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Menu
 * R6 Keloid Cream
 * Basic Info
   * Overview of Keloid Disorder
   * Types of Keloid Lesions
   * Keloid Staging System
   * Genetics of Keloid Disorder
   * Keloid Disorder in Children
   * Age of Onset of Keloid Disorder
   * Pathology of Keloid
   * Progression of Keloids
   * Keloid Infections
   * Psycho-Social Impact
 * Ear Keloids
   * Ear Keloids – General Information
   * Otoplasty Keloids
   * Massive Ear / Earlobe Keloids
   * Atlas of Ear Keloids
   * KRF Treatment Guidelines
   * Poor Surgical Outcomes
   * Re-Shaping Earlobe
   * Ear Keloids – Case Studies
 * Face Keloids
   * Facial Keloids – General Information
   * Facial Keloids in Asian/Caucasians
   * Face Keloids in African Americans
   * KRF Treatment Guidelines
   * Facial Keloids – Case Studies
 * Neck Keloids
   * Neck Keloids – General Information
   * KRF Treatment Guidelines
   * Neck Keloids – Case Studies
 * Chest
   * Chest Keloids – General Information
   * KRF Treatment Guidelines for Chest Keloids
   * Chest Keloids – Case Studies
 * Shoulder
   * Shoulder Keloids – General Information
   * Shoulder Keloids – Case Studies
 * Scalp Keloids
   * Scalp Keloids – General Information
   * KRF Treatment Guidelines
   * Scalp Keloids – Case Studies
 * Abdominal Keloids
   * Abdominal Keloids – General Information
   * Abdominal Keloids – Case Studies
 * Pubic Keloids
   * Pubic Keloids – General Information
   * KRF Treatment Guidelines
   * Pubic Keloids – Case Studies
 * Treatment Options
   * Treatment Strategy
   * Keloid Surgery
   * Cryotherapy
   * Intra-Lesional Steroids
   * Intra-Lesional Chemotherapy
   * Cryoshape
   * CryoShape Real Stories
   * Radiation
   * Beware of what you do – Case Studies
 * Practice Information
   * Appointment
   * Office Hours and Location
   * Keloid Publications
   * Video Gallery
   * Privacy Policy
   * Disclaimer







Shoulder keloids - various shapes - durable response to medical treatment.
Tumoral facial keloids were made worse after surgery.
Signifcant improvement was achieved with medical treatment. Upper arm keloid
treated with intra-lesional injections. Chest keloid - significant improvement
was achieved with medical treatment. Shoulder keloids. Durable response was
achieved with medical treatment. Chest keloid - significant improvement was
achieved with medical treatment. Neck keloid. Durable complete response was
achieved with cryotherapy. Complex ear keloid - significant improvement with
cryotherapy. Chest keloid - significant improvement with medical treatment.
Belly button keloid - durable results with multimodality treatment Tumoral pubic
keloids - results after one cycle of cryotherapy. Facial keloids - significant
improvement with multimodal treatment. Post cesarean section pubic keloid –
excellent treatment results. Large neck keloid - dramatic results after one
cycle of cryotherapy. Keloids from facelift surgery – treatment outcome. Facial
keloid - durable results with cryotherapy. Post otoplasty keloid treated with
cryotherapy. Massive neck keloid - significant improvement with combined
modality treatment. Nodular chest keloids - dramatic improvement with medical
treatment. Post mammoplasty keloid with near complete resolution with medical
treatment.



LETTER FROM A PATIENT'S FAMILY TO DR. TIRGAN

Dear Dr. Tirgan,

We first came to see you in July of 2014 to have our son Sam’s ear treated for a
keloid. After all, he had been through with that ear I have to say I didn’t
share your confidence that it would finally stop growing and even be reduced to
almost gone….. really all there is is a bit of scarring – almost like a burn.
Amazing compared to what it was prior to treatment. January 2015 was his third
and final treatment which means it has been stable for 2+ years! We are so
grateful and see the whole process as an answer to many prayers. We thank you
for the service that you have provided to our son! He graduates from High School
in just a few more months! I will send pictures soon for your records. (of his
ear, not graduation)

Sincerely,
Karmen, Terry & Sam
(April 2017)




SPECIALIST TREATMENT FOR KELOIDS ONLY

New York has hundreds of dermatologists and plastic surgeons who among
everything else, also treat keloids. But, Dr. Tirgan is the only physician in
North America whose medical practice and research is dedicated solely to the
treatment of keloid patients. For the past several years, Dr. Tirgan has
provided medical care and keloid treatment to over 2,000+ keloid patients, many
of whom traveled to New York from far away places.




OUR REVIEWS

Michael Jamaleddine
August 10, 2021.
Amazing doctor with a big heart that truly cares about his patients. I've seen
him several times over the last couple of years and have experienced great
results from his treatment and I learned a lot about keloids as well.
Stephanie Payne
July 15, 2021.
Dr Tirgan is honestly my Angel. I had really bad plastic surgery that left me
with keloids across my whole upper body . He told me right from the beginning it
was going to be a long process and to be Patient but he will fix me.. 1 year
later I finally feel normal again. I cant thank him enough. I have never trusted
a Dr the way I trust him.
Robert Silverman
April 30, 2021.
Excellent doctor who specializes in keloids. Reviewed my condition, made a plan
and executed exactly how he described in our initial consultation. Therapies
resulted in the elimination of the keloids and smooth skin that looks natural. I
have complete trust in Dr. Tirgan.
Kristen Jones
February 11, 2021.
Dr. Tirgan is an outstanding doctor. He is not only an innovator in his field
but he is also kind and very patient in answering questions. If you are looking
for Keloid treatment options, you know there are almost no other non invasive
methods. We were delighted with the results and can't say enough about how life
changing Dr. Tirgan was for my family. We are grateful and so lucky to have
found Dr. Tirgan. After our first visit we knew we had found the right treatment
options. Do your research on this topic. Wish we could rate 10 stars!
Sandeep Akella (Deepsand)
August 20, 2020.
Very professional and very knowledgeable. Prioritizes patient care above all
else.
Jonathan Beyer
June 19, 2020.
Dr. Tirgan helped my son tremendously. We came to him with a large Keloid on his
ear. He took the time to explain the cryotherapy and how he could help us. Dr
Tirgan was very kind and patient at each visit. After the treatments, the keloid
was gone. I am so grateful for Dr. Tirgan.
Isha Kamara
June 13, 2018.
I have had Keloid’s for almost 8 years now on both of my ears. They were so huge
and very painful. I did surgery and it came back bigger. I found him on the
internet and it was the best decision I have ever made in my life. He’s the best
and the very best. He’s so patience and speaks to you so well. I had my
procedure the first time I saw him and lord I’m almost at the end of the road. I
got my second procedure in two weeks and I just can’t wait. The Keloid’s is
almost gone and I’m shaking and happy because I was so scared even though I saw
a lot of videos but I was still scared. I’m glad I found him. He picks up my
calls every time I call him to ask questions. He’s the best. I got one more to
go and hopefully I will be Keloid’s free. It only took me two to three weeks and
half of the Keloid’s fell off. Thank you so much. You are a blessing!!!! I can’t
wait to see you again.
Chiquita Combs
June 13, 2018.
I have suffered with keloids for so long I can't remember how long It has been.
I was diagnosed with Hidradenitis Suppurativa years ago and proceeded with the
steroid injections. Multiple injections every 4 to 6 weeks was too painful to
committment to. I just couldn't do it to myself on a regular basis. I allowed my
condition to accelerate and progress for a few years without any treatment
before I made the committment to seek the most painless medical treatment for my
condition. After doing the research on my condition and watching too many
YouTube videos, I recently scheduled a consultation with DR. MICHAEL TIRGAN in
Manhattan, NY. My first appointment I was exactly one hour late due to the
traffic from Long Island to NYC and I was greeted pleasantly by Roseann and not
scolded for being late. There were plenty of patients that hot and sunny
Saturday so I waited patiently until it was my turn. Dr. Tirgan was gentle
speaking and not shocked by the multiple keloids under my arms and on the back
of my shoulder and on my stomach and partially covering my breast and most of
all he listened to me. He recommended the Cryotherapy which was my choice of
treatment and prescribed a dual antibiotic to heal the infection that was
occurring regularly. I followed up with my 2nd appointment with Dr. Tirgan and
my 1st Cryotherapy treatment 10 days later. I was so nervous, I almost left
before my scheduled appointment time. I waited outside the office for a few
minutes trying to calm my nerves and at exactly 1:00pm here comes Dr. Tirgan. He
asked how I was and I told him I was nervous and up all night and he said it so
daringly "don't be nervous". I was his first patient and didn't feel rushed. He
examined me, recognized the improvement from the antibiotic he had previously
prescribed and again recommended Cryotherapy treatment. I agreed and without any
numbing cream or injection he proceeded to freeze the keloid directly in my
armpit that was itchy, painful and had recently developed a boil that had come
to a head and was draining the day of my initial consultation appointment. The
procedure was not painless but it was tolerable. My threshold for pain is very
low so on a scale of 1-10 the pain during the procedure was about 6. I was so
surprised I had to laugh at myself but I took two Advils or two Aleeves and hit
the road back to Long Island. 30 mins later the pain was at 7 and it reached an
8 by the time I reached home almost 2 hours after the treatment. I ate, took my
antibiotic and rested for a few hours. 5 hours after the procedure there was no
pain and the keloid was already in a state of blistering. I changed the gauze no
stick bandage and slept all night comfortably. It's now, almost 12 hours later
and still no pain and I noticed that there is no itching. I almost feel some
normalcy in my life. Thank you Dr. Tirgan. See you in 2 weeks.

Google rating score: 4.5 of 5, based on 18 reviews



WHAT IS A KELOID

Keloid is a chronic skin disorder, which negatively affects many aspects of
patients’ lives. Keloid Disorder can present itself either as a single small
spot on the skin or appear as multiple lesions spread across several areas of
the body.

In some patients, keloid lesions can grow to form a large skin tumor. Keloid has
a genetic component, often runs in families, and is most often seen in
Africans/African Americans and Asian populations, although it has been reported
in individuals from almost all ethnic backgrounds. If someone is predisposed to
the condition, a keloid appears only after an injury to the skin, which can
happen in myriad ways such as ear piercing, acne, surgery, chicken-pox, etc.

LEARN MORE




WHY SPECIALIZED
TREATMENT ONLY?

When a healthy person receives some sort of injury to the skin, such as an
incision from surgery, or piercing, their skin goes through a rather predictable
healing cycle. The skin fuses back together, some scar tissue forms and, through
a very complex negative feedback system, the body arrests the healing process
once it’s complete.

In a keloid disorder, the negative feedback loop that informs the body that it’s
time to stop the healing process doesn’t function as it should and results in an
uninhibited, excessive and prolonged wound healing response; as if the brakes on
the wound healing process were malfunctioning. The result is an excessive and
perpetual healing response and keloid formation. Now, if we operate on a keloid
and cut it out surgically, the same abnormal wound healing mechanisms are
triggered, leading to the formation of a new, yet much larger keloid.
Cryotherapy, on the other hand, does not induce a cut in the skin. The
underlying tissue remains intact and the wound healing response does not lead to
keloid formation.


WHY SHOULD YOU SEE DR. TIRGAN?

Dr. Tirgan is the only physician in North America whose medical practice is
solely dedicated to the treatment of keloid patients. He has provided medical
care to over 2,000+ keloid patients, many of whom continue to travel from far
distances to be treated by him.

Dr. Tirgan is an international leader in clinical keloid research and
cryotherapy for keloids. He has extensively published his clinical work and is a
frequent speaker at national and international dermatology and plastic surgery
meetings.

As a leader in clinical keloid research and cryotherapy for keloids, Dr. Tirgan
is challenging standard approaches to many types of keloids. He has introduced
treatments that not only achieve excellent results, but most importantly, do not
cause harm, and do not put patients at risk of worsening of their keloids. If
you suffer from keloid - if your keloids have gotten worse despite treatments or
after surgery - or if your doctor cannot think of an effective treatment for you
- you need to know that there is hope, and there is someone here who has helped
many other keloid sufferers like you.

LEARN MORE ABOUT DR. TIRGAN

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KELOID TREATMENT SECRETS

Keloid Treatment Secrets is an easy-to-read book for anyone who is dealing with
keloid disorder. In this book, Dr. Michael H. Tirgan discusses various aspects
of this skin condition and provides the reader with an in-depth understanding of
this condition. The reader will learn about simple treatment choices, how
keloids should be treated, and most importantly about the treatments that are
harmful and should be avoided.

If you are diagnosed with keloid or have been dealing with it for a long time,
this book may help you to better understand your condition. It also arms you
with the knowledge you need to make correct treatment choices.

Read More


5TH INTERNATIONAL KELOID SYMPOSIUM

We are pleased to announce that our last meeting, the 4th International Keloid
Symposium was successfully held on October 7-9, 2022, in Montpellier, France.
This meeting attracted many more specialist clinicians, dermatologists, plastic
surgeons as well as laboratory-based scientists and researchers under one roof
to discuss the challenges of this poorly understood and under-studied human
ailment for the benefit of those who suffer the most, the keloid patients. We
are now planning for our 5th International Keloid Symposium that will be held in
early 2024.

Read More




ATLAS OF EAR KELOIDS

Keloids are an important medical problem that is often under-appreciated by the
medical community. Dr. Michael Tirgan has spent many years evaluating and
treating patients with keloids in different regions of the body. The Atlas of
Ear Keloids presents new insights into the natural history of keloids and
provides a perspective that many of the standard surgical approaches may
actually lead to the progression of these tumors on the ear. He presents good
examples of an alternative treatment with cryotherapy that has convincingly
eliminated some of the most troublesome keloids on the ear. This book will
provide valuable information to patients with keloids on the ear and to medical
professionals that treat these lesions. Atlas of Ear Keloids is available on
Amazon.com.

James G. Krueger, M.D., Ph.D.
Laboratory of Investigative Dermatology
The Rockefeller University
New York


CLINICAL PRACTICE GUIDELINES FOR TREATMENT OF KELOIDS

THIS GUIDELINE publication is a compilation of recommendations for treatment of
patients with common clinical presentations of keloid disorder. As you will
notice throughout this volume, not all keloid patients present in a similar
manner. Every patient presents with a unique problem. Therefore, the treatment
for each keloid lesion should be customized for each patient.

Obviously, the first instinct in a young person who develops a keloid lesion is
to have that lesion surgically removed. As documented in each Guideline, rushing
into surgery will often result in worsening of the keloids - simply because
keloid disorder is a progressive and multifocal disorder of the skin. Our better
understanding of basic facts about this chronic genetic ailment will guide us to
more effective treatment choices.

All the Guidelines documents are available on the website of Keloid Research
Foundation .




BEFORE AND AFTER TREATMENT

 * Ear Keloid - Treatment Results with Cryotherapy

 * Otoplasty Keloid - Treatment Results with Cryotherapy



See More Before/After Images


VIDEO TESTIMONIALS


Request an Appointment
Video Disclaimer

Disclaimers: Images and videos depicted on our website reflect the real-life
experiences of patients who were treated by Dr. Tirgan. However, individual
results may vary. We do not claim, nor should the reader assume, that any
individual experience recounted is typical or representative of what any other
patient might experience. Copyright © 2009-2024, Michael H.Tirgan, M.D., All
rights reserved.






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