Surgical dermatology
Keloid Removal
Expert treatment for raised keloid scars — combining surgery, injections, and laser when needed to flatten and prevent recurrence.
Why keloids need a specialist
Keloids recur easily if treated with surgery alone. We combine modalities to reduce recurrence:
- Intralesional steroid injections — flatten and soften over a series of visits
- Surgical excision — when size or location warrants removal, always paired with adjuvant therapy
- Silicone sheets and pressure — support healing after treatment
- Laser therapy — improve color and texture
Common locations we treat
Earlobes (after piercings), chest, shoulders, jawline, and surgical scars.
What to expect
Treatment is staged — multiple visits over weeks to months. We set realistic expectations upfront: keloids can be improved significantly, but complete elimination isn't always possible.
Frequently asked questions
Will my keloid come back after removal?
Most insurance plans cover medical dermatology procedures. Contact us to verify your benefits.
Trusted sources
This page is educational. Specific treatment decisions are made during your visit with Dr. Puyana.
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Real patient results from Miami Skin Center.
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