Earlobe is a common place of keloid formation. This is almost always due to piercing of the earlobes. Keloid is an excess growth of a scar which is due to excess fibrous tissue formation at the site of a prior wound. Some individuals are prone to develop thick and massive scars at the site of any injury to their skin.
Cryosurgery, which is a method of inducing controlled frostbit, is an extremely effective method of treating most keloids, and in particular, earlobe keloids. Cryosurgery is my method of choice to treat great majority of earlobe keloids.In 2005, Dr. Fikrle from Czech Republic published his experience with Cryotherapy as monotherapy, that is just using cryotherapy, without any other interventions in seven cases of earlobe Keloids (Dermatol Surg. 2005 Dec;31(12):1728-3). Dr. Fikrle observed that the volume of the Keloids reduced in every patient and that complete flattening of the scars/Keloids occurred in 5 out of seven patients and concluded his publication, stating "We present an excellent effect of cryosurgery as the monotherapy for the treatment of earlobe Keloid scars of young patients." After the application of the first cryo treatment, earlobe keloids become significantly smaller and less noticeable. Most patients require between 2-3 treatments to achieve excellent results. The video below demonstrates how I apply Cryotherapy to earlobe keloids.
As for earlobe keloids that have re-occurred after surgery, Cryosurgery is the only method that can be used to remove such keloids.
Cause of keloid formation, and why some people are prone to it and some are not, is not well known. African Americans are more prone to develop thick scars and Keloids as opposed to Caucasians.
Surgery is commonly used method of removing earlobe keloids, but this often results in re-growth of keloid. Surgery is usually supplemented with injection of steroids at the keloid site.
Surgery can at times be counterproductive, specially in patients who have a strong family history of keloids, and also those who have other keloids on their skin. In such cases, removing one keloid; results in formation of another one, and at time bigger keloids form at the site of surgery.Earlobe Keloids can very in size and location. Some Keloids are limited to only on side of the earlobe, while other keloids can be complex and destroy the whole earlobe. Treating relapsed earlobe keloids can be challenging. Earlobe Keloids that relapse after surgery, should best be treated with cryotherapy.
Below is the interim result after four Cryotherapy sessions, (four months later) for the above huge keloid of the left earlobe. This bulky keloid has become much smaller than what it was before.