Keloids / Scar Revision
Conveniently located to serve Washington DC, Arlington, Bethesda
What are keloids?
Keloids are abnormally large scars that are created when the body “overheals” an injury or surgical incision. This leads to much more scar tissue building up than is needed. This can cause pain, itching or restriction in movement. They are most common after surgery, ear piercings, or trauma, but can also follow minor injuries such as scrapes, insect bites, or shallow cuts.
How are they treated?
Since Keloids are due to trauma, surgical excision alone often leads to a high rate of recurrence. Treatment can include steroid injections to “dissolve” the scar tissue and improve symptoms. This is often a first stage treatment. Other treatments with a higher rate of success include cutting out the scar and treating the area with either steroid injections or a short course of low dose radiation. This slows down healing to minimize the risk of recurrence. We partner with radiation therapists to coordinate care since timing is essential with post treatment radiation for optimal results.
Scar revision can be done to improve scars that may have healed poorly either due to trauma, another surgical procedure or due to disruption of previous healing. In some cases improvement can be achieved through removing the scar and reclosing it meticulously.
The most common risks are recurrence or wound healing problems. Steroid injections have a risk of fat atrophy, skin thinning or pigment “washout”.
This has been an amazing experience from the consultation to post-surgery!!! I honestly can’t even express how happy & grateful I am with the results. Everyone….Dr. Ramineni and his whole team are impeccable, to say the least. A very thoughtful, professional, kind, and knowledgable team. I will 100% always refer anyone I know to this amazing team…Dr. Ramineni had a challenge when I came to see him with my issue but he 1000% went above & beyond to achieve perfection with my results. I can’t thank this team enough!! I genuinely want to thank you so much!
Dr. Ramineni was recommended to me by my plastic surgeon as a masterful surgeon who could figure out why I was having complications. He diagnosed the problem correctly and fixed it. I am grateful for his openness, his honesty, and skill.
- Saiyyaed A.
Life-altering surgeon. He helped make my dreams come true with the most flawless surgery I’d been waiting my whole life to get. Healing and recovery has been almost disturbingly easy and pain-free. I could not recommend enough. Everyone there is so sweet as well!
Dr. Praful Ramineni
Plastic SurgeON IN WASHINGTON D.C.
Dr. Ramineni is the founder of District Plastic Surgery. He is board certified and has over 15 years of experience in plastic and reconstructive surgery. He started his career as one of the busiest surgeons at Medstar Washington Hospital Center with a focus on complex reconstructive surgery including cancer and trauma reconstruction, microsurgery and aesthetic surgery.