Beyond the Scalpel: Innovating Keloid Treatment with Multidisciplinary Precision

Keloids are challenging fibroproliferative scars with high recurrence rates following monotherapy. We report the successful management of bilateral ear lobule keloids in a 50-year-old woman using a multidisciplinary treatment protocol incorporating preoperative intralesional triamcinolone injections and mechanical compression, surgical excision with acellular dermal matrix reconstruction, postoperative radiotherapy (16 Gy), and long-term silicone compression therapy. At 18 months of follow-up, there was no clinical recurrence, the Vancouver Scar Scale score was 1, and the patient reported excellent cosmetic satisfaction with pain-free healing. This case highlights the value of combining mechanical, biological, surgical, and radiotherapeutic strategies to reduce recurrence and emphasizes the importance of interdisciplinary collaboration in keloid management.