PMC9911190_01
Anterior view of a 48-year-old man with disfiguring keloids and multiple draining sinuses on bilateral cheeks and neck.
gox-11-e4796-g001.jpg
PMC9911190_01_gox-11-e4796-g001.jpg
F1
Anterior view demonstrating tissue expander placement. The patient demonstrated near resolution of draining sinuses after a 1-month course of prophylactic antibiotics before tissue expander placement.
gox-11-e4796-g002.jpg
PMC9911190_01_gox-11-e4796-g002.jpg
F2
Incisions were made at the boundary of the normal skin and keloid and two 8 cm x 3 cm expanders were implanted subcutaneously in the cheek and two 15 cm x 3 cm were placed in the chin (Fig. 2). (See figure 2, Supplemental Digital Content 2, which displays the lateral view demonstrating tissue expander placement. http://links.lww.com/PRSGO/C374.) Crescent-shaped expanders were chosen to accommodate surrounding anatomical contours and the largest size expander that could be accommodated was chosen to maximize expanded skin.
Anterior view after closure and serial treatments of 5-FU and TAC demonstrating minimal keloid recurrence.
gox-11-e4796-g003.jpg
PMC9911190_01_gox-11-e4796-g003.jpg
F3
Five years postoperatively, the patients' scars remained soft, with minimal thickening and minimal recurrence (Figs. 3 and 4).
Lateral view after closure and serial treatments of 5-FU and TAC demonstrating minimal keloid recurrence.
gox-11-e4796-g004.jpg
PMC9911190_01_gox-11-e4796-g004.jpg
F4
Five years postoperatively, the patients' scars remained soft, with minimal thickening and minimal recurrence (Figs. 3 and 4).