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Keloids.ie

Before & after

Real cases from the clinic

A selection of the hundreds of keloids and hypertrophic scars treated by Dr Buckley, photographed before and after. Several are followed up years later, which matters with keloids because recurrence is the thing you are trying to avoid.

Every photograph here is of a real patient treated at the Kerry Skin Clinic, published with their consent. The captions are Dr Buckley’s own, taken from the clinical record.

Results vary considerably. Size, age, site and skin type all change what is achievable, and no treatment removes a scar completely — what you are looking at is a scar made smaller and less noticeable, not skin returned to normal. These are not a guarantee of what any individual result will look like.

Clinical photographs are showing

These are real photographs of scars before, during and after treatment, including wounds part-way through healing.

Showing 20 of 20 cases

Ear keloid — week by week healing

Ear

A single session of intralesional cryosurgery, photographed from treatment through to week seven. This sequence shows what healing actually looks like: swelling, then blistering and weeping, then a dry scab that separates on its own.

  • Intralesional cryosurgery
Ear keloid — week by week healing — Before
Before
Ear keloid — week by week healing — During intralesional cryosurgery
During intralesional cryosurgery
Ear keloid — week by week healing — Week 1
Week 1
Ear keloid — week by week healing — Week 3
Week 3
Ear keloid — week by week healing — Week 6
Week 6
Ear keloid — week by week healing — Week 7
Week 7
Ear keloid — week by week healing — Week 7
Week 7

Ear keloids during and one week after cryosurgery

Ear

What the procedure looks like: the cryoprobe in place during treatment, and the same ears one week later while the treated tissue is healing.

  • Intralesional cryosurgery
Ear keloids during and one week after cryosurgery — During cryosurgery
During cryosurgery
Ear keloids during and one week after cryosurgery — During cryosurgery
During cryosurgery
Ear keloids during and one week after cryosurgery — 1 week after cryosurgery
1 week after cryosurgery
Ear keloids during and one week after cryosurgery — 1 week after cryosurgery
1 week after cryosurgery

Acne keloids on the chest, fifteen year follow-up

Chest

Shave excision followed by one session of cryosurgery, photographed at two years and again fifteen years later.

  • Shave excision
  • Cryosurgery
Acne keloids on the chest, fifteen year follow-up — Before
Before
Acne keloids on the chest, fifteen year follow-up — 2 years after shave excision and cryosurgery
2 years after shave excision and cryosurgery
Acne keloids on the chest, fifteen year follow-up — 15 years later
15 years later

Acne keloids on the chest, thirteen year follow-up

Chest

Two shave excisions, four sessions of cryosurgery and intralesional steroids, photographed two years later and again thirteen years later.

  • Shave excision
  • Cryosurgery
  • Intralesional steroids
Acne keloids on the chest, thirteen year follow-up — Before
Before
Acne keloids on the chest, thirteen year follow-up — 2 years after treatment
2 years after treatment
Acne keloids on the chest, thirteen year follow-up — 13 years later
13 years later

Ear keloid after one and two sessions

Ear

Photographed 13 months after two sessions of cryosurgery, with the interim result after the first session.

  • Cryosurgery
Ear keloid after one and two sessions — Before
Before
Ear keloid after one and two sessions — After 1 session
After 1 session
Ear keloid after one and two sessions — After 2 sessions
After 2 sessions

Keloids following a tattoo

After a tattoo

Six years after radiosurgical excision, one session of intralesional cryosurgery and one of intralesional steroids.

  • Radiosurgical excision
  • Intralesional cryosurgery
  • Intralesional steroids
Keloids following a tattoo — Before
Before
Keloids following a tattoo — 6 years after treatment
6 years after treatment

Keloid from an Implanon scar, upper inner arm

Arm

Before, and four months after one session of intralesional cryosurgery.

  • Intralesional cryosurgery
Keloid from an Implanon scar, upper inner arm — Before
Before
Keloid from an Implanon scar, upper inner arm — 4 months after intralesional cryosurgery
4 months after intralesional cryosurgery

Acne keloids on the chest

Chest

After two cycles of intralesional cryosurgery combined with intralesional steroids.

  • Intralesional cryosurgery
  • Intralesional steroids
Acne keloids on the chest — Before
Before
Acne keloids on the chest — After 2 cycles of treatment
After 2 cycles of treatment

Acne keloids on the chest

Chest

Shown before, immediately after shave biopsy, and two years after shave excision, cryosurgery and intralesional steroids.

  • Shave excision
  • Cryosurgery
  • Intralesional steroids
Acne keloids on the chest — Before
Before
Acne keloids on the chest — After shave biopsy
After shave biopsy
Acne keloids on the chest — 2 years after treatment
2 years after treatment

Acne keloids on the back of the shoulder

Shoulder

Two years after shave excision, cryosurgery and intralesional steroids.

  • Shave excision
  • Cryosurgery
  • Intralesional steroids
Acne keloids on the back of the shoulder — Before
Before
Acne keloids on the back of the shoulder — 2 years after treatment
2 years after treatment

Acne keloids on the face

Face

Three months after shave excision, cryosurgery and intralesional steroids.

  • Shave excision
  • Cryosurgery
  • Intralesional steroids
Acne keloids on the face — Before
Before
Acne keloids on the face — 3 months after treatment
3 months after treatment

Ear keloid treated with radiosurgical excision

Ear

An ear keloid before and after excision with radiosurgery.

  • Radiosurgical excision
Ear keloid treated with radiosurgical excision — clinical photograph 1
Ear keloid treated with radiosurgical excision — clinical photograph 2
Ear keloid treated with radiosurgical excision — clinical photograph 3

Ear keloid after an incomplete excision in hospital, seven year follow-up

Ear

This keloid had been incompletely excised in hospital and was photographed here eighteen months later. Shown again seven years after intralesional cryosurgery, from the front and from behind the ear.

  • Intralesional cryosurgery
Ear keloid after an incomplete excision in hospital, seven year follow-up — Before: 18 months after incomplete excision in hospital
Before: 18 months after incomplete excision in hospital
Ear keloid after an incomplete excision in hospital, seven year follow-up — 7 years after intralesional cryosurgery
7 years after intralesional cryosurgery
Ear keloid after an incomplete excision in hospital, seven year follow-up — Before (behind the ear)
Before (behind the ear)
Ear keloid after an incomplete excision in hospital, seven year follow-up — 7 years after intralesional cryosurgery (behind the ear)
7 years after intralesional cryosurgery (behind the ear)

Ear keloids, seven year follow-up

Ear

Seven years after radiosurgical excision and intralesional cryosurgery, from the front and from behind the ear.

  • Radiosurgical excision
  • Intralesional cryosurgery
Ear keloids, seven year follow-up — Before
Before
Ear keloids, seven year follow-up — 7 years after treatment
7 years after treatment
Ear keloids, seven year follow-up — Before (behind the ear)
Before (behind the ear)
Ear keloids, seven year follow-up — 7 years after treatment (behind the ear)
7 years after treatment (behind the ear)

Keloids on the left forearm

Forearm

After excision, intralesional cryosurgery and cosmetic camouflage. Camouflage does not treat the scar; it conceals what remains after treatment.

  • Radiosurgical excision
  • Intralesional cryosurgery
  • Cosmetic camouflage
Keloids on the left forearm — Before
Before
Keloids on the left forearm — After treatment and camouflage
After treatment and camouflage

Ear keloid, four months on

Ear

Before, and four months after a single session of intralesional cryosurgery.

  • Intralesional cryosurgery
Ear keloid, four months on — Before
Before
Ear keloid, four months on — 4 months after one session
4 months after one session

Ear keloid, early healing and three month result

Ear

Before, four days after treatment, and three months after a second session of cryosurgery.

  • Cryosurgery
Ear keloid, early healing and three month result — Before
Before
Ear keloid, early healing and three month result — 4 days after treatment
4 days after treatment
Ear keloid, early healing and three month result — 3 months after a second session
3 months after a second session
“Very happy with the result”
Patient feedback recorded at follow-up

Ear keloid, six months on

Ear

Six months after two sessions of cryosurgery and one radiosurgical excision.

  • Cryosurgery
  • Radiosurgical excision
Ear keloid, six months on — Before
Before
Ear keloid, six months on — Before (second view)
Before (second view)
Ear keloid, six months on — 6 months after treatment
6 months after treatment
“Delighted”
Patient feedback recorded at follow-up

Ear keloid after a third session

Ear

Two months after a third session of cryosurgery, shown from two angles.

  • Cryosurgery
Ear keloid after a third session — Before
Before
Ear keloid after a third session — 2 months after a third session
2 months after a third session
Ear keloid after a third session — Before (second view)
Before (second view)
Ear keloid after a third session — 2 months after a third session
2 months after a third session

Ear keloid over fifteen months of treatment

Ear

Seven weeks after a third session of cryosurgery, fifteen months after the first photograph was taken.

  • Cryosurgery
Ear keloid over fifteen months of treatment — Before
Before
Ear keloid over fifteen months of treatment — 7 weeks after a third session
7 weeks after a third session
“Another great result”
Patient feedback recorded at follow-up