Tension-Free Precision Excision
Extranodular or core excision performed under local anaesthesia using fine microsurgical instruments to minimize wound tension.
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Keloid Removal
EXCISION & ADJUVANT CARE
Keloid Removal
in Polokwane & Mbombela.
Surgical excision of prominent keloids paired with adjuvant therapies to clear bulky lesions while minimizing the risk of recurrence.
✦ Specialist-Led
✦ Polokwane & Mbombela
✦ Individual Assessment
CLINICAL OVERVIEW
Understanding Keloid Removal.
Personalised assessment and surgical planning tailored to your anatomy.
Large or pedunculated keloids (such as earlobe or facial keloids) often resist injectable therapy alone. In these cases, precision surgical excision is indicated. However, surgery alone has a high recurrence rate; at Unaka, surgical excision is always integrated with strict adjuvant measures—such as immediate intralesional corticosteroid therapy, pressure clips, or silicone therapy.
Patient Safety & Specialist Protocol
All surgical procedures are performed by Dr MP Madzhia in accredited theatre facilities adhering strictly to South African medical safety standards and sterile protocols. Patient evaluation includes detailed medical screening and anaesthetic assessment prior to theatre booking.
PATIENT ASSESSMENT
Who may consider Keloid Removal?
Suitability is determined during an individual clinical consultation. Common considerations include:
- Patients with bulky or pedunculated keloids: Especially suitable for earlobe keloids and discrete lesions that cause physical obstruction or psychological distress.
- Patients prepared to follow adjuvant protocols: Candidates committed to wearing pressure earrings/garments and attending scheduled post-excision steroid injections.
- Adults and adolescents seeking relief: Patients cleared after clinical assessment of scar maturity and tissue tension.
A private consultation is necessary to confirm whether this treatment aligns with your anatomy and health status.
Book AssessmentSURGICAL JOURNEY
Step-by-step specialist care.
From your initial assessment through surgical execution and guided recovery.
Immediate Adjuvant Infiltration
Administration of targeted corticosteroid or cytostatic agents into the wound margins during or right after closure.
Pressure Device & Silicone Therapy
Application of medical pressure clips and medical-grade silicone sheeting to suppress abnormal collagen synthesis.
OUR PRACTICE LOCATIONS
Consultations in Limpopo & Mpumalanga.
Dr MP Madzhia consults at two fully equipped medical practices in South Africa.
LIMPOPO PRACTICE
Polokwane
74 Grobler Street, Polokwane 0699
Tuesdays & Fridays · 08:30–17:00
View Polokwane Practice
MPUMALANGA PRACTICE
Mbombela
Suite 201E, Riverside Medical Centre, 05 Torrent Crescent, Riverside Park, Mbombela 1200
Monday–Friday · 08:30–17:00
View Mbombela PracticeQUESTIONS & ANSWERS
Frequently asked about Keloid Removal.
Clear, straightforward medical answers to common patient questions.
Is surgical keloid removal painful?
The excision is performed under gentle local anaesthesia, ensuring total comfort during the procedure. Mild tenderness afterward is readily managed with standard medication.
Why is adjuvant therapy mandatory with surgery?
Surgical excision alone triggers fresh wound healing, which can stimulate keloid return in up to 70% of cases. Adjuvant therapies reduce this risk significantly.
How soon after surgery do adjuvant injections begin?
Depending on wound healing, adjuvant intralesional injections typically commence within 2 to 4 weeks postoperatively.
Ethical Medical Notice: Individual results and suitability vary. Surgical procedures carry inherent risks and require a thorough in-person consultation with a registered specialist plastic surgeon to discuss clinical indications, realistic expectations, potential complications, and specific recovery instructions. General educational content only; Dr MP Madzhia's tailored clinical assessment takes priority.
COMPLEMENTARY CARE
Related procedures & treatments.
Patients often explore these related plastic and reconstructive procedures.
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