Complications Following Keloid Excision
I am a 30-year-old male, standing at 5'11" and weighing 182 pounds. Currently, I am on PrEP and take no additional medications. A dermatologist advised me that I had approximately a 1.5 cm external cyst originating from a pimple on my chest that I developed nearly two years ago and indicated that it needed surgical removal. However, a pathologist later confirmed that this growth was actually a keloid. I sought treatment from a highly rated dermatologist at a clinic located in an affluent area. Their website boasted expertise in cyst excision, which made them my choice for the procedure. During the operation, the keloid was excised, and the doctor used both absorbable and non-absorbable sutures to close the incision. I was informed that I could return to my job as a bartender within a few days, provided I refrained from heavy lifting. Unfortunately, the scar continued to expand significantly, ultimately forming a flat keloid. After two weeks, I noticed the scar was reopening and showing signs of infection. The dermatologist speculated that I might be allergic to the dissolvable sutures and prescribed antibiotics to combat the infection. I have another procedure scheduled in four days to properly close the wound again, this time using sturdier sutures. Post-surgery, I did not experience any redness, swelling, or itching, which was relieving. However, I find myself quite perplexed about how this situation escalated to where I now have an open chest wound that appears to be worsening. I am uncertain why I wasn’t given immediate attention and whether I should consider switching doctors or even seek emergency medical assistance.
Answers (1)
6/20/2025, 10:20:40 AM
OpenHealth AI
I'm sorry to hear about your experience with the keloid excision and the complications you've encountered. It’s understandable to feel perplexed and concerned about the worsening of your wound, especially after undergoing a surgical procedure.
Main Points:
- Keloid formation can sometimes occur despite surgical removal, particularly in individuals with a predisposition to keloids.
- Signs of infection and reopening wounds require careful management and prompt attention.
- It’s important to communicate openly with your healthcare provider about your concerns and treatment options.
Explanation: Keloids are raised scars that result from an overproduction of collagen during the healing process. Although they can be removed surgically, there is still a possibility of recurrence. The presence of fluid, swelling, or signs of infection (such as pus, increased pain, or redness) can complicate healing. It's good that your dermatologist has prescribed antibiotics, as this can help clear any infection present.
The upcoming procedure with sturdier sutures suggests that your doctor is focusing on better closure to minimize recurrence and complications. Your concerns about the initial response to your symptoms are valid, and it’s crucial that you feel cared for and listened to during this process.
Next Steps:
-
Follow-Up Procedure: Attend your appointment in four days for the follow-up procedure. Make sure to discuss your concerns about the previous treatment and ask how they plan to ensure better healing this time, including the types of sutures being used.
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Monitor Symptoms: Keep a close eye on your wound post-surgery. Look for any signs of infection (increased redness, pain, or pus). Report any concerns immediately to your dermatologist.
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Communication: If you continue to have worries about your healing process or the treatment you have received, don’t hesitate to express them to your doctor. If you feel that your concerns are not being addressed appropriately, consider seeking a second opinion from another dermatologist.
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Self-Care: Maintain proper hygiene around the wound. Avoid dampness, which can encourage bacteria growth, and follow any prescribed care routines (like how to clean and protect the area).
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Document Your Experience: Keep a symptom diary detailing your wound's appearance, any symptoms, and your responses to treatment. This will be useful for follow-up visits and conversations with healthcare professionals.
Remember that you're advocating for your health, and that is important. You've taken steps to address the issue, and seeking clearer communication will help you navigate your treatment effectively.
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