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Is laser surgery the best way to remove keloids/cystic acne?

Q:

My 23 year old daughter has had keloid/cystic acne on the left and right side of her face for 5 years. As she gets older it is more noticeable, which has a negative effect on her self-esteem. We are of Afro-American decent and would like to know if it is even worth the money to get them removed, will they return, will the surgery cause more scars than what we started with?

A:

 Lets get real specific. Keloids are scars that grow into normal human tissue. They are very difficult to cure with a success rate at < 33%. More commonly from acne there three very common scars that occur; ice picks, gouges & craters. In the Afro- American population Hypertrophic scars are more common. These usually respond to conservative treatments >86% of the time.

 The key with acne scaring is to first to get the cause under control( i.e. the acne). If it is not under control the rest can be a waist of time and money. Consider a member of the ASAPS in your area that specializes in Afro-Americain skin care. Best,

 

Gary R Culbertson, MD, FACS

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