Abstract
Background:
Current treatment options for keloids include surgical excision and local corticosteroid injections. However, the high rate of recurrence remains a significant challenge. Current guidelines and expert consensus suggest that treatment strategies should be tailored based on the size of the lesion. Keloids with a diameter of less than 2 cm are typically managed with corticosteroid injections alone, while those larger than 2 cm are often treated with surgical excision followed by adjuvant radiotherapy. Despite these approaches, managing patients with multiple or scattered keloid lesions remains particularly difficult.