We are no longer accepting new patients at our Rocky Mount, NC office.


Keloids and Hypertrophic scars are the result of abnormal scar formation. It is more common in some populations with greater amounts of melanin in the skin, but can occur in any patient. Depending on the size, location, and severity of the condition, it may be covered through health insurance. However, removal is sometimes considered to be a cosmetic procedure. For most patients struggling with large keloids, a series of injections is used to help soften and prepare the lesion for removal. Some patients find the injections are the only treatment they need, while others go on to have the keloid surgically removed.


  • Can remove painful, itchy scar tissue
  • Removes large lesions that are interfering with normal activities


Once the decision is made to move forward with surgery, our team will schedule a pre-procedure visit and help you select your surgery date.  A keloid excision may be performed under local anesthesia, meaning the area being treated is numbed, or, in some circumstances, under general anesthesia, meaning you will be asleep for the operation. Surgery typically takes about an hour to two hours to complete for larger lesions. You will have a scar from the excision and it is possible that a keloid can return, however preventive measures can be take to help decrease the likelihood of this occurring. Most patients find the benefits outweigh the scars.  You will go home the same day as surgery to recover. Depending on the size and area being treated, we may recommend you plan for extra help around the house for the days following your procedure as you adjust and recover. Recovery for each patient varies and depends on your lifestyle.


If you are considering treatment for your keloids or wondering if it may be the right procedure for you, we encourage you to schedule a consultation with Dr. Szymanski to review your goals and desired results. It is important that you understand and have realistic expectations for the procedure before moving forward. Dr. Szymanski may have you undress to more fully evaluate the area and talk through you concerns.

Deciding if a plastic surgery procedure is the right choice for you is your individual decision. We want you to feel comfortable and confident throughout the process. Before your first consultation with our office, we recommend you write down any questions you have and bring your list with you. It can also be beneficial to bring someone with you who is supportive and a good listener. If you find you have a lot of questions after your consultation, a second appointment to address your questions with Dr. Szymanski is always an option.

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