Therapy Superficial Radiation is effective at reducing recurrent keloids, there are risks associated with this treatment. The most common side effect is signs of redness and swelling of the treated area. Other possible adverse effects include pain, symptoms of itching, blistering, peeling, infection, bleeding, and ulceration.

These adverse events such as persistent itching and scar redness can be controlled with topical medication as an acceptable treatment to avoid superficial lesions and the reappearance of keloid tissue.

There are other potential keloid radiation therapy risks including scarring, skin discoloration, and permanent pigmentation. These complications can lead to poor cosmetic outcomes and require additional treatments or procedures such as surgical resection or laser therapy. These risks and adverse effects rarely happen if you choose the right doctor for your treatment of keloids and hypertrophic scars.

If you experience any of these symptoms, contact your doctor right away. Keloids tend to recur after treatment, so be sure to keep track of your progress and keloid history.

FAQs

Frequently Asked Questions about Superficial Radiation Therapy for Keloids

Are keloids cancerous?

No, the vast majority of keloids are benign tumors. And contrary to popular belief, keloids are not contagious, either. 

What causes keloids?

Almost any type of skin injury can lead to keloid scarring, including:
• Acne scars
• Surgical scars
• Traumatic injury scars
• Chickenpox scars
• Cuts
• Burns
• Ear, face, and body piercings
• Tattoos
• Insect bites
• Extremely tight or pulling hairstyles
Additionally, evidence suggests that people under 30, pregnant women, and those with a family history of keloids may be more likely to get them. And according to the American Academy of Dermatology, individuals of Black, Asian, or Hispanic descent also have an increased risk of developing keloids.

Can you remove keloids at home?

While certain creams and lotions, such as those with vitamin E and onion extract, can help reduce the size and appearance of keloids, we do not recommend trying to get rid of a keloid without the help of a medical professional. Trying to ‘cut,’ ‘pop,’ or otherwise remove a keloid can lead to infections, further scarring, or may cause the keloid to become larger and more painful. 

Is superficial radiation therapy safe?

Yes, superficial radiation therapy is a safe procedure. The low-dose radiation emitted by the machine can be compared to a standard dental X-ray. 

How much is SRT for keloids?

The cost of superficial radiation therapy for keloid removal varies depending on several factors, including the size and location of the scar, as well as the complexity of the procedure. Contact The Keloid Plastic Surgery Center for more information.  

Is superficial radiation therapy for keloids painful?

No. The treatment with superficial radiation therapy is painless and takes about 30-45 seconds. However, your doctor can apply a topical numbing cream to the treatment area if you experience any discomfort. 

How long will SRT results last?

SRT is one of the most effective keloid removal methods because of its low recurrence rate. Evidence suggests that keloids return in only about 10% of cases following superficial radiation therapy.

What areas of the body can be treated with superficial radiation?

What areas of the body can be treated with superficial radiation?
Any area of the body can be treated with superficial radiation, including the:
• Face
• Ears
• Arms
• Hands
• Legs
• Feet
• Bikini area (keloids from C-section or hysterectomy scarring)
• Torso

Is the SRT for keloids office near me?

If you live near Miami Beach, our office is conveniently located at 4300 Alton Rd, Miami Beach, FL 33140.

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Last modified by Dr. Gabriel Salloum