Postoperative inflammation occurred shortly after this
25-year-old woman's earlobes were pierced. Within a few
months, bilateral keloids developed at the sites. The
keloid on the left ear is shown here.
A 4-month course of intralesional triamcinolone acetonide
injections (40 mg/mL, once a month) was followed
by carbon dioxide laser surgery to remove the keloid on
the left ear. A postoperative intralesional injection of triamcinolone
acetonide was given monthly for 6 months.
The keloid on the right ear was surgically excised
following 4 months of triamcinolone acetonide injections;
the postoperative regimen was identical to that of the
The surgically excised keloid recurred within 4
months; the laser-treated left ear remained free of the
scarring 2 years longer than the right ear.